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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Conceive, Periods, Ovulation, Fertility Tests, HSG Are All Normal. Causes For Infertility?

Dear Doctor, I have been trying and married from last 5 years and have never conceived . I and my husband have cleared all fertility tests . I am getting worried and how long should i wait for the good news. what is the nest step to this. My periods, ovulation or HSG all are normal. Please advice as i have visited doctor also.
Wed, 23 Jan 2013
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OBGYN,  's  Response
Hello,
Thanks for the query.

You are having unexplained infertility.

Unexplained infertility is infertilityin which cause remains unknown even after an infertility work-up, usually including semen analysis in the man and assessment of ovulation and fallopian tubes in the woman. Incidence being 20% among infertile couples.

The most efficient management of unexplained infertility appears to be administration of clomiphene citrate and performance of intrauterine insemination (IUI) during 3 menstrual cycles,
And if this has not resulted in pregnancy, then go for in vitro fertilization (IVF) in 6 menstrual cycles.

Wish you good luck.

regards,
Dr Nilofer
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Trying To Conceive, Periods, Ovulation, Fertility Tests, HSG Are All Normal. Causes For Infertility?

Hello, Thanks for the query. You are having unexplained infertility. Unexplained infertility is infertilityin which cause remains unknown even after an infertility work-up, usually including semen analysis in the man and assessment of ovulation and fallopian tubes in the woman. Incidence being 20% among infertile couples. The most efficient management of unexplained infertility appears to be administration of clomiphene citrate and performance of intrauterine insemination (IUI) during 3 menstrual cycles, And if this has not resulted in pregnancy, then go for in vitro fertilization (IVF) in 6 menstrual cycles. Wish you good luck. regards, Dr Nilofer