Brief Answer:
TRY NATURALLY FOR 6 MONTHS, THEN INVESTIGATE.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Since you have been fertile , there is no reason to suppose you would have difficulty in conceiving.
Since you have had a
miscarriage last year, firstly you should be having regular folic acid supplements ( 5 mg per day ).
Next follow your ovulation days and try for 5 months naturally.
If that fails, consult a Gynecologist.
Get follicular tracking done by transvaginal serial ultrasound scans to know if you are ovulating as you should.
Get your partner's
semen analysis tested.
Also, your hormonal levels - FSH, LH, TSH, AMH, Prolactin, DHEAS, Free
testosterone.
Particularly AMH and day 2 baseline ultrasound scan to count antral follicles - these 2 parameters are important, as they reflect the
Ovarian reserve - capacity of the ovaries to form good quality eggs.
This is the only factor that declines with age.
Also, a
laparoscopy / HSG to check patency of fallopian tubes should be done.
All the best
Please feel free to discuss further.
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