Hallow Dear,
Pre menstrual syndrome does not affect the
fertility as they are just the subjective symptoms a woman feels.
You have been put on Ebexid (for
thyroid dysfunction), Ovacare and
Fertomid (for ovulation problems).
I hope these dysfunctions are confirmed after due investigations before stating this treatment.
Now you have to monitor your ovulation either by ovulation monitoring kit or by
ultrasonography. Accordingly you have to plan your sexual intercourse.
Usually the follicle in the ovary ruptures after it reaches 18 mm size. If it does not rupture naturally, it may have to be induced by
hCG injection. Usually within 24 hours after hCG, the ovulation takes place. The egg or ovum has a life of 24 hours while the sperms are 72 hours active. Hence, a period of about one week around the day of ovulation is considered as fertile period. If you can plan your marital relations during this Fertile window, the chances of success are more.
Please note that the ovum released after the follicle has crossed the size of 21 mm size does not have that good chance of getting fertilized or to carry on with successful
pregnancy.
During ovulation monitoring by ultrasonography, the endometrium is also visualized. Endometrium of about 10 mm or more in thickness is very conducive for
implantation of fertilized ovum.
Considering these fact, you can adjust your life-style in the pursue of desired pregnancy.
If you have any more doubts, or want any more information, you may ask me by Direct question.
With the Best of Luck,
Dr. Nishikant Shrotri