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

### input:
Hi Madam, I got married in July 2011 and we have been trying for a kid since last 1.5 years. I did all the test prescribed by my doctor but we haven t got any positive response from any of the doctor. Following are the tests and the results which we have done so far: 1. Follicular Monitoring - Egg got ruptured on 14th day. - everything was normal but unable to conceive. 2. Semen Analysis of husband is done - Spirm count was normal - 60 million/ML 3. Prolactin Test Result - 20.07 ng/ml 4. Insulin fasting - 13.8uIU/mL 5. Insulin PP - 62.93 uIU/mL (test done after 90 min.) 6. Glucose fasting - 87.6 mg/dL 7. Glucose PP - 95 mg/dL 8. TB-Gold - Positive (1.86) Next test which I need to do is for Moutax Test which I will be getting it done tomorrow. Medicines which were prescribed to me are as following: Bigomet - 500mg, B-Long F, Fertomid - 50mg, Grapex, Folsafe We have been trying for 1.5 years and no results so far. Kindly suggest what can be done now.

### output:

Hello, I'm glad to answer your question. Since TB-Gold is positive, you are likely to have active tubercular infection. Next step would be to get a HSG done to know exact site and extent of tubal blockage. Fallopian tube is the most common site of damage in genital tuberculosis. The Manitou (tuberculin) skin test is unreliable. It tests merely for the presence of immunity against TB. Resection and anastomosis surgeries are advised If there is asthma block, then hysteroscope directed procedure is done. Meanwhile, continue taking antitubercular Chat Doctor. Eat healthy, Exercise moderately, Take folic acid tablets.Don't stress yourself since treatment of tuberculosis in early stages definitely increases your chances of conception. Good luck. Hope I have succeeded in answering your questions. You could write to me anytime for further clarifications. Regards,