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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficult In Conceiving In A Healthy Couple?

I got married on 2013 june but still iam not pregnant. My Hus semen analysis is fine. And i take follicle study last 4 month regularly and my doctor said your egg is developed and ruptured on 15th 16th day it is normal. We had relationship on 11th day to 21st day regularly once in a day but not yet i got pregnant pls give some solution
Wed, 27 Jan 2016
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General & Family Physician 's  Response
Hi Madam,
Thanks for posting in HCM.
I understand your concern.
Based in your description, it appears that you have tried sincerely based on follicle studies. Although your partner's semen analysis is normal and your ovulation is proper, yet there is difficulty in conceiving probably because of obstruction or narrowing of Fallopian tubes. Hence, kindly check for patency of tubes by getting Hysterosalpingogram (HSG) done to know weather the tubes are patent or not.
In case, tubes are patent, you can try for another 3 months by timing it right. If it doesn't happen naturally, you can go for assisted techniques like Intra-uterune insemnatiin (IUI).
If the tubes are not patent, you need to go for assisted reproductive methods like invitro fertilization (IVF).
Kindly consult Infertility specialist with investigation reports for appropriate evaluation and management.
Hope the information provided would be helpful.
All the best.
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What Causes Difficult In Conceiving In A Healthy Couple?

Hi Madam, Thanks for posting in HCM. I understand your concern. Based in your description, it appears that you have tried sincerely based on follicle studies. Although your partner s semen analysis is normal and your ovulation is proper, yet there is difficulty in conceiving probably because of obstruction or narrowing of Fallopian tubes. Hence, kindly check for patency of tubes by getting Hysterosalpingogram (HSG) done to know weather the tubes are patent or not. In case, tubes are patent, you can try for another 3 months by timing it right. If it doesn t happen naturally, you can go for assisted techniques like Intra-uterune insemnatiin (IUI). If the tubes are not patent, you need to go for assisted reproductive methods like invitro fertilization (IVF). Kindly consult Infertility specialist with investigation reports for appropriate evaluation and management. Hope the information provided would be helpful. All the best.