Hi, I and my wife are planning for a baby for last six months but no success yet. Can you please suggest what to be done?
Ask Free Question
Hi lybrate-user, a couple is eligible for any kind of infertility treatment only when they have tried for a period of 1 year. I gather that you have been trying for 6 months with no success, so hence I would like to suggest few next steps for you and your spouse. / For you: 1. A semen analysis (sperm count) is a central part of the evaluation of male infertility. This analysis provides information about the amount of semen and the number, motility, and shape of sperm. 2. Blood tests provide information about hormones that play a role in male fertility. If sperm concentration is low or the clinician suspects a hormonal problem, the clinician may order blood tests to measure total testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and prolactin (a pituitary hormone). 3. Ultrasound: A low abdomen ultrasound to check for any abnormalities in epididymis or vas deferens. / For your wife: 1. Blood test: Follicle-stimulating hormone (FSH), estradiol, and antimullerian hormone (AMH), TSH to test thyroid function, and prolactin to assess the presence of any pituitary abnormalities. 2. Basal body temperature ? Monitoring of basal body temperature (measured before getting out of bed in the morning) was previously recommended to determine if ovulation occurred. A woman's temperature usually rises by 0.5�F to 1.0�F after ovulation. However, basal body temperature patterns can be difficult to interpret and are not generally recommended in the evaluation of infertility. 3. Tests to evaluate the uterus and fallopian tubes ? Uterine abnormalities that can contribute to infertility include congenital structural abnormalities, such as a uterine septum (a band of tissue that makes the uterine cavity small) (figure 4); fibroids; polyps; and structural abnormalities that can result from gynecologic procedures. 4. Hysterosalpingogram ? Hysterosalpingogram (HSG) is used to help identify structural abnormalities of the uterus and fallopian tubes. It involves inserting a small catheter through the cervix and into the uterus. A liquid that can be seen on x-ray is injected through the catheter, which fills the uterus and fallopian tubes. An x-ray is taken after the liquid is injected, which shows the outline of the uterus and tubes. An abnormally shaped uterus or blocked fallopian tube would be visible on the x-ray. 5. Hysteroscopy ? In a hysteroscopy, a small tube containing a light source is inserted through the cervix and into the uterus to directly visualize the lining of the uterus and the sites where the fallopian tubes enter the uterus. Air or fluid is injected to expand the uterus and to allow the physician to see inside the uterus. 6. Pelvic ultrasound ? In a transvaginal ultrasound, a small ultrasound probe is inserted into the vagina; this provides a clearer image of the uterus and ovaries than ultrasound that is performed through the abdomen. It does not require that the patient is sedated or anesthetized, and has few to no risks. It is used to measure the size and shape of the uterus and ovaries and to determine if there are structural abnormalities (such as fibroids or ovarian cysts). If abnormalities are seen, further testing may be needed. Hope this helps. Good Luck.
Take help from the best doctors
Ask a free question
Get FREE multiple opinions from Doctors