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need any further hormonal test?

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Dear doctor, in 2011 , august i was conceive that time but that time we are not prepared for a baby and we have done mtp abortion by doc. After that my wegiht was so reduced and i was very slim, usually i was bulky once up on a time, but we ignore it. In 2013 i have some problems with thyroid disorder and treatment was started by doc. I have hyperthyroidism and taking neomarcazole 7.5mg daily and now thyroid is normal and i wanted to conceive but it was in-vain. Now i am under treatment of infertility. Last two months i have done follicular but no result, first month my egg was grown normally and ruptured by giving hcg injection but no result comes out, second month doc advise me clomipure 50 mg and follow the eggs growth but egg was not grown enough and doct said we missed the cycle. Now, i am very frustrated about the situation , i am 32 yrs old now? Is my treatment is going in right direction? Is there need any further hormonal test? Pls advise me.
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replied August 6th, 2014
Infertility Answer A48673
Hi,
Welcome to ehealthforum,
On an average, women are known to get pregnant within 3-4 months of trying, hence, if you have not been successful in your pregnancy plans within 1 year of trying, you should consider visiting your doctor/gynecologist to get a complete infertility work-up done for you and your partner to see if there are any underlying causes for the infertility/inability to conceive if your thyroid levels are controlled. Hormonal derangements, problems involving ovaries and ovulation, uterine problems, tubal blocks, cervical or vaginal infections, ovarian failure/suppression, LPD, etc., should be ruled out for you. For your partner, semen analysis should be done to rule out infections and to confirm the quality and quantity of sperms produced, as well as rule out other factors that can affect sperm morphology and motility (especially rule out acrosomal protein defect if all other parameters are normal). If PCOS has been diagnosed, and once you are ready for pregnancy, ovulation inducers (like Clomid) and HCG trigger injection can be started along with supplementation of external progesterone supplements to counter problem like LPD (luteal phase defect) if present. If you are not successful in getting pregnant with 3-5 cycles of treatment, assisted reproductive techniques like IVF or ICSI could be helpful in which, normal healthy sperms (from your partner) will be selected and washed to be fertilized with the egg, and then the embryos will be transferred to your womb. Treatment as needed (based on examination and investigations results) would be started to help you get pregnant. Consider visiting your gynecologist/obstetrician for further evaluation and assistance and be in regular follow-up and monitoring as instructed. Have diet with foods rich in zinc content to ensure better maturation of egg and sperms. Monitor cervix position, cervical mucus changes and the BBT (basal body temperature) charting to predict your ovulation and time your intercourse for having fruitful results. Have intercourse in positions that allow for deeper penetration for high deposit of semen. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately.
Take care.


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