hi doctor, im 33 married for i year and yet to concieve.i was treated for genital TB when i was 18 and since then my menses are scanty. im on medication for the last 10 months now,presently on a fourth cycle of clomid. my endometrium lining shows only 5.5mm at its maturity. what should i do next?
Hello and welcome, Scanty menses indicate that most likely the endometrium was affected. Unfortunately the chances of pregnancy for endometrial tuberculosis are very low. Only 5 - 10% conceive. I understand that you are trying for a baby, but it is best that you do know the chances of a successful outcome. As of now, I suggest that first a tubal patency test must be done to check if the tubes are open as TB damages the tubes. If they are open then estrogen patches can be used to help the endometrium to grow. If repeated closed is used then it also further thins the endometrium, so closed is not recommended for more than 6 cycles. I prefer to combine it with an GUI procedure if tubes are open. For the long term if these measures fail then surrogacy using your own ovum is an option as you can have your own child with it. Hope this was helpful. Thanks for the query. Feel free to ask more. ChatDoctor Badge