Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doc, my problem is that I am trying to conceive since last 2 yrs. I had got pregnant in 1st year of my marriage, but got miscarriage, due to unknown reasons (as per my doc). In these 2yrs., I have gone through Folliculometry - 3 times, then an IUI. But, all these tests didn t gave me result. Then my Gynaec informed me that as my cervix is tight, hence she dilated it. Also, I have already got my fallopian tubes checked, and it is clear. Last December, I got Laproscopy done, to check if there are any other issue. But, overall the result - NO ISSUE. My Gynaec is calling it - An Unexplained Infertility. Now, the problem is, that after the laproscopy, I have started getting irregular periods. I am having a 28days cycle, but in 1 month it came 12days before, and now since 3 months its 30 days cycle. I really don t know now what to do. Even bcoz of the menstrual cycle disturbance, I am unable to calculate my Ovulation Cycle. I am also now afraid and tired for taking so much medications. Some of my friends around me, have even told me that I should not have gone through so many test. And are advising me to take break from all this medications. Pls help. Need your guidance.
[|AI|]  HIIT appears that your doctor has done all necessary investigations and now concluded that infertility is unexplained. How young are you?  You have done the right thing by undergoing these investigations. Don't get concerned with your friends comments. I want to make it clear to you that laparoscopy you had is not going to affect your menstrual cycle. Having 28 or 30 days cycle is normal. It does not amount to irregular cycles. Once in a year or so if you had one irregular cycle, that is also fine. Now coming to treatment of your unexplained infertility. If I were your doctor first I would recommend six cycles of gonadotropin stimulated GUI. If you don't conceive with this I would advise IVF treatment. Take one tab of folic acid daily. Maintain normal BMI. If you both are smokers you need to quit smoking. To increase your chances of conception you need to have regular intercourse 2-3 times in a week and not just during ovulation period. Good luck. If you have any further concerns, do write to me.