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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Achieve Conception When Suffering From Oligospermia And High Prolactin Level?

Its been 2 years now that I have been trying to conceive I had pcos n slightly higher prolactin level But pcos has been resolved now Have been taking prolifen since 4-5 months, from 2nd-6th day of menstrual cycle n get TVs on 12th day of every month which shows mature follicle every time. My husband has also undergone semen analysis n his sperm count is around 9 millions, total motility around 40%. He is diagnosed to be having oligospermia. With low progressive motility. Now I want to ask what should be tha treatment plan? Can we iui done with this sperm count?
Mon, 26 Oct 2015
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OBGYN,  's  Response
Hallow Dear,

Prolifen is clomiphene citrate which is a useful medicine for induction of egg release in PCOS patients. However, there is a thought amongst we Gynaecologists that it should not be continued for more than 6 months. The chances of success become less after that.

As you have very rightly proposed, IUI seems to be a good option for you. With prolifen you are forming eggs; however, the oligospermia seems to be the apparent factor for non-conception in you. There are good chances that intrauterine insemination after sperm washing (capacitation) would work for you. You may try it for 3 months. If this also does not work for you, then there are other methods of assisted reproduction like intracellular sperm injection (ICSI), in vitro fertilization (IVF), etc. which you may go for after your Gynaecologist's advice.

My suggestion is to try with IUI initially.
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How To Achieve Conception When Suffering From Oligospermia And High Prolactin Level?

Hallow Dear, Prolifen is clomiphene citrate which is a useful medicine for induction of egg release in PCOS patients. However, there is a thought amongst we Gynaecologists that it should not be continued for more than 6 months. The chances of success become less after that. As you have very rightly proposed, IUI seems to be a good option for you. With prolifen you are forming eggs; however, the oligospermia seems to be the apparent factor for non-conception in you. There are good chances that intrauterine insemination after sperm washing (capacitation) would work for you. You may try it for 3 months. If this also does not work for you, then there are other methods of assisted reproduction like intracellular sperm injection (ICSI), in vitro fertilization (IVF), etc. which you may go for after your Gynaecologist s advice. My suggestion is to try with IUI initially.