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What Causes Difficulty In Getting Pregnant?
Question: Dear Doctor
I suffered a miscarriage in 1oth week of my first pregnancy in 2012 as heart beat of the foetus was missing.i went thu d&C procedure for abortion.after waiting for two yrs we are trying for baby this year twice we have tried but it not successful ..my husband and i stay in different places and we meet after three months to four months.my ovultion kit shows positive in 13 or 14 th day but still my pregnancy tests are negative.. i am 82 kgs hieght is 5ft 2 inch, my periods are regular say 27 - 29 days..i have done all blood test thyroid sugar all normal..even my husband test everything is normal.shud i take ovacare or chlomine
I suffered a miscarriage in 1oth week of my first pregnancy in 2012 as heart beat of the foetus was missing.i went thu d&C procedure for abortion.after waiting for two yrs we are trying for baby this year twice we have tried but it not successful ..my husband and i stay in different places and we meet after three months to four months.my ovultion kit shows positive in 13 or 14 th day but still my pregnancy tests are negative.. i am 82 kgs hieght is 5ft 2 inch, my periods are regular say 27 - 29 days..i have done all blood test thyroid sugar all normal..even my husband test everything is normal.shud i take ovacare or chlomine
Brief Answer:
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
The following list of blood tests should have been done for you, please cross check and let me know -
1. Complete blood count and blood grouping - both partners.
2. Viral markers - both partners.
3. TSH
4. Thalassemia screening
5. OGTT - oral glucose tolerance test.
In addition, your husband's semen test should be done.
YOu are definitely overweight, you need to lose weight significantly.
You should be taking 5 mg folic acid ( Folvite ) 1 tablet per day.
Next, please go for follicular monitoring whenever your husband is in town.
For this, consult an Expert Infertility Specialist.
Right from day 7 of your periods, the growth of the follicle will be tracked by serial ultrasound scans and when ovulation is confirmed, intercourse will be advised.
IF ovulation is normal, there is no need to take clomiphene, as it only stimulates ovulation.
If you fail to conceive after 3 - 6 such cycles, then go for a laparoscopy to check if your fallopian tubes are open.
Meanwhile, reduce stress levels and exercise regularly and eat well.
You are 34, and with modern medications and treatments, you have a fairly good chance of conceiving, do not lose hope.
All the best
Please feel free to discuss further.
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
The following list of blood tests should have been done for you, please cross check and let me know -
1. Complete blood count and blood grouping - both partners.
2. Viral markers - both partners.
3. TSH
4. Thalassemia screening
5. OGTT - oral glucose tolerance test.
In addition, your husband's semen test should be done.
YOu are definitely overweight, you need to lose weight significantly.
You should be taking 5 mg folic acid ( Folvite ) 1 tablet per day.
Next, please go for follicular monitoring whenever your husband is in town.
For this, consult an Expert Infertility Specialist.
Right from day 7 of your periods, the growth of the follicle will be tracked by serial ultrasound scans and when ovulation is confirmed, intercourse will be advised.
IF ovulation is normal, there is no need to take clomiphene, as it only stimulates ovulation.
If you fail to conceive after 3 - 6 such cycles, then go for a laparoscopy to check if your fallopian tubes are open.
Meanwhile, reduce stress levels and exercise regularly and eat well.
You are 34, and with modern medications and treatments, you have a fairly good chance of conceiving, do not lose hope.
All the best
Please feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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