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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.
Asked On : Sun, 20 Jan 2013
Answers:  1 Views:  35
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OBGYN 's  Response
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.

Dr Nilofer
Answered: Wed, 23 Jan 2013
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