Patient's question:
34 years old, gravida 0 para 0, trying to conceive for 2 years. Menstruation has been irregular since her first period at 12 years old,sometimes amenorrhea, sometimes metrorrhagia, sometimes a small amount of blood flow that does not stop, ,。In the past six months, after some regulation, the cycle has improved slightly, with a period 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-inducing shot" is needed. However, this shot may cause luteal phase deficiency, requiring luteal support. If you have a history of pelvic or abdominal surgery and have been infertile for 2 years, it is recommended to undergo hysterosalpingography (abstain from sexual intercourse starting from the first day of your period and perform the test between 2-7 days after your period ends) to check the condition of your fallopian tubes. Use contraception during the current month, and you can try to conceive the following month. First, get your fallopian tubes checked and the male partner's sperm tested. If both are normal, you can continue with ovulation induction and pay attention to luteal support after ovulation. If one of them is not normal, consider other treatment options.