Hello doctor,I undo tube ligation last year. I have been trying to have another baby since then but no luck. I am 43 years old and I have 3 girls. My last born is eight years old. I need help before it is too late. I am HIV positive for past 15 years. I had TB and got complete treatment. Currently, I am taking ARV.
Hi. It would be better if you can send me your complete medical, obstetrics, gynecology, and drug history previous as well. If your menstrual cycles are regular and no menstrual irregularities like any intermenstrual post-coital bleed then you can easily have your all blood test on your second day of periods, (serum progesterone, serum testosterone, serum prolactin, serum insulin, FSH- follicular stimulating hormone and LH- luteinizing hormone, thyroid function test). In case of irregular cycles, you can have cyclic combined oral contraceptives for a month to have withdrawal bleeding and can do tests on the second day of bleeding. Have one transvaginal scan outside menstrual days. Strict check on your retroviral load, better to have regular follow-ups with your physician to have best general health for conception and best pregnancy outcome. Your viral load will decide your mode of delivery as well as your management during pregnancy, at labor and baby's treatment post delivery. Have strict intake of folic acid you need extra dose 5 mg daily for a better fetal outcome. Have a complete check and full treatment of any health issue you and your partner have. Have sex in the fertile period of your cycle. Quit recreational drugs both you and your partner as it not only increases chances of congenital anomalies in children but also reduces fertility. Have a healthy diet, daily walk and recreational activities for better physical and emotional health. Collect all blood reports, scan report and discuss here or with your local gynecologist specialist if you need any extra help in form of treatment for conception.  For more information consult an obstetrician and gynaecologist online -->