Pregnancy infertility, thyroid treatment - #27306
have thyroid and I am taking 25 mcg tablet. All my reports are normal. Uterus is normal with no cyst or fibroid, and tubes are open. My periods are regular with a 30-day cycle, but I am not getting pregnant. I don’t have PCOD. My AMH is 1.25. In follicular study, my egg size was 23×16. My husband had varicocele and underwent microsurgery 5 months ago. Before surgery, his sperm motility was 10%. Now it has slightly increased, but morphology is still low. I am 30 years old and my husband is 43. Doctors are suggesting IVF with ICSI. What should we do?
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Doctors’ responses
“Thank you for sharing all your details. From your reports, I can see many positive factors — your thyroid is well-managed, uterus and tubes are healthy, cycles are regular, and your egg growth is good. These are strong foundations for pregnancy. 🙌
After varicocele surgery, sperm quality (motility and morphology) often takes 6–12 months to show full improvement. So, it is still early, and progress can continue. Many couples in a similar situation conceive naturally or with minimal support during this recovery window.
Your AMH shows you have a fair reserve, and the follicle size you mentioned indicates healthy ovulation. What’s the most important now is focusing on: ✔ Supporting sperm recovery and motility ✔ Enhancing egg quality and uterine receptivity ✔ Maintaining thyroid balance and cycle regularity
✨ IVF with ICSI is definitely an option, but it is usually considered if natural chances or mild supportive treatments are not working. Right now, you still have scope for improvement before directly stepping into IVF.
🌿 With the right guidance for both partners at this stage, the chances of conception can improve significantly — naturally or with minimal assistance.
What should we do, ma’am? Should we go for IVF now or wait longer? We have been married for 7 years, I am 30 years old and my husband is 43. We are confused whether to try naturally or proceed with IVF

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