Azzam HM, Dayyana S and Tomlinson AJ
This is a case of a 28-year-old lady, nulliparous lady, with a two year history of primary infertility. She had undergone infertility investigations which revealed an ovulation with low day 21 progesterone assay. Pelvic ultrasound scanning showed a normal uterus and endometrium, bulky left ovary and normal right ovary. Laparoscopy, hysteroscopy and tubal dye test revealed mild to moderate endometriosis, probable chocolate cyst on the left ovary, tortuous and blocked left tube. However, there was a normal and patent right tube. Her husband’s seminal analysis was sub-optimal with a good count of 47 million sperm/ml. However, only 7% normal forms and 4% were with rapid progressive motility. The diagnosis of sub fertility in both partners was made.
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