What are the chances of pregnancy if husband in on Lisinopril?
Patient: My husband who is 52, recently had a heart attack is on many different pills including Lininopril, he drinks and smokes (we know it's bad he is trying to quit) but we are also trying to have a baby. What are our chances? Should I just give up and find someone else? Doctor: Hi , How are you doing ? That's lot of risk factors, age , drinking & smoking. Lisinopril will not significantly affect the pregnancy chances. But smoking & drinking is going to be risky for future repeat heart attack & will seriously affect pregnancy chances , due to poor semen quality.Once these avoidable risk factors are removed fully, there is no partial stopping, semen will definitely improve.  Kindly see if the following checklist of investigations is doneHusband- Semen analysis at least 2-  done 4 weeks apart preferably in an infertility center ( examination done by andrologist), Blood sugarsWife - Blood Sugars, Thyroid profile Ultrasound scans to evaluate Uterus , Ovaries & adnexa          Confirm tubal patency- most important- Tube is the connection           between uterus & ovaries( the bridge where sperm meets the egg &           forms a baby) this is size of hair follicle & cannot be seen on scans. Being such a small opening tube           can get blocked easily,            So check with HSG( Xray with dye), or SSG ( Scan with dye) or            LaparoscopyIf all this done & found normal , nothing can stop a pregnancy with God's willHope I have cleared your query, do write back if any more queriesAll the bestDr.Balakrishnan