Planning a Baby  Discussion Forum

Hi, I' m 31, married for 6 years and been trying for a baby for the past 6 months. We tried naturally for 3 months and decided to consult a gynaecoloist. As I' m already 31, the gynaecologist decided to acter faster and put me onto ovulation boosting pills and I underwent IUI thrice with no success. I have not been able to conceive. She suggests that I undergo Laparoscopy to understand the reasons for not being able to conceive.

Let me state some facts before seeking advice.
1. My husband' s sperm count varies between 30-40 million and has a motility of 30-40.
2. I have a regular 28-day cycle and have minimal abdominal pains during periods.
3. From the past 3 Trans-vaginal scanning reports, it has been observed that I ovulate on the 13th or 14th day and seem to be developing normal sized egg (20+) per cycle.
4. I have a relatively stressful work life and face work tensions.

The problem is I have not been able to conceive in the 3 IUIs conducted. And I' m very worried about undergoing Laparoscopy and do not seem to be convinced as to why I have to undergo the surgical diagnosis procedure. I will ask my doc about the reasons, but before I do, I would like to ask some of you who might have faced similar problems so I can be prepared with some information.

1. Is Laparoscopy the only way to detect all problems if IUI fails?

2. What other problems could be there that could be detected only through Laparoscopy considering the fact that I' m regular on my periods and ovulate regularly.

3. What symptoms would these problems pose that I should watch out for?

Looking forward for some responses. Dr.M.P.Sudesh Kumar.MBBS replied. Dr.M.P.Sudesh Kumar.MBBS
Ras Al Khaimah,UAE
I am from Calicut .Can conduct Artificial Insemination with my own semen . Cost is low . Tobe Parent replied. Hi Reshma, wanted to hear from you. did you get any reponse to your query. pls give me anumber where i can reach you. I am facing similar issues. regards RP replied. Which city do you live in? I have had 3 failed IUI' s after an HSG where they cannulated a blocked tube. However, a laproscopy is what determined that I had developed another blockage and that the ovaries were mildly poly-cystic. This is the best way to determine how to proceed on any fertility treatment. If you are in Bangalore or near abouts try Dr. Jyotsna Mirlay and ask her first to explain everything to you before taking any decisions. She doesn' t not insist on any particular treatment unlike other doctors I have met. All the Best nammu replied. hi
pl. contact dr.ramaraju of Krishna IVF through mail...can get id in google..
you will get correct opinion..donworry balu replied. Hi Reshma,

Dont be panic and try to keep yourself cool. Every doctor have there own way of processes. Say in your case they have tired ovultion induction, IUI and later suggested for Laproscopy. But few doctors will start ART only after making all reports ready.

Laproscopy gives you clear details of your reproductive system. Mainly doctor would be interested to know your fallopian tube patency and other tubal factors.

There are other means like HSG and Hydroscopy to study the same but again its doctor' s own way of diagonises. Sometimes HSG may not give you exact detail and again you have to take up Laproscopy.