Hello
Thanks for writing to us with your health concern.
Your husband's semen count is normal.
Your ultrasound report is highly suggestive of PCOD,
polycystic ovarian disease.
In this condition, there is baseline hormonal disturbance.
Due to this, the ovaries get studded with multiple small follicles.
None of them mature properly to form a dominant follicle, and none of them ovulates in time.
Hence, there are irregular cycles, and erratic ovulation.
Please consult an
Infertility specialist.
Get the investigations done - LH, FSH, TSh, prolactin, OGTT, serum insulin, DHEAS, free
testosterone,
lipid profile.
Also, you can start
ovulation induction with clomiphene citrate if follicular monitoring reveals problems in ovulation.
If 3 - 6 cycles of clomiphene / gonadotropins fail, you should have a laparoscopy to check if tubes are open or not.
For blocked tubes, or failure of induction, IVF is the last option.
Weight loss is a must for PCOD control.
Take care.