I am trying to get pregnant. Kindly guide me about the ways to conceive.

Hello,

Welcome to icliniq.com.

I understand your concern.

There are often many reasons why a couple cannot conceive. I did not see a semen analysis in your query or laboratory results (attachment removed to protect patient identity). If this has not been done, that would be the next step. If this has been done and is normal, other likely causes could be the mild endometriosis noted on the attached operative report, even though it is not causing any distortion of the pelvic anatomy. Most couples will try intrauterine insemination (IUI) if sperm count is normal, as this is usually the less expensive option. If IUI fails to achieve pregnancy, IVF (in vitro fertilization) is typically the next step. There is also a test to check for ovarian reserve or if quality oocytes are present called AMH or anti-Mullerian hormone. I am uncertain if you and your partner have undergone any of these therapies or tests that I have mentioned, but based on the information given here, these would be reasonable options to pursue.

Hope this helps.

Kind regards.

Hello,

Welcome back to icliniq.com

I understand your concern.

Yes, of course, there is always a chance of conceiving naturally. Stress and anxiety are very common when going through something as difficult as infertility. You and your wife are not alone, and finding support from other couples going through the same thing may be very helpful. I have often experienced that when a couple realizes that they have done everything they can do and decides to let things happen as they may conception often happens. I have seen couples begin adoption proceedings because they decided they were not going to have stress over trying to conceive and take a different path. You have done all of the right things, and you and your wife can find hope and ways to reduce stress and anxiety. IVF is a big step, and you most definitely need to be in the right place for that, but it can serve as a comfort to know it is there as an option.

Hope this helps.

Regards.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Yes, both tubes were open when I reviewed the operative note (attachments are removed to protect the patient's identity). However, edematous tubes could possibly have fluid in them, which could impede fertilization. This would be something to consider if you decide to pursue IVF. I am not a fertility specialist, but many specialists in your country will actually remove the tubes before IVF to prevent the fluid in the tubes from causing problems.

Hope this helps.

Kind regards.

Hello,

Welcome back to icliniq.com

I understand your concern.

It sounds like you have already made many positive changes in your lives, and that is a step in the right direction. Getting exercise, ideally, 30 minutes of moderate activity five days per week, is what is recommended. Eliminating processed foods is also very important, along with ensuring lots of colorful fruits and vegetables. Your wife should continue to take a prenatal multivitamin or folic acid 400 micrograms daily. In my experience, when things are not happening when you want them to, it is often for a reason. Many times that reason may not be apparent, but when it is the right time, things will work out for the best in the long run.

Best of luck to you and your wife.

I hope for pregnancy for you soon as well as good health.

Regards.