This is the commonest questions an infertile patient wants an answer to ! Doctor, my sex life is great. I have regular periods and I'm in good health , so why I am not getting pregnant ?

Unfortunately, just being in good health, does not mean that your eggs are fine; or that your fallopian tubes are open or that your husband's sperm count is normal. In fact , even a pelvic examination by a gynecologist will not provide much useful information regarding your fertility status. It's important that the doctor perform some basic tests to make sure that your husband's sperm are okay; your eggs are fine; your uterus is normal ; and your fallopian tubes are open.

The good news is that these tests are fairly inexpensive and can easily be completed within about 15 days. It's a good idea not to take any shortcuts - please complete all the tests before coming to any conclusion. Don't assume that all is well just because you are in good health and have had no medical problems so far , because a lot of diseases which cause fallopian tubes to get blocked or result in a low sperm count are silent , and do not cause any external symptoms or signs. What this means is that often it's not possible to detect a problem and make the right diagnosis unless the appropriate testing and evaluation has been done in the laboratory.

Just doing the tests is the start of the process , but it provides a useful starting point, because based on this information the doctor can intelligently provide you with what your possible treatment options are.

Some patients get very frustrated when all their test results come back as normal . Rather than be happy that they do not have a problem, they are upset that they are still completely clueless as to why they're not getting pregnant. The fact that the test results have not shown anything abnormal means that their doctor is as clueless as they are, which adds to their angst. Their biggest worry is that if the doctor cannot identify a problem , how will he be able to offer them with a solution ?

However, this is flawed thinking. he question should NOT be Why am I not getting pregnant ? Rather, it should be - What can I do in order to get pregnant ? After all, no one cares about problems - we only care about results - about having a baby ! If the tests are normal , the fact that you are not getting pregnant just means that the eggs and sperm are not meeting in your fallopian tubes when you are trying naturally. This is called unexplained infertility. You can read more about this at Click here

Even though our technology is not very good at identifying problems, the good news is that we are very good at bypassing them ! Your next step is HMG/IUI, to increase the chances of the eggs and sperm meeting. You can read about this at Click here. If 3 cycles of this fail, then consider IVF ( Click here)

Because we have such high success rates, we also offer a guaranteed pregnancy treatment option. You can read more about this at Click here

Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

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