Patient's question:
34 years old, gravida 0 para 0, trying to conceive for 2 years, menarche at the age of 12 with irregular menstruation,sometimes amenorrhea, sometimes metrorrhagia, sometimes slight and prolonged bleeding, no regularity, possibly mostly anovulatory menstruation. In the past half year, after regulation, it has slightly improved, with a cycle of about 30-60 days.Doctor's answer:
The use of ovulation-inducing drugs may lead to low LH levels in follicles, so an "ovulation-triggering shot" is needed. However, this shot may cause luteal phase deficiency, requiring luteal support. If there is a history of pelvic or abdominal surgery and infertility for over 2 years, it is recommended to undergo hysterosalpingography (abstain from intercourse starting from the first day of menstruation and perform the test between days 2-7 after menstruation) to assess the condition of the fallopian tubes. Use contraception during the current month, and you can try to conceive the following month. First, check the fallopian tubes and the male partner's sperm. If both are normal, continue with ovulation induction while ensuring luteal support after ovulation. If one is abnormal, consider other treatment options.