instruction: hi doctor I have been trying for the last one year to conceive baby but no result I would like to take medication to boost my fertility need a doctor prescription for the fertility medication there are no other issues regarding the period cycle or health
output: hello fertility medications cannot be prescribed without a thorough evaluation this involves finding the exact cause of not being able to conceive whether it is female factors or the male factor among the female factor ovulatory dysfunction is the most common cause also tubal factors like tubal block can also cause difficulty in conceiving and thus need evaluation I see that your previous cycles have been regular but this time you had a delayed cycle which is the first time you observed this delayed cycles indicate ovulatory dysfunction which could be due to hormonal disturbance of thyearoid or prolactin hormone or due to a lifestyle condition like cos polycystic ovary syndrome also I see you are overweight for your height I would like to know many more details about your issues like if you have any acne issues or any unwanted facial hair growth was there any recent weight gain what is the average coital frequency in a week do you have any vaginal discharge and frequent lower abdominal pain have you had tuberculosis or any other chronic medical conditions in the past have your husband got a semen analysis done what is his age and what does he do as it is the third day of your periods today you can get the below mentioned medical tests done and consult a fertility expert with reports for further evaluation and management treatment would depend on the underlying causes in 10 20 of cases there may not be any attributable causes it is called unexplained infertility in such cases also your fertility expert may suggest assisted reproductive techniques to increase the chances of pregnancy I hope this helps hemogram lipid profile let liver function test rat renal function test 75 glucose tolerance test fasting hour hba1c glycated hemoglobin levels serum calcium vitamin and b12 levels serum fasting and post prandial insulin levels serum fish follicle stimulating hormone oh leutinizing hormone free testosterone estradiol prolactin levels thyearoid profile to ash anti tpo on second and third day of the next menstrual period ultrasound abdomen and pelvis husband semen analysis endometrial sampling and tubal evaluation by hug hysterosalpingography tablet folic acid my daily once until you conceive reduce weight maintain menstrual cycles diary regular exercises at least hour daily dietary modifications