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he said my oviarian reserve is diminshing.

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hi docotor,m 31 years old,tryin to conceive from last one and half year,taking medical help from last 6 months,my gyne gave me clofert 50 mg for 3 months,it dint i took a break of 2 months and switched to a well known infertility centre..dey done all the tests..including hiv,hsbag,sugar,tsh,cbc,tb gold,urine culture and more ..all r normal,my husbands report is fsh on 4th day of periods was 14.1,lh3.8,prolactin done AMH on 5th day of periods was 1.5..he said to go for diagnostic lap with hystroscopy..did dt was all normal with patent tubes,ovaries, he gave me folinext and ovigyn dsr..he said dt my oviarian reserve is diminshing..m confused as i consulted my reports to another well known gynacolgist..she said on 4th day fsh is normal and amh is also not very is u have any suggestion for me..thanku..

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replied July 31st, 2015
Welcome to e health forum.

All reports and investigations as per your history seem to be normal, so sooner or later you will concieve.

In most normal couples, pregnancy can be achieved within 12 months of unprotected intercourse. About 82-87% of couples in their 20s through mid-30s will become pregnant within 1 year of co-habitation.

The chance of conceiving among couples in which the woman is less than 32 years old is approximately 20-25%, per monthly cycle. This means that the human reproduction is less efficient than most other species.

There are three things a couple must have to get pregnant: the woman must ovulate, the man must have sperm, and the woman must have open fallopian tubes. If any of these are not functioning optimally, a couple may experience infertility, which affects about 13-15% of couples at any point in their reproductive lives.

Infertility can be due to combination of factors involving both the male and the female partners. Hence both partners should be involved in the evaluation and treatment.
Female and male causes are nearly equally responsible for infertility (30-40% for each). In 20% of cases, there is a combination of male and female causes. In 10% of cases, no cause can be detected for the infertility problem after examination and investigation of both partners (unexplained infertility).

Fertility treatments are tedious and you need to have patience and confidence in yourself and your doctor for it to work.

Lack of co-ordination and failure to time with your ovulatory cycle can make it difficult.

Getting frustrated will make you more anxious and make you take improper decisions. It is possible that family and peer pressure is making you more anxious and your stress levels are high.

The more you are stressed, it will result in hormonal imbalance in your body and this will affect your ovulatory function and hence will affect your fertility treatments. Talk to your family and take them into confidence so that your stress levels reduce.

Trying to shop for other doctors might cause more trouble both psychologically as well as financially.

Relax and talk to your doctor and seek proper answers about your doubts and expectations. Work with your doctor patiently and with a open mind, and soon you will have expected results.

I hope this helps.
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