Hallow Dear,
First of all, stop all the birth control pills.
Then try to adjust your sexual intercourses on and around the day of egg release (ovulation). Usually you get copious clear
vaginal discharge on the day of ovulation. Ovulation may be monitored by :
1. Ovulation monitoring kit or
2. Ultrasonography
If the ovulation monitoring confirms that you are ovulating regularly, one parameter has been tested. If any problem in the ovulation is detected, it will have to be tackled on the merits of the cause. The primary intension will be induction of ovulation which in most cases can be achieved by medicines like
Clomiphene citrate or Gonadotropins.
In spite of this practise if you do not conceive within 6 months, you will have to assess the other factors:
1. Patency of the tubes and the genital tract as a whole :
Hysterosalpingography (
HSG) and
Laparoscopy will reveal the status. If there is block anywhere, it will have to be treated surgically. HSG will also help to find out any intrauterine structural pathology.
2. Semen Examination to find the quantity and quality of the sperms.
In spite of all normal parameters, there is unknown factor which is affecting your
fertility, you may have to go for Assisted Reproduction Techniques.
I hope this helps you.
Best Wishes,
Dr. Nishikant Shrotri