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Conception failure
I am 32. Husband is 34.
amh: 1.69
AFC: 11-12
Both tubes: patent
No pcos/pcod, no fibroid or polyps
Mild adenomyosis found on day2
Hormonal reports normal
Thyroid: ATP positive, on thyronorm 100mcg, TSH: 2
Husband: Semen analysis report seemed to good (as per doctor). Ejaculation volume is slightly low.
I had conceived 5years back but couldn’t keep the child.
I am on letrozole(days 3-7)
But getting periods on day 26 every cycle but no heavy or painful.
Medication: Wife- Kqfert, Omega3, follic acid and daily yoga
Husband: CoqLc, drfrag (he smokes and drinks in moderation)
Depressed, frustrated and anxious to the core. Conception failing every month.
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I understand how frustrating and stressful this journey can be. You have shared several important details, but it would not be appropriate to advise on the next step without personally consulting you and reviewing all your reports in detail. Factors such as your previous pregnancy, ovulation, semen parameters, adenomyosis and response to letrozole all need to be assessed together.
Next Steps
Please book a consultation with me and bring your previous treatment records, ultrasound/follicular monitoring reports and your husband’s complete semen analysis. We can then discuss the most appropriate fertility plan for you as a couple.
Health Tips
Please don’t lose hope—at 32, there are several factors in your history that are reassuring.
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Months of trying after an earlier loss is draining, and your case has several pieces, thyroid treatment, adenomyosis, and your current fertility cycle, that need to be reviewed together rather than as separate issues.
Next Steps
Ask your fertility specialist to reassess this cycle's response along with your husband's semen report before deciding what comes next.
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Amh levels are borderline low
U can proceed with 2 cycles of IUI
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So in your case it is secondary Infertility, No need to worry first of all, Come out of stress, You Require Proper counselling regarding availability of different non invasive Modalities.
Next Steps
Need Your History in depth
Health Tips
Maintain a healthy weight, balanced diet and regular exercise.
Avoid smoking, alcohol and recreational drugs.
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