Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor,I am 32 years old female. I am married since last one years two months. I am trying to conceive since then but no success. I got detected with thyroid and TSH level was 6.6 then got reduced to 0.3 after medicine now I am eating 25mcg of thyronorm and my thyroid level has come to .07 which shows in the normal range. I also had my other blood tests done. My AMH is 1.34 which shows that it is low fertility. Doctor has asked me to go for Hysteroscopy which i m reluctant to go at present so she has suggested me to go for tube test. My cycles are generally regular and lasts for 3-5 days and have hardly fallen sick before. Please advice
[|AI|]  Hi, I have gone through your question and understand your concerns. Hypothyroidism is associated with irregular ovulation or no ovulation at all leading to decreased fertility. Now your chances of conception are increased when your thyroid hormone levels are normal.AMH level of 1.34 indicates decreased ovarian activity. You should undergo tube test to check the patency of both fallopian tubes as further management should be done accordingly. Hysteroscopy was advised to you for analysis of endometrium and any local lesions in uterus. I would suggest you and your partner to consult an infertility specialist and get properly examined, investigated and treated accordingly. Hope you found the answer helpful. Please do get back for further queries. Wishing you good health. Chat Doctor.