Our expert says:
Given that all investigations to date have been within normal limits the problem would be classified as unexplained infertility. In such cases it is often noted that some form of fertilization failure is likely to be present. This implies that the union of sperm and egg may not be occurring either due to some form of defect on the egg or within the egg or alternately chemical problems relating to the sperm. The diagnosis is extremely difficult and often can only be in a laboratory situation through invitro fertilization. Problems related to embryo formation or abnormalities pertaining to the embryo should be considered as well and once again this can be established in a laboratory environment. I would suggest that a review of all the investigations be undertaken by a fertility specialist before embarking on the invitro fertilization option.
Answered by: Dr M.I. Cassim
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