Brief Answer:
Your husband needs evaluation first.
Detailed Answer:
Hi XXXXXXX
Thank you and I appreciate for the detailed reply. I can understand your concerns XXXXXXX Coming back to your questions, after analyzing all the reports you have little hormonal imbalance which needs to be corrected first.
First of all before we start giving any
ovulation induction drugs (
clomiphene) for females it is very important to check the
SEMEN ANALYSIS first. It is very very important. If the semen report is normal then only further treatment is planned. In
infertility treatment both husband and wife should be involved.
As you are having PCOS and endometriotic cyst I suggest you to undergo Diagnostic
laparoscopy . This is because by laparoscopy we can tackle 4 things in your situation:
1)Removing endometriotic cysts (which are important part of infertility treatment)
2)removal of pelvic adhesions in between the fallopian tubes, which might affect the OVUM PICKUP (which is quite possible in your case)
3)Ovarian drilling, which is again a treatment option for PCOS
4)checking fallopian tube patency.
After all evaluation you can be given treatment with ovulation induction. I am not in favor of what treatment you are getting now.
Also your
TSH level are high, kindly get evaluated for
hypothyroidism, you might require Thyroid hormone supplementation.
Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!