29 yrs i hve irregular periods1 year passed hving marrige doctor gave birth control pills then she put me on letrozole four cycle has been passed1)   no result, tests were ok like fallopion tubes ,sperms and ovalation were also       happen. then why wht is the reason? that i hve not conceiveing 2)   wht to do next to hving better chance
Hallow Dear, You have briefly narrated the required information and I should compliment you for the same. Since your Tubes are patent, semen examination is normal and the ovulation is occurring, the advice has got definite directives. However, if you are ovulating normally, I wonder why you are put on Ethanol which is to help the ovulation. Now my suggestions are :1. Get ultrasonography done for ovulation monitoring. This will be done from day 9 of the cycle till the ovulation occurs. It will provide you the information as when the ovulation is taking place and what is the size of follicle when ovulation takes place. Egg released from the follicle between 18 mm to 21 mm size are healthiest and have got better chances of fertilization. You may plan your intercourse at and around ovulation day which will increase the possibility of fertilization. Also, you will get the information about the thickness of uterine lining (endometrium). At the time of ovulation, the endometrium should be at least 10 mm thick. If the endometrium is thinner, you will require some support to build up endometrium.2. In fact, I am surprised to note that your ovulation is normal and still you are having irregular menstruation. Please get the information and evidences of ovulation confirmed from your doctor. 3. If with timing of the intercourse around the ovulation day still you fail to conceive, then the case is labelled as unexplained infertility. These are the cases suitable for Assisted Reproduction Techniques (ART) which include artificial insemination (vaginal or uterine), in vitro fertilization and embryo transfer, etc. I hope this should give guidelines for further management.