Our expert says:
The use of Fertomid without prescription should be discouraged and I would strongly consider the laparoscopy as your next step in particular to exclude endometriosis or other pelvic pathology. The use of ovulation charting is crude and inaccurate and instead I would recommend the use of the urine LH testing kits such as Clearplan which is far more accurate and sensitive. However given your history I suspect that there might be additional pathology contributing to your fertility problem. Prior to the laparoscopy I would recommend that your partner has a semen analysis done and if significant problems are found with the sperm analysis then alternative treatments may be necessary and one can sometimes avoid the laparoscopy.
Answered by: Dr. M.I. Cassim
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