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

### input:
sir i am a married man for 20 years now my age is 47 and my wife is 37.we are still awaiting our child.in the 2nd year of our marriage my wife conceived but due to hypertension as doctors stated she got abortion in the 8 month.after that she developed a gaanth and 1 fallopian tube was removed.since then means from 1997 we are trying hard for child we attempted many IUI and recently we went for IVF for 3 cycles but with negative results.do you think we still stand a chance to get our child.?she started getting irregular periods irregular ovulations her eggs were not hatching on time etc.my semen showed 20% 1 grade 40% II grade with count of 10 millions kindly suggest

### output:

Hellos far as known to me "giant" means tumor in fallopian tube and one removed. So make clear one thing in your brain that ovulation occur once in the time of two months because one tube is no more. Your semen analysis is not complete in this query, so I will write down about fertility. Normal fertility is associated with sperm counts of > 48 million /mL with a motility of >63 % with 12 % exhibiting normal morphology.FERTILITY is seen with sperm counts of You only mentioned that there is 10 million sperm (a total or in one mL???).First get in follicular study of your wife, ovulation time, size of dominant follicle, maturation date, burst date, endometrium thickness. Still you can have baby, but it depends upon many circumstances, so either upload all reports or consult one more infertility specialist and get his opinion. Hope this information will be helpful for you.