Q: We have been trying to conceive for the last 14 months but in vain. Last I consulted my gynaecologist, she marked my ovulation day for the last 3 months and gave some medicines. But still I have not conceived. Now she has suggested a laparoscopy after a break of 2 month. Could you please tell me if this is necessary?

A:Before you go in for laparoscopy there are other tests that must be done: Your husband's semen analysis, your chest X-ray, premenstrual endometrial biopsy and postmenstrual HSG (special X-ray to test patency of tubes). You may also require some hormone tests depending upon your examination finding and history. After this if ovulation monitoring is done without any drugs, a post coital test should have been done and a serum progesterone level about 10 days after ovulation is documented on ultrasound. Only after all this can one consider laparoscopy.