Infertility is described as an inability to conceive after one year of planned intercourse in a couple. Whenever a couple comes to us anxious to conceive we say that 50% of the responsibility is of the husband and the other 50% is of the wife . The husband should have a normal semen count and an ability to have a normal intercourse . Semen evaluation is advised after 4 days of abstinence . It is advisable to give the sample in the lab rather than carry it from home as the sample could get denatured. A certain percentage of men who are in denial have to be persuaded to get themselves evaluated .
As for the woman, a baseline ultrasound to rule out any form of structural abnormality in the fibroids or cysts. A hormone evaluation is mandatory for all women on the second day of her menses to check the normalcy of her hormones , and to rule out any derangement in her thyroid or sugars . Having done these basic tests a woman is prescribed tabs for enhancement of her egg quality and egg recruitment in the subsequent cycles . The male partner on the other hand is prescribed tablets for enhancement of sperm quality and number . The couple is advised to time their intercourse between day 11 to day 17. If for some reason they are unable to conceive in 3 planned cycles a laparoscopy with hysteroscopy is advised to study the tuboovarian relationship. Should a tubal block be encountered , a tubal cannuation can be done in select cases of proximal or cornual block . In cases of badly damaged tubes the couple is offered the option of assisted reproduction by ICSI. Women with Fibriods or endometriosis have a fair chance to conceive after a laproscopic surgery. Contact Dr. Ranjana Dhanu as she does the best laparoscopic surgery for infertility in Mumbai and she provides the best treatment for laparoscopy in infertility in Mumbai.
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