<s>[INST] Hi Doctor,I am undergoing Follicular Studies from last 3 months. I was advised  Clofert 50 mg from 2nd day of periods for 5 days. The follicles are developing and i am also taking Progynova (3 times a day). Rupture happens but after 18th day of the cycle. Till then the body starts preparing for periods and i cannot conceive. My husband's semen test mentions the Abnormal Sperm Count as 7%. Kindly suggest what needs to be done? I want to have a baby. [/INST] Hi,Thanks for writing to HCM.I understand your concern. Let me clear your doubts one by one. In your case -- Once the follicle rupture and egg is released ,if it is not fertilised , only then it gives signal and prepare for period. Before  rupture period preparation won't start so don't worry. For my patients I usually suggest hcg injection once follicle size become more then 19mm. Hcg helps in rupturing (around 14th day avg) follicle.In your husband case normally if more then 30% normal sperms are present means fertility is good. so 7 % abnormal sperms doesn't cause problem in conceiving.I suggest you to continue clofert for 3 cycles with hcg injection under your doctor guidance. If by chance you won't conceive then go for IUI. It increases chances of pregnancy. Here healthy sperms are placed in uterus.Hope I have been helpful.RegardsDr.Ashish Verma </s>