Our expert says:
Dear Bee Sting
The interval since your laparoscopy is very long in fertility terms and I would advise a re-look at the patency of your tubes and exclusion of endometriosis. The tube can be assessed initially by X-rays called Hysterosalpingogram (HSG). Thereafter, if tubes are patent, I suggest home ovulation monitoring with urine LH testing kits and at least 3 intrauterine inseminations attempts. If these are not successful then I would suggest in-vitro fertilization (IVF) or a laparoscopy followed by IVF if the laparoscopy is clear. The problem may be a fertilization problem which will be confirmed and solved hopefully by the IVF procedure.
Answered by: Dr M.I. Cassim
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