Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my name is Tiffany, I am 30 years old. 172cm tall and weigh 56kg. I have two children 2 and 4 years old. We have been trying for our third child with no luck so far. My two children were conceived instantly so wondering why now we would be struggling. My husband (40) had a minor heart attack last year and has been on heart medication such as ismo, rampil, cardicor and trepiline. Would that affect sperm quality, quantity etc? Also how would I confirm whether I am ovulating or not? My cycle is around 26 days. Thank-you
[|AI|]  Hi, Welcome to Chat Doctor . As age advance chances of infertility increases. This medication are less likely to cause reduction in sperm count. I would suggest you to get done semen analysis of your husband.  If any problem is there treatment may be initiated accordingly. To know you are ovulating or not you should undergo follicular study.  Here serial ultrasound is done on various days of cycle to know you are ovulating or not. Also, advice your husband to quit smoking and alcohol, reduce weight. Hope I have been helpful. Regards Chat Doctor.