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Why no pregnancy despite Clomid and Letrozole treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 31 years old. I am trying to conceive for two years and did four Clomid cycles, ovulation happened but no conception. Then did Letrozole cycle, and got pregnant. But was later diagnosed with molar pregnancy and had D and C. Then took a break for six months, again did two Clomid cycles ovulation happened but no conception. Now did Letrozole cycle but no conception. I do not understand what is the reason for no pregnancy. My husband did his semen analysis it is 42% normal. My hormones tests for FSH, prolactin was normal, and pelvic ultrasounds are normal. Could you please guide me regarding this? I am really upset.
Answered by Dr. Mavani Jimesh Himatbhai

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

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Hi,

Welcome to icliniq.com.

As you have taken many treatments but pregnancy is not happening. Actually I need to see all the investigations before coming to a conclusion. But with your history, I can say that you can do hysterosalpingography, to see the tubes are good or not. If not satisfactory then you may require a laparoscopic-hysteroscopic examination to see the tubal cyst and endometrial lining. There is a history of molar pregnancy, so need to do some more test also. Pregnancy is not a simple process. You can consult infertologist with all the previous reports and can continue the treatment. Many times it takes more time because it is very complicated. The chance of pregnancy is only once in one cycle. Patience and a positive attitude towards treatment are also as important as the treatment itself.

Medically reviewed by Dr. Vinodhini J.
Published At March 19, 2020
Reviewed At April 18, 2024

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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Dr. Mavani Jimesh Himatbhai
Dr. Mavani Jimesh Himatbhai

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Mavani Jimesh Himatbhai is an Obstetrician and Gynecologist with 14 years of clinical experience. He completed his MBBS at Veer Narmad South Gujarat, Maharashtra Medical Council, Mumbai, and DGO at the College of Physicians and Surgeons of Mumbai. He is experienced in managing pregnancy, childbirth, and the postpartum period. Currently, he is practicing in ICON Hospital, Pimpri-Chinchwad, Maharashtra.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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