<human>: Dear Doctor I am 34 years old & from India, mumbai. I am trying to conceive since 4 years however no luck. Since Feb 12 I have consulted gynac. Both mine & husband s initial reports were ok. Later thru laparoscopy we found one of the tubes are blocked. My eggs do get ruptured. Last month I had done IUI on 30th & 31st Oct but yesterday I got my periods. But this time while IUI My husband s sperm count was only 4 milion as compared to 70 mil he had during the initial reports. What could be the reason for failure of IUI & what should I do next treatment?
<bot>: Hi, Reason for failure of GUI are multiple. First only one of two tubes is open, which itself reduces chance of pregnancy by half. Second count during GUI of 4 million has very low pregnancy rate. Third, even if everything is fine, GUI doesn't give you pregnancy rate more than 25%. Regarding further treatment, if count improves, you can try super ovulation with injections & GUI. If count doesn't improve, IVF is best option. Wish you good luck.