I am unable to conceive with normal cycle. Please prescribe fertility medication.

Hello,

Welcome to icliniq.com.

Fertility medications cannot be prescribed without a thorough evaluation. This involves finding the exact cause of not being able to conceive whether it is the female factors or the male factor. Among the female factors, ovulatory dysfunction is the most common cause. Also, tubal factors like tubal block can also cause difficulty in conceiving and thus need evaluation. I see that your previous cycles have been regular but this time you had a delayed cycle which is the first time you observed this. Delayed cycles indicate ovulatory dysfunction, which could be due to hormonal disturbance of thyroid or prolactin hormone, or due to a lifestyle condition like PCOS (polycystic ovary syndrome). Also, I see you are overweight for your height. Reduce weight. Maintain menstrual cycles diary. Do regular exercises at least 1 hour daily, follow certain dietary modifications.

I would like to know many more details about your issues, like if you have any acne issues or any unwanted facial hair growth. Was there any recent weight gain? What is the average coital frequency in a week? Do you have any vaginal discharge and frequent lower abdominal pain? Have you had tuberculosis or any other chronic medical conditions in the past? Have your husband got a semen analysis done, what is his age, and what does he do? As it is the third day of your periods today, you can get the below mentioned medical tests done and consult a fertility expert with reports for further evaluation and management. Treatment would depend on the underlying causes. In 10-20 % of cases, there may not be any attributable causes. It is called unexplained infertility. In such cases, also your fertility expert may suggest assisted reproductive techniques to increase the chances of pregnancy.

I hope this helps.

Hello,

Welcome back to icliniq.com.

It is my pleasure to have a chance to guide you through. Wish you good luck soon.