### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi. i had an abortion in oct 2011. now want to concieve again and going thorugh with some test currently im undergoing with serial scanning . tomorow may be the last visit but when we checked for my husband in his case his sperm count is less and his sugar is little high. and we r running short off time as my age is 35yrs and his 38yrs. now we have consulted in CMC BANGALORE , can we take others opinion along like any fertility centre or shall i go through wih same . and what can be done in this situation

### output:

Hi, Your age being 35 yrs is a concern, but you can take another 2-3 yrs as grace period. Don't worry. Husband age is not a big problem. But his sugar is to be corrected immediately. Maybe that abortion was also because of this. When his sugar level is high, no matter how high, his body may lodge certain infections. High sugars & infections can damage the head of sperm(that's where the genetic material of father is transferred to the baby) so the count may be normal but sperms not healthy, hence the pregnancy out of this unhealthy & can cause abortions. Now over years even the count also is reducing. This can be effectively corrected by oral pills or better with Insulin injections. Insulin for immediate control, later can be switched to oral pills, under planetologist supervision. You can spend 2-3 myths in this treatment & get control. Once done you can have tubal patency tested, SG (X-ray with dye) or SSG (scan with dye) or Laparoscopy. You may also need antibiotic / antifungal treatment for vagina (transmitted from husband)Once confirmed & semen parameters improved, especially the morphology of sperms(health of sperms) go ahead with GUI (Intrauterine insemination) which increases pregnancy chances by 4 times. You can try it 3 times, if not successful go ahead with IVF, because of your age factor. If you are not happy with the management there, you should take a second opinion, as your time is ticking away. As you had a pregnancy, even though it ended in an abortion, your chances for another pregnancy is very high. All the best Chat Doctor. 