Trying to conceive for 7 years with no success requires an urgent referral to Fertility Specialist. You will need to have a full work-up to try and find out why you and your partner have been unsuccessful in conceiving. Infertility is a difficult condition for the couple and can be emotionally charged and put life under strain.
TYour age is an important factor in your management. A proper history is obtained to find out whether you are ovulating (regular cycles), as well as attempting to find out if there are any factors that may affect fertility. It is also important to rule out PCOS and endometriosis. Endometriosis is a benign condition that affects fertility in up to 30% of women. Your partner should be present during the consultation as about 30% of infertility is male factor.
I would recommend blood tests looking at you ovarian reserve (AntiMullerian Hormone), your hormone levels (FSH,LH and Estradiol) and a pelvic U/S scan to examine your ovaries. There are other tests that are required such as thyroid function test. Further imaging is required to check whether your fallopian tubes are patent. A semen analysis is warranted to rule out any male factor infetility.
Once these are completed, I would suggest you consider the option of IVF. This should provide you with the best chance at achieving a pregnancy. There is the option of Intrauterine Insemination where the sperm is obtained, and a sample of the best sperm is prepared in the lab after which this is infused into the uterus.
If there is suspicion of endometriosis, I would recommend a laparoscopy and excision of the endometriosis. Several medical studies have now confirmed that excising the endometriosis increases your fertility rate, especially in the first 6 months after the surgery.
I wish you all the best, and my recommendation is you see a fertility specialist and look at the option of IVF.
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