I been trying to get  pregnant 7 months and i

Patient

Q: I been trying to get get 7 months and i cant i am so worry im never going to have kids i have sex often n still nothing . i have irregular period febuary 11 was my perios 7 days lasted then march 29 and lasted 7 days i had ovarian cyst on both ovaries but 5 years ago they removed my cyst but my ovaries are still there i drink prozac and risperdal . i just dont know what seems to be the problem and i tried to get pregant and i cant i am worried

Doctor

A:   Hi,
Thanks for the query.

I understand your concern.
If couple not able to conceive after one year with regular unprotected intercourse history, that can only be considered as primary infertility.
The possible causes of infertility are gonadal hormonal imbalance which can cause irregular menstrual cycles, anovulation etc, fallopian tubal block, uterine causes like endometrial abnormalities, fibroids, adhesions etc, thyroid hormonal or prolactin level abnormalities giving rise to irregular periods etc.
Prozac and risperdal like antidepressants can also affect menstrual cycles and fertility.
Male factors can also lead to infertility like abnormal seminal parameters like low sperm count, decreased motility etc, genital abnormalities like varicocele, ejaculatory duct obstruction etc.
By examination and by investigations like ultrasound, hysterosalpingography, gonadal hormonal analysis, thyroid profile, prolactin levels estimation for female partner and by physical examination and semen analysis for male partner the possible cause of the problem can be identified and treatment can be planned accordingly.
So, please do consult your doctor and get evaluated.

Take care

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