Conversation: The conversation between human and AI assistant.
[|Human|] hi,I m married since last 2years and not able to conceive since then..my hormonal reports fsh,lh,free testosterone,tsh,sugar levels,insulin levels are all normal..however my ultrasound says pcod..my periods are regular but scanty..my endometrial biopsy for tb pcr was normal but hsg shows both tubes blocked.so i had operative laproscopy and hysteroscopy 7months back..now again hsg done and both tubes are normal..latest report of my husband shows 100million sperm count and 70% motility with 22% grade A sperms..please guide me how to proceed now
[|AI|]  Hi, I have gone through your question and understand your concerns. Since you have regular cycles and hormonal profile is normal, then only polycystic ovaries in ultrasound does not make the diagnosis of polycystic ovarian disease. If your both tubes are patent and your husband semen parameters are normal, as you have mentioned, then you are having unexplained infertility. The management has to be done stepwise, the next step to be done when the previous step fails:1. Ovulation induction with Chat Doctor.  Intrauterine insemination3. In vitro fertilization. I would suggest you to consult an infertility specialist for appropriate treatment. Hope you found the answer helpful. Wishing you good health.