Our expert says:
Since male fertility problems are on the increase and although unlikely one cannot categorically exclude a male factor simply on the bases of what has been stated. As a first line investigation I would still recommend a semen analysis be done and should this be normal it would clearly place the problem with you. The possibility of endometriosis or poor egg quality should then be considered and be investigated for. The option of in-vitro fertilization should be considered in such cases of unexplained infertility since there is often a fertilization problem responsible. The rare possibility of empty follicle syndrome should also be considered in which all the signs of ovulation maybe present but no actual egg is released and hence no conception occurs. Another rare possibility is the luteinized unraptured follicle syndrome, which present in a similar manner and in this case the egg remain trapped within the ovary despite all the other signs of ovulation.
Answered by: Dr M.I. Cassim
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