DEAR SIR/ MADAM I WANT KNOW THE CHANCES OF MY PREGNENCY, I HAVE A THYROID PROBLEM AND MY ENDOMETRIAL THICHNESS IS LESS, I HAVE TRIED FOR 5 TIMES OF IUI BUT THERE IS NO POSSITIVE RESULT. CAN I HAVE TAKE CHANCE FOR NEXT IUI. FOR IVF WE HAVE NO SUFFICIANT MONEY ALSO , MY HUSBAND HAVE NO SPERM COUNT. PLEASE GIVE ME THE CORRECT ADVISE.
Hi SuryaprabhaWelcome to Chat Doctor I would like to know your endometrial thickness on the day of ovulation. For successful pregnancy it should be at least 7 mm. If end thickness is persistently less during GUI cycles then you should undergo diagnostic hysteroscopy (where uterine cavity is directly visualized using a camera) and also endometrial biopsy need to be taken to rule out tuberculosis. If everything comes out to be normal then there are certain medicines which can be used to improve end thickness with mixed success like estradiol vale rate, arginine, it E, pentoxyphylline, sildenafil. You can discuss options with your treating doctor. You can proceed for one or two more cycles of GUI with stimulation by gonadotropin injections instead of camphene. If this treatment also fail then IVF and surrogacy are last options. For husbands problem GUI with donor sperms can be done. All the best.