Suggest treatment for infertility
Patient: Hi I am just turning 33. I have an amh of 5, 10 dominant follicles, no blocked tubes or any apparent reasons for having had 2 miscarriages and a complete molar pregnancy all in 2 years: I have a 13 year old from a previous relationship. My husband has been checked and he s fine. My doctor had me on letrozole, progesterone for the end of my cycle and just prescribed prognova because lining is 7mm. We have been trying to conceive for 7 months. She has recommended ivf but we can not afford it. Is there anything else we can do or do I have any hope of conceiving naturally? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I think you can conceive naturally also. Get a thyroid profile and prolactin level done. You can track your ovulation by repeated ultrasound and when follicle is more than 17 to 18 mm, take an injection for the rupture of follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. If it doesn't work, you can go for IUI.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khushboo Priya