Hi XXXXXXX

Thanks for the query.

For normal conception three things are required:
1. Normal semen analysis
2. Patent tubes (which is confirmed by your HSG)
3. Regular ovulation (often indicated by regular 25-35days menstrual cycle).

I have seen HSG films & they are fine (normal). As the status of other 2 factors is unknown, it would be better if you can more details about your menstrual cycle pattern & husband's pregnancy & guide further.

Also as your age is 34 years, to give exact prognosis it will be nice if you can do an ovarian reserve test like serum AMH & upload the report.

Awaiting your response...

Regards

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Hi XXXXXXX
Thanks for providing the details.
Your menstrual cycle pattern of 25 to 28 days indicates regular ovulation. Also your husband's conception are normal. When all three things are fine, chance of conception is 70% after 6 months & 85-90% after 12 months of trying for pregnancy.
Ovarian reserve test is a test to know capacity of your ovaries to make eggs. The capacity to make eggs can decreases in some women (either due to age: >35 years in infertile women & >37-38 years in normal women, OR due to disease of ovary). Decreased ovarian reserve decreases chances of conception. AMH is a blood test to know ovarian reserve.
As you already have daughter of 5 years (proven fertility), you can skip the test & try for 3-4 months OR if you are very anxious, you can do it from any standard laboratory & upload the result. (Result can take up to one week depending on the laboratory you select).
Just let me know your decision & if you are planning to do AMH, you can upload the result.
Awaiting your response...

Regards

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Thanks for the reply.

Maximum Follicle size of 24x24 is normal when you are taking Fertomid.

If follicle is rupturing between 16 & 18th day, your next period should come between 30th & 32nd day. If it is not so, you require good support with medicines like duphastan for 14 days after rupture of follicle.

If you have already taken Fertomid for 5 cycles, there is no point in continuing the same treatment indefinitely. You can take Fertomid for 6 months at a time (and maximum 12 times in lifetime) without causing harmful effects. If you have taken Fertomid for last 5 cycles, it’s better to take treatment with better success rate (like superovulation with injectable medicines & intrauterine insemination). You can discuss the topic with your treating doctor & decide for the best plan.

Hope this answers your query. Let me know if you have other concerns.
If you do not have any clarifications, you can close the discussion and rate the answer.

Wish you good health

Regards

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Hi,
Intrauterine insemination is concentrating & processing semen to get most motile & healthy sperm & inject directly into your uterus.
Normally you are making one egg per menstrual cycle. With superovulation with injectible medicine you are required to take injectible hormone (FSH) to form more than one eggs (two or three).
When both are combined (to make you suprafertile), your chances of pregnancy increase dramatically (around 20% per cycle). (With fertomid alone chance of pregnancy is just 3-5%).
Superovulation with IUI is relatively cheap & highly effective treatment to achieve fairly good pregnancy rate.

Hope this answers your query. Let me know if you have other concerns.
If you do not have any clarifications, you can close the discussion and rate the answer.

Wish you good health

Regards

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