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Other than HSG, how to evaluate my fertility?

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 27 years old. I have attached my reports. I have a very regular cycle of 28days. I also use OPK. My reports have been standard. I was prescribed Siphene 50 mg though I ovulate on my own and am on the sixth cycle now. I also used to take Duphaston 50 mg twice for 10 days. Now, I am in my last cycle of Clomid. What if I do not conceive in this cycle? What are the next options? What should I do next? Should I take any other medications? Please guide.

Answered by Dr. Purushottam Sah

Hi,

Welcome to icliniq.com.

  • Your reports are normal and your husband's semen is also normal (attachment removed to protect patient identity).
  • You have mentioned that the ultrasound scan is normal. But, I cannot see any report regarding blood sugar and TSH (thyroid-stimulating hormone). Also, there is no investigation like HSG x-ray (hysterosalpingogram) to see whether fallopian tubes are open or closed. You need to do these tests before proceeding with another treatment.

Revert back with the reports to an infertility specialist online

Patient's Query

Hi doctor,

Here is my blood sugar test and thyroid test. My prolactin was high at that time as I was taking migraine medication. But, I stopped it from the time I am TTC. Now, it is in normal level if you can refer my last report shared. My HSG is pending. Shall I try my last cycle with Clomid and then go for HSG? Other than HSG, is there any test pending to evaluate my fertility?

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

  • You can proceed with Clomid cycle and if it fails, then should do HSG test. I would suggest repeating semen analysis as two normal reports settle male factor.
  • You can also do serum vitamin D test as deficiency is sometimes a cause of infertility.
  • After all these, you will have an option of going for IUI (intrauterine insemination) with injections of FSH (follicle stimulating hormone) and HCG (human chorionic gonadotropin).

For further information consult an infertility specialist online

Answered byDr. Purushottam Sah

Medically reviewed byiCliniq medical review team

Published At January 19, 2017
Reviewed AtApril 28, 2025

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

Dr. Purushottam Sah
Dr. Purushottam Sah

Obstetrics and Gynecology

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