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

### input:
i m 27 yrs old with 5 yrs kid. i m trying to conceive last 5 months n my ultrasound follicular monitoring is on 13th day 16,12,10,10,8,7,7 of rt ovary n 9,8,7,7,6,6 of lt. ovary n endometrium 4.8mm n my lmp 24/6/11 which time is gud for preganancy.my wt is60kg,ht 55feet no medical histroy

### output:

Hello, Thank you for your query. Would you clarify a few things for me please? *These numbers, do they indicate the follicles sizes of each ovary on day 13 of your cycle? *how long are your cycles? *are your periods regular? *did you conceive naturally the first time? *have you been on any contraception in the past 5 years? If so, what? Your follicular study suggests Polycystic ovaries. Endometrial thickness is less for day 13 as well. (assuming you have regular 30 day cycles) I recommend :-a fertility specialist consult -estrogen, follicle stimulating hormone, Routinizing hormone levels on day 3 of your cycle. -ovulation induction to regulate & stimulate ovulation. -thyroid hormone levels, prolactin levels & complete blood count, if clinically indicated -if cycles are regular : basal body temperature monitoring & ovulation prediction kits to help detect ovulation date. This day and the 3 days prior to this are you most fertile days. Have regular intercourse (every alternate day at least) in the middle third of your cycle. -take a folic acid supplement for. -intrauterine Insemination may be required of ovulation induction alone doesn't work out for 3-4 cycles. If your husband smokes, it would be advisable for him to stop ad it affects sperm quality Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health