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Good evening, I am Dr Elliot and hope that I can help
Could you advise me the age of you and your partner please?
Are either of you smokers?
Sorry - that is offered every time, I cannot stop it, but I agree this doesn't require a telephone call
So for reassurance, a gross statistic is that in couples with completely normal fertility, only 80% will fall pregnant within 2 years of regular unprotected sex, if averaging 3 times per week
However, I think after 12 months of trying, I would consider starting some investigations
The reason for this is that your partner has type 1 diabetes. Your previous termination should not be a problem
Smoking is a large risk factor to reduce fertility and sperm count. I think I would discuss with your partner about arranging a semen analysis test as well as consider quitting smoking
Your GP could arrange this for you both, and would suggest blood test for you and arrange a pelvic ultrasound. However the fact that you fell pregnant once suggests your fertility is normal, and this time taken could be completely normal
No, I don't think it does, but it is thought to help improve your sperm motility if you were not.
In that case that is very reassuring
I would therefore you discuss with your GP and arrange a pelvic ultrasound and some hormone profile blood tests to help establish that you are ovulating
Yes, theoretically. But his semen analysis is normal so suggests otherwise
At your age that is very unlikely
Not at all, so if reduced ovulation then there is medication to induce this, further tests would check that your fallopian tubes are functioning and not stuck. There are huge advances in fertility, but given how long you have been trying, you are not currently describing a fertility problem. Equally the stress of trying to fall pregnant unfortunately makes pregnancy even harder
I would however have a chat with your GP to discuss this and arrange some simple investigations
Is that okay? Or is there anything else you would like to ask?
They can flush them with fluid to make them patent - but we are talking much more invasive investigations which you are very far away from needing (or ever needing)
No problem at all. I wish all works out for you both.
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