Q. I am having trouble getting pregnant. What can I do other than IVF?

Answered by
Dr. Balakrishnan. R
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 05, 2018

Hello doctor,

I am a 24 year old female who is having trouble getting pregnant. We have been trying for two years. We have been working with my gynecologist for a year now. I have tried Clomid six rounds. I have tried two IUIs and still nothing. My husband's sperm analysis was normal and we have been having sex almost everyday. This complication started after my second miscarriage. I just am at a loss. And do not know what more can we do other than IVF.



Welcome to

How are you doing?

I understand the strain you are experiencing. Your age, normal reports, semen parameters, trying almost every day are all good prognostic factors, most positive factor is that you had a pregnancy, no matter what your result was.

Use of Clomid improves your ovulation chances, IUI improves the chances of sperm meeting the egg.

The only thing I find missing in your history is the tubal evaluation. The fallopian tube is a bridge between the uterus and ovaries. Here the egg waits for the sperm, here embryo is formed and gradually moves to the uterus. This tube is never seen on scan or examination. The inner diameter of the tube is 1 mm. This can be blocked. So, no matter how good the sperm or egg is, they will not meet each other.

So I would advise, if I may, have a tubal evaluation with HSG (hysterosalpingography) X-ray with dye pushed into the uterus. The other method to evaluate is hysterolaparoscopy. An IUI after this test will definitely have better chances.

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

For more information consult an infertility specialist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Can tubal blockage cause infertility?

.. or fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes will not let a sperm and ovum to unite thus interfering with fertilization. The primary and the very first step for pregnancy is the formation of z...   Read full

I am having trouble getting pregnant. What can I do other than IVF?

The fallopian tube is a bridge between the uterus and ovaries ... This tube is never seen on scan or examination ... An IUI after this test...   Read full

Causes of Male Infertility

In about 35 to 52 percent of childless couples, the male partner is the cause for infertility ... All the above-mentioned things are the main cause of life-threatening diseases like diabetes, hypertension, high cholesterol, h...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask an Infertility Specialist Now

* 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.