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What Does My Uterus Ultrasound Report Suggest?

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Posted on Mon, 22 Sep 2014
Question: My scan report -The uterus is of normal size and echopattern. The organ is ante verted. Contour of uterus is maintained. No SOL detected. Endometrium shows 5mm thickness (triple line sign is positive) cervix is long and healthy. Measures ( L72mm-B46mm-W32mm)

Both the ovaries are bulky in size and shown multiple peripheral follicles. Rt ovary shows one mature follicle and a few immature follicles.Let ovary shows one mature follicle and a few immature follicles

So sir/ma'am
My question is that multiple follicle need to be mature for conceiving and how long it takes and doctors suggest me goodova 50 and lupigest 200
Before 2 year i gave a birth of a child and died after delivery.is there is any helpful suggestions or precautions i have to take
doctor
Answered by Dr. Dalia Muraleedharan (1 hour later)
Brief Answer:
infertility treatment

Detailed Answer:
Hi,
Thanks for using HCM..
I understand your concern..

On which day of the period was the scan done? What was the size of the 2 mature follicle in each ovary? Since how long are you trying for your second pregnancy?

There will be multiple follicles in both the ovaries. Only one follicle will develop and become mature to ovulate in a cycle normally. That follicle is developing in your case. So dont worry..

If you have been trying for more than 1 year for a baby and not getting pregnant, you need to get a basic work up. Scan appears normal. Thyroid and prolactin level needs to be checked. Do you have regular periods? Your husband need to get a semen analysis done.

If everything is fine, after consulting your gynaecologist you can take ovulation induction drug from 2nd day of the periods for 5 days followed by a follicular study on day11 and13. When the size of follicle reaches 20mm, its likely to ovulate , so during this time you can have a timed intercourse or an IUI. Follow up scan has to be done to see the status of ovulation. Take progesterone from post ovulatory day for 10 days. Continue goodova. This can be tried for 6 months before performing an IVF.

Take plenty of oral fluids, healthy food and lots of fruits.Hope I have answered your queries.. Feel free to ask any query. Good day.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dalia Muraleedharan (16 hours later)
Is there any better option if I take combination of clomiphene citrate 50mg and N-acityle cystine 600mg instead of enclomiphene 50mg
doctor
Answered by Dr. Dalia Muraleedharan (2 hours later)
Brief Answer:
Enclomiphene is found to be better..

Detailed Answer:
Hi,
Thanks for writing..

Enclomiphene is found to be more effective than clomiphene.. Clomiphene causes a decrease in endometrial thickness and level rises only slowly when administered. This disadvantage is not seen with enclomiphene. N-acetyl cystein can be given with both.. But many doctors still prefer clomiphene.

Hope I have answered your queries.. If dubts are clarified, kindly close the conversation and rate my answer. Good day..
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dalia Muraleedharan

OBGYN

Practicing since :2003

Answered : 1044 Questions

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What Does My Uterus Ultrasound Report Suggest?

Brief Answer: infertility treatment Detailed Answer: Hi, Thanks for using HCM.. I understand your concern.. On which day of the period was the scan done? What was the size of the 2 mature follicle in each ovary? Since how long are you trying for your second pregnancy? There will be multiple follicles in both the ovaries. Only one follicle will develop and become mature to ovulate in a cycle normally. That follicle is developing in your case. So dont worry.. If you have been trying for more than 1 year for a baby and not getting pregnant, you need to get a basic work up. Scan appears normal. Thyroid and prolactin level needs to be checked. Do you have regular periods? Your husband need to get a semen analysis done. If everything is fine, after consulting your gynaecologist you can take ovulation induction drug from 2nd day of the periods for 5 days followed by a follicular study on day11 and13. When the size of follicle reaches 20mm, its likely to ovulate , so during this time you can have a timed intercourse or an IUI. Follow up scan has to be done to see the status of ovulation. Take progesterone from post ovulatory day for 10 days. Continue goodova. This can be tried for 6 months before performing an IVF. Take plenty of oral fluids, healthy food and lots of fruits.Hope I have answered your queries.. Feel free to ask any query. Good day.