Fertility

The underlying cause of ectopic pregnancy such as chronic pelvic infection may be the reason for your infertility as both fallopian tubes may be partially blocked. You should seek help from your gynaecologist to find out the cause and get treated appropriately. 

It is possible that you may be pregnant. Bleeding in early pregnancy may be a sign of miscarriage or a pregnancy in the fallopian tube (ectopic pregnancy). You should consult a gynaecologist as soon as possible to find out the cause of your abnormal bleeding.

Fertile window can be detected by the following:

  • • Calendar method: 14 days before next period
  • • Basal body temperature
  • • Mucus method; observing the cervical mucus
  • • Ovulation prediction kits using the urine 
  • • Vaginal scan by the gynae

If you took clomid and you are unable to detect the ovulation then it's unlikely that you are pregnant. If your period has not happened, please seek a gynaecologist review to assess you on scan and with a hormonal check to determine what actually occurred. There is no point in starting another round of clomid if the first is unable to induce an ovulation for you. You may require to alter the dose, add other medications or change medications altogether. Clomid cycles should be monitored closely for optimal outcome.

Yes, it is possible to get pregnant if the left fallopian tube is all healthy and unobstructed. Do note that the egg should also be mature enough for fertilisation.

The risk of fibroids in pregnancy really depends on site, size and number. The general rule is if they are within the uterine cavity, they are likely to affect your fertility. If they are within the wall, they might cause you to have pre-term labour. If they are sticking out of the uterus, you may not have much symptoms at all unless they are very large.

Retroverted uterus is a normal anatomical variant and should not interfere with your ability to conceive. Occasionally a sharply tilted (acutely retroverted) uterus that could be caused by endometriosis can make it challenging for the sperm to reach the egg. Polycystic ovary syndrome (PCOS) is associated with irregular ovulation which can contribute to infertility. 

Approximately one third to half of women with endometriosis have difficulty conceiving. Endometriosis may also affect fertility in less direct ways such as damage to eggs, embryos.

Adenomyosis can also affect pregnancy outcome, and hyperthyroidism must be treated before pregnancy.

You seem to have a few conditions which may affect your chances of conceiving. I recommend that you seek a consultation with a specialist to address your concerns.

Low sexual drive results in reduced frequency in sexual intimacy. This will affect conception as the chances of the sperm meeting the egg are low. You should find out the reason for the declining sexual drive and seek medical attention.

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