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

### input:
My wife is undergone 3 failed IUI two with Letroz and one with Siphene along with LH surge. All the previous IUIs have 22- 28 mm matured follicles and IUIs done after rupturing the follicles. Now we are about to do fourth one .While on this follicle study mature follicle is 22 mm with 8.4 mm endometric size is noticed. Im having Levocarnitine as our doctor told my motility is 2-3% less than normal,my sperm count is normal. My wife is having normal menstrual cycle and she is 33 years old and Im 40. We have been identified as unexplained infertility and doctor suggested IUI. After 3 IUIs she had undergone a diagnostic laproscopy and found everything normal in that part also. All the IUIs done are with sperm washing which increases the chances for getting more motile sperms and even after that what will be the reason for not conceiving? And when will we move to IVF? and how much it cost normally? And what are the other treatments which we have to carry out further? We are really disappointed upon the failed IUIs. Please help.

### output:

You need a good counselling regarding this. Even if all the things are fine, there are some very minute things that can go wrong like the protein that should be there in the sperms to be able to get inside the egg may be mining. This is the last thing that can go wrong. The point is to see if the IVF is happening or not. In the IVF if the sperm is still not able to get inside the egg then the protein concerned is to be blamed. You can ask your doc to prescribe and refer you for IVF.