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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Pregnant?

iam 32 years and marriage life is 8 years and have 7 years baby girl and now iam trying for 2nd child but no result from past 1 year my pelvic, hcg, and one follicular study is also over but it was not sucess and today is my period 2nd day what should do
Mon, 29 Aug 2016
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OBGYN 's  Response
Hallow Dear,

From your brief description, I gather that your uterus and the tubes are normal and patent and you are releasing the eggs regularly. Please get the semen examination of the husband performed. If that also is normal, please observe the following instructions.

Follow the ovulation monitoring. This can be done either by a home kit or by ultrasonography. Plan your sexual relations on and around the day of egg release.

The advantages of ultrasonography monitoring are:

1. Size of the follicle can be assessed at the time of ovulation. Eggs released from the follicles of size between 18 mm and 21 mm have best chances of fertilization and successful implantation.

2. The thickness of the uterine lining (endometrium) can be assessed. Endometrium of 9 to 14 mm thick is most conducive for successful implantation of the fertilized ovum.

If in spite of all the investigation reports within normal range and planned intercourse you fail to conceive, you fall in the category of unexplained infertility. Then you might have to report to Infertility Consultant for some Artificial Reproductory Technique.

However, I feel, since you have proved your potency to have a successful pregnancy, with little assistance depending upon the results of the remaining investigations, you should be able to conceive.

I hope this helps you.

Dr. Nishikant Shrotri
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How To Get Pregnant?

Hallow Dear, From your brief description, I gather that your uterus and the tubes are normal and patent and you are releasing the eggs regularly. Please get the semen examination of the husband performed. If that also is normal, please observe the following instructions. Follow the ovulation monitoring. This can be done either by a home kit or by ultrasonography. Plan your sexual relations on and around the day of egg release. The advantages of ultrasonography monitoring are: 1. Size of the follicle can be assessed at the time of ovulation. Eggs released from the follicles of size between 18 mm and 21 mm have best chances of fertilization and successful implantation. 2. The thickness of the uterine lining (endometrium) can be assessed. Endometrium of 9 to 14 mm thick is most conducive for successful implantation of the fertilized ovum. If in spite of all the investigation reports within normal range and planned intercourse you fail to conceive, you fall in the category of unexplained infertility. Then you might have to report to Infertility Consultant for some Artificial Reproductory Technique. However, I feel, since you have proved your potency to have a successful pregnancy, with little assistance depending upon the results of the remaining investigations, you should be able to conceive. I hope this helps you. Dr. Nishikant Shrotri