HomeAnswersInfertilitydelayed conceptionCan I get pregnant naturally or should I need ICSI?

Can I get pregnant naturally or should I go with ICSI?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 25, 2018
Reviewed AtJanuary 23, 2024

Patient's Query

Hello doctor,

It has been four years since we married. My husband is a little bit of tensed nature. So, he is not able to ejaculate during intercourse. While doing masturbation, he is able to ejaculate within seconds. Now, he is taking medicines for reducing anxiety. I have undergone five cycles of IUI. Today, I did AMH and prolactin test. Now the doctors advised us to undergo ICSI as the AMH level is low and prolactin is very high. Kindly advise me whether I can get pregnant naturally or should I go with ICSI?

Answered by Dr. Balakrishnan R

Hello,

Welcome to icliniq.com.

How are you doing?

After going through your reports (attachment removed to protect patient identity), only AMH (anti-Mullerian hormone) seems to be the problem. Let me put forth a few facts.

Your age is within the normal range for pregnancy and you should be having good egg count (this is what is assessed by AMH). Basic question is, is your period regular? If egg count is normal, you will ovulate every month on 28 and 7 days frequency. If ovulation is regular, forget prolactin. If you are tensed, around period date, had a sleepless night, been worried about something or been seeing that lab and needle for some time, all these and more can alter prolactin levels.

Your scan shows lots of eggs in both ovaries, so I really doubt the credibility of the AMH.

About your husband's problem, IUI (intrauterine insemination) is a very good option. Do not get disheartened by a failed IUI. Better ovulation protocol and methods can get you better results. Hope his semen has good motility and morphology. Hope your fallopian tubes have also been evaluated. Only then, IUI can help.

ICSI (intracytoplasmic sperm injection) is always an option, but better keep it to the last. A young lady like you with seemingly no big problem should try all the smaller routes. ICSI is 45 % success. If that fails what next? So, always keep the big steps to the last. Try everything else before that.

In short, I feel you should try other options or natural methods for some more time.

Hope I have clarified your query, do write back if any more queries. All the best.

For more information consult an infertility specialist online.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Infertility

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy