Brief Answer:
Tubal patency test & ovulation test needed.
Detailed Answer:
Hi,
Welcome to XXXXXXX
For conception to occur, three basic things are required. One is normal
semen analysis, second is regular ovulation & third is patent tubes (along with normal uterus).
As your semen is normal we will come to other things.
Regarding ovulation, if wife's menstrual cycles are regular & come in every 25-35days, there is 99% chance that ovulation is happening regularly & test need not be done. If its irregular, she requires one ovulation test in the form of
ultrasound follicular monitoring OR one
blood test (Serum
progesterone) done 7 days before next expected menses.
Regarding tubal patency, it can be checked either by sonosalpingography/hysterosalpingography/
laparoscopy. In these tests XXXXXXX is injected into uterus & its spill seen through ultrasound scan OR X-ray OR through laparoscope respectively. Which test is best for her depends on ultrasound findings.
To start with you can go to gynecologist/
infertility specialist on 2nd/3rd day of her menses (Day of starting menses is counted as first day) & get one baseline trans-vaginal scan done. That scan should include uterine size, endometrial thickness, ovarian volume &
antral follicle count in ovaries & any abnormality if detected. You can ask your doctor to specifically see for these things. Kindly start with it & let me know the report so that further guidance can be given.
In the meanwhile please provide some points so that further treatment can be planned.
1. Semen analysis report: You can upload one copy.
2. How are wife's menstrual cycle: Regular/irregular. What is the date of last menses.
3. Did wife anytime in past suffered from fever associated with foul smelling vaginal discharge? If yes, what treatment was taken.
4. Any other tests already done.
5. What treatment you have taken for conception till now?
Awaiting reply,
Regards.