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Trying to conceive
I am having primary infertility for past 5 years. All my hormone levels,blood test,follicular study and SSG are normal but my husband (aged 29 -no drinking/smoking) had less motility and sperm count. Initially tried 5 IUI and all failed. Later started with the IVF treatment, i did HSG twice and doctor said the tubes were blocked just 5 months after SSG was clear. Not sure, how the tube would have blocked in short time or it was not detected in SSG. i got good embryos(Totally 7 and 4 are grade 1) in ivf. During the egg collection cycle(10th day), doctor detected a polyp and confirmed that we will remove it using hysteroscopy and did it. During my embryo transfer cycle, at 9th day, i got another polyp and doc said it could be due to estrogen injection and my sensitive uterus skin. Doc proposed only one embryo transfer or repeat the hysteroscopy polypectomy. Devastated. Repeated it and took two dose of Zolodex 3.6mg injection. Will polyp come again? Spent lakhs in IVF and exhausted.
Answers (9)
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When all standard reports on both partners are normal after 5 years of trying, the diagnosis is often labelled "unexplained infertility". This does not mean nothing is wrong. It usually means the standard tests do not pick up subtler issues like egg quality, sperm DNA fragmentation, exact timing of ovulation and intercourse, or the receptivity of the uterine lining. The good news is that treatment options are effective even without a definite diagnosis.
Next Steps
A fertility specialist consultation is the right next step. Common next-line steps include ovulation induction with timed intercourse for 3 cycles, then IUI for 3 cycles, and IVF if those do not succeed. At 5 years and your ages, most specialists would recommend moving relatively fast through these stages rather than repeating another year of unassisted trying.
Health Tips
Please do not fall into repeat cycles of the same low-yield treatment without a fresh review. If 3 IUI cycles do not work, the plan should escalate to IVF, not just repeat IUI.
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