instruction: hello doctor I am not able to conceive after trying for almost one year I was diagnosed with pituitary microadenoma and I am on medication my prolactin levels have now reached normal levels after two months taking medication I suffer from hypothyearoidism and on medication I have had this for five years now and it is well within the limits as per my endocrinologist now this is due to an autoimmune disease where my to thyearoid peroxidase antibodies were high during the diagnosis five years ago my husband and I would like to know how should we best prepare for pregnancy and what to look out for we would have preferred to visit the clinic unfortunately I am not in a position to visit the doctor due to travel restrictions it would be great to get in touch with a specialist I am currently on euthrox 100 mug cabergoline 25 my once a week and folic acid 450 my daily
output: hello I have gone through all your reports and your prolactin and thyearoid levels are well in control what is missing in the follicular monitoring profile of the dummy cycle and also your husband semen analysis test you have been following the correct protocol using oh kits for ovulation and post oh surge if a natural trial or timed intercourse did not work then husband semen analysis becomes mandatory then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented anyways please send these two remaining reports before we can proceed further