When Is It Safe To Conceive After Taking ATT?

Posted on Fri, 31 Oct 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 31 Oct 2014 Answered on

Tue, 25 Nov 2014 Last reviewed on

Question : hi..my wife was diagnosed with Genital TB in 2012-13 docs prescribed for ATT4 for six months, after having the medicine for 2 months my wife concieved, and doctors advised to continue with the medicine, but after 2.5 months, scans showed no cardiac activity found in baby...and docs suggested to abort the baby....and continued the medicines for six months.....and after that another test was done for PCR but the results were same +ve, and from that period my wife had to go through different TESTS and medicines, HSG was -ve, but, not conceived till date...ABORTION WAS DONE ON 19th MARCH 2013...and HSG WAS DONE IN MARCH 2014...any suggestions please....

Answered by Dr. Aarti Abraham (32 minutes later)

Brief Answer:
PLEASE PROVIDE FEW MORE DETAILS

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
After 2 months of Taking ATT, it is safe to conceive.
However, unfortunately at times, missed abortion does occur.
Most women with one miscarriage go on to conceive successfully later.
I would like to request you to provide me with the following details -
1. What is her height and weight ?
2. Has she been pregnant after the abortion in March 2013 ?
3. Are her cycles regular ?
4. WHen did she stop ATT ?
5. What all tests and investigations are done so far - please upload all results, including HSG report.
Looking forward to hearing from you.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (22 hours later)

1. Height : 5'6" , Weight : 62 Kg
2. No, doesn't conceive after abortion in March 2013.
3. Yes, her Cycles are regular.
4. Stopped ATT in April 2013. (Oct 2012 to April 2013)
5. Attached files ..( test have been done so far & all are normal)
x-ray of HSG report cant be uploaded, which was destroyed recently in floods here in XXXXXXX kashmir.

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
NEXT LINE OF ACTION RECOMMENDED

Detailed Answer:
I have gone through the reports.
The following more suggestions are there, from my end -
1. Get your semen analysis done.
2. Get her follicular monitoring done - serial ultrasound scan of the ovaries showing whether she is ovulating or not.
3. A laparoscopy and hysteroscopy if she does not conceive inspite of 3 cycles where ovulation is documented.
Ask her to take regular 5 mg per day folic acid tablets.
Eat sensibly, exercise daily and avoid stress.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar