Infertility treatment

Patient

Q: I am a 28 year old women (3 years of married life) settled in Bangalore.I am diagnosed with PCOS 6 years back. From the blood test result (done in 2009) showed Serum FSH as 5.9 and Serum LH as 17.63. As per the doctors advice dated 6th, Aug 2011 I underwent HSG X-ray, which showed uterine silhouette which appeared irregular and both the tubes were patent. A pipelle endometrium was done (on 31.08.2011) to diagnose M.Tuberculosis which resulted in PCR - positive and culture negative for TB. Mantoux test also showed negative result. My ESR and TSH levels are under normal limits. I underwent an IUI procedure after that on 01.10.2011. I was given FSH and HMG injections as well as HCG injection. There were 2 matured follicles with 2x1.5 and 1.5x1.2 sizes. But my endometrium was grown only up to 9mm which according to the doctor was no sufficient. Now the doctor suggested for laparoscopic ovarian drilling. Kindly advice Whether this procedure is necessary at this stage. Or should I start with Anti tubercular treatment? Please advice.

Doctor

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