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Question: Hell Doc, Iam 29 yrs old, married for 2 years, trying to conceive since then.
I have thyroid since 6 months taking Thyronorm 50mcg since 2 months, earlier i was taking 25mcg.
Whiel follicular study, identified a para ovarian cyst measuring - 20X17mm int he right ovary
Did two follicular study the first one, "did not rupture" , later one, taken two months back it "ruptured" , on the 12th day, my right ovary was 20X17mm and left was 16X11mm, endometrial thickness - 7mm , the same day i was injected with some DNS, not sure of the injection name On the 14th day both my follicles ruptured, and the free fluid in POD was positive, but i didnt get pregnant and i got my regular periods.
My doc is advicing me to go through same procedure again, ( follicular study, injection , rupture and wait for me to concieve) should follow my doc? Kindly suggest me what shoudl be my next step.. i am gona be 30yrs in few months and i am worried i will never get pregnant, getting aged....
I have thyroid since 6 months taking Thyronorm 50mcg since 2 months, earlier i was taking 25mcg.
Whiel follicular study, identified a para ovarian cyst measuring - 20X17mm int he right ovary
Did two follicular study the first one, "did not rupture" , later one, taken two months back it "ruptured" , on the 12th day, my right ovary was 20X17mm and left was 16X11mm, endometrial thickness - 7mm , the same day i was injected with some DNS, not sure of the injection name On the 14th day both my follicles ruptured, and the free fluid in POD was positive, but i didnt get pregnant and i got my regular periods.
My doc is advicing me to go through same procedure again, ( follicular study, injection , rupture and wait for me to concieve) should follow my doc? Kindly suggest me what shoudl be my next step.. i am gona be 30yrs in few months and i am worried i will never get pregnant, getting aged....
Brief Answer:
PLEASE PROVIDE MORE DETAILS
Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Please let me know a few details please .
1. Your height and weight .
2. Your husband's semen analysis - was it done or not ?
3. Are your cycles regular ?
4. Have you been trying continuously since 2 years ?
5. Have you ever gone through IUI - intra uterine insemination ?
6. As I understand, you have gone through two cycles of follicular monitoring, one in which you ovulated, one in which you did not . Is that right ?
7. ANy hormonal tests or tubal patency tests done so far ?
Looking forward to hearing from you with the details.
Take care.
PLEASE PROVIDE MORE DETAILS
Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Please let me know a few details please .
1. Your height and weight .
2. Your husband's semen analysis - was it done or not ?
3. Are your cycles regular ?
4. Have you been trying continuously since 2 years ?
5. Have you ever gone through IUI - intra uterine insemination ?
6. As I understand, you have gone through two cycles of follicular monitoring, one in which you ovulated, one in which you did not . Is that right ?
7. ANy hormonal tests or tubal patency tests done so far ?
Looking forward to hearing from you with the details.
Take care.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
1. Your height and weight - 155 cms height & 80 kgs
2. Your husband's semen analysis - was it done or not ? not done yet mam
3. Are your cycles regular ? - yes always regular
4. Have you been trying continuously since 2 years ? yes mam
5. Have you ever gone through IUI - intra uterine insemination ? no mam
6. As I understand, you have gone through two cycles of follicular monitoring, one in which you ovulated, one in which you did not . Is that right ? yes you are right, the later one ovulated since i was injected on my 12th day.
7. ANy hormonal tests or tubal patency tests done so far ? nothing mam
2. Your husband's semen analysis - was it done or not ? not done yet mam
3. Are your cycles regular ? - yes always regular
4. Have you been trying continuously since 2 years ? yes mam
5. Have you ever gone through IUI - intra uterine insemination ? no mam
6. As I understand, you have gone through two cycles of follicular monitoring, one in which you ovulated, one in which you did not . Is that right ? yes you are right, the later one ovulated since i was injected on my 12th day.
7. ANy hormonal tests or tubal patency tests done so far ? nothing mam
Brief Answer:
WORKUP SUGGESTED
Detailed Answer:
Hello
Thanks for the updates.
1. Your husband's semen analysis is a must. Please get it done after 3 days of abstinence at a reputed lab, going for stimulation without semen analysis is futile.
2. Next, go through further 3 more cycles of follicular monitoring, during which ovulation should be confirmed , and you should remain sexually active during the ovulatory period.
3. After 3 cycles, if you still do not conceive, go for a laproscopy to check if the fallopian tubes are patent or not.
4. If you do not ovulate during the 3 cycles, you should consider IVF ( in vitro fertilization ) directly.
5. Go for following investigations - Complete blood count, blood group, viral markers, FSH, LH, TSH, OGTT, DHEAS, Free testosterone, Pap smear.
Do not lose hope.
You are quite young, and should have good results soon.
Please take daily 5 mg per day folic acid ( Folvite ).
Exercise and try to reduce your weight by 5 - 10 kg.
Avoid stress, try yoga and meditation also.
Where do you reside, I can suggest a good Infertility Expert.
Hope this helped you.
WORKUP SUGGESTED
Detailed Answer:
Hello
Thanks for the updates.
1. Your husband's semen analysis is a must. Please get it done after 3 days of abstinence at a reputed lab, going for stimulation without semen analysis is futile.
2. Next, go through further 3 more cycles of follicular monitoring, during which ovulation should be confirmed , and you should remain sexually active during the ovulatory period.
3. After 3 cycles, if you still do not conceive, go for a laproscopy to check if the fallopian tubes are patent or not.
4. If you do not ovulate during the 3 cycles, you should consider IVF ( in vitro fertilization ) directly.
5. Go for following investigations - Complete blood count, blood group, viral markers, FSH, LH, TSH, OGTT, DHEAS, Free testosterone, Pap smear.
Do not lose hope.
You are quite young, and should have good results soon.
Please take daily 5 mg per day folic acid ( Folvite ).
Exercise and try to reduce your weight by 5 - 10 kg.
Avoid stress, try yoga and meditation also.
Where do you reside, I can suggest a good Infertility Expert.
Hope this helped you.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thank You Mam!! That was indeed helpful.. I was 50kgs 4 back and my i gained weight all of sudden and tried all ways to reduce weight but in vain.. Can i try medicines/tablets to reduce my weight?? Do you recomment any?
Will do the suggeseted tests and revert you.
I reside @ Chrompet , XXXXXXX
Will do the suggeseted tests and revert you.
I reside @ Chrompet , XXXXXXX
Brief Answer:
First, get these investigations done, diet and exercise are more important
Detailed Answer:
Hi dear thank you for the appreciation.
You are very kind .
Actually first get the investigations done.
If you have PCOD - polycystic ovarian disease, then you will have unexplained weight gain.
For that, Metformin tablets can be taken.
Nothing can replace diet and exercise however.
Consult a dietician and go for a restricted calorie diet and workout for 45 minutes atleast 5 days a week.
It will show you definite results.
Take care.
Keep updating me.
Wish you luck .
Apollo Hospitals XXXXXXX and Cloudnine XXXXXXX are both good places to try out INfertility COnsultation.
First, get these investigations done, diet and exercise are more important
Detailed Answer:
Hi dear thank you for the appreciation.
You are very kind .
Actually first get the investigations done.
If you have PCOD - polycystic ovarian disease, then you will have unexplained weight gain.
For that, Metformin tablets can be taken.
Nothing can replace diet and exercise however.
Consult a dietician and go for a restricted calorie diet and workout for 45 minutes atleast 5 days a week.
It will show you definite results.
Take care.
Keep updating me.
Wish you luck .
Apollo Hospitals XXXXXXX and Cloudnine XXXXXXX are both good places to try out INfertility COnsultation.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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