Hi, I am 27 years old. I had a vacuum aspiration abortion nine years ago. I was 6-7 week pregnant.
Doctors did not prescribe medicine nor antibiotics after abortion.
Its been 2 years since I'm trying to get pregnant , my first hormone test was LH 86.86mlU/ml , FSH 21.77mlU/ml and serum prolactin 22.28ng/ml.
Doctor gave me serophene 50 mg because according to my test I was not ovulating.
Second hormone test LH 4.42mlU/ml and FSH 7.56mlU/ml.
Increase my dose till 150mg of serophene.
My last test LH 6.04mlU/ml, FSH 9.93mlU/ml and serum progesterone 58.10ng/dl.
Doctors said that I need to do Laparoscopic + Dye.
Question:
What can be the causes and treatment of anovulatuon and infertility in my case.
A few symptoms: pain & dryness during intercourse, painful menses and hot flashes
Please give me full details because my laparoscopy surgery is on the 24th of this month.
Thanks

We really can't diagnose you online but it sounds like your doctor is being thorough and doing what he can to answer your questions.

I believe the test he has planned, which sounds to me like a histosalpingogram, is intended to determine if you have any blockage of your falopian tubes. If so, he can clean them out so that, if you ovulate, the egg has a clear path to your uterus.

Your other symptoms sound hormonal and are common in menopause, so he is likely also focusing on your hormone levels.

The difficult thing about infertility issues is that there are so many variables to be looked into and addressed and it is complex to figure out. Sometimes it can seem like everything works fine and the couple still can't get pregnant, which is very frustrating and heartbreaking. It's hard to hear if something's wrong, like that you're not ovulating, but when you do figure something like that out, they can focus on fixing it, which is a positive.

My guess is your doctor's current focus is on first, getting you ovulating and second, making sure that when you do the egg can properly travel toward your uterus so you have the chance to get pregnant.

Thanks so much for your reply