Our expert says:
Firstly the laparoscopy and failure to conceive may not have have any bearing since the hormonal problem or implanation problem is not diagnosed laparoscopically. The fact that ovulation monitoring using the testing kit is being considered, is a positive starting point. My advice would be to continue using the testing kits and commence gestational support approximately 5 days after ovulation has occured.
This will promote implantation if the implantation is related to progesterone levels.
However, one should also bear in mind at this point that a positive ovulation detection might not necessarily imply the release of an egg. There are syndromes such as Lutenised unruptured Follicle Syndrome (LUFS) and empty follicle syndrome which may both simulate ovulation but may not result in the release of an egg at all. Hence, in cases of 'unexplained' infertility it is often best to have a gynaecologist monitoring the cycle and in some cases one may even have to consider IVF to make the absolute diagnosis.
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