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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Methods For Pregnancy

Hi Doctor i am 40 yrs old,i was operated upon for fibroid in 2009.Now i am writing to get pregnant but it is difficult.My menses did not flow in september.I went for an Ultra sound and a doctor told me my womb is strong,and i am in dying need to have a child because i dont have any.Advice me.
posted on Fri, 14 Mar 2014
Twitter Mon, 8 Jun 2015 Answered on
Twitter Tue, 9 Jun 2015 Last reviewed on
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General & Family Physician,  's  Response
Hi,
I have read y6our query carefully & understand your concern.
Two main requisitions for pregnancy are a regular menstruation with ovulation/ good semen analysis.
- You should get your ovulation study done ( a series of USG scans done ) To acertain ovulation / HSG to look for patency of fallopian tubes.as basic indicator of female fertility. More detailed investigations are needed in case of abnormal findings , followed by specific treatment.
- Your husband's semen analysis would exclude any abnormal semen counts. Further investigations may be suggested by urologist- as per need.
* To conceive with both of you being normal -
- check for ovulation by LH surge test. Have sex a day prior to & on the day of ovulation- This facilitates pregnancy.
- tablet of folic acid 5 mg. daily taken by both sex partners helps in preventing certain abnormalities in fetus.
- Try for natural conception for few months, you can go for assisted conception by IUI/ test tube baby... in case you are in hurry . Your age also demands for earliest conception. For this you have to consult a / Sterility specialist gynecologist .
Thanks.
* once you conceive, please get tripl( down's syndrome ) in later age conception. guard test done to exclude certain fetal abnormalities i
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Suggest Methods For Pregnancy

Hi, I have read y6our query carefully & understand your concern. Two main requisitions for pregnancy are a regular menstruation with ovulation/ good semen analysis. - You should get your ovulation study done ( a series of USG scans done ) To acertain ovulation / HSG to look for patency of fallopian tubes.as basic indicator of female fertility. More detailed investigations are needed in case of abnormal findings , followed by specific treatment. - Your husband s semen analysis would exclude any abnormal semen counts. Further investigations may be suggested by urologist- as per need. * To conceive with both of you being normal - - check for ovulation by LH surge test. Have sex a day prior to & on the day of ovulation- This facilitates pregnancy. - tablet of folic acid 5 mg. daily taken by both sex partners helps in preventing certain abnormalities in fetus. - Try for natural conception for few months, you can go for assisted conception by IUI/ test tube baby... in case you are in hurry . Your age also demands for earliest conception. For this you have to consult a / Sterility specialist gynecologist . Thanks. * once you conceive, please get tripl( down s syndrome ) in later age conception. guard test done to exclude certain fetal abnormalities i