Hello,
Thank you for your query.
Would you clarify a few things for me please?
*These numbers, do they indicate the follicle's sizes of each ovary on day 13 of your cycle?
*how long are your cycles?
*are your periods regular?
*did you conceive naturally the first time?
*have you been on any contraception in the past 5 years? If so, what?
Your follicular study suggests
Polycystic ovaries. Endometrial thickness is less for day 13 as well. (assuming you have regular 30day cycles)
I recommend :
-a fertility specialist consult
-estrogen,
follicle stimulating hormone, Leutinizing hormone levels on day 3 of your cycle.
-
ovulation induction to regulate & stimulate ovulation.
-thyroid hormone levels, prolactin levels &
complete blood count, if clinically indicated
-if cycles are regular :
basal body temperature monitoring &
ovulation prediction kits to help detect ovulation date.
This day and the 3 days prior to this are you most fertile days. Have regular intercourse (every alternate day at least) in the middle third of your cycle.
-take a
folic acid supplement for.
-intra uterine Insemination may be required of ovulation induction alone doesn't work out for 3-4 cycles..
If your husband smokes, it would be advisable for him to stop ad it affects sperm quality
Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health