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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Unable To Get Pregnant, Tried Prognova, Metformin. Endometrium Thin, Had IUI. Could I Get Pregnant ?

Hi Dr. , I am in the philippines. I went to to my doctor OB Gyne because for almost ten years in my married life, I was not pregrant even once. I am worried. I decided to consult a doctor. My doctor told me to take a panfor metformin three times a day. After two mos cycle and fter my 5 day menstruation period she give me a clomane twice a day in 5 days, then have TVS. The result was that my left ovary produced a follicle measured as 1.77 x 1.81 x 1.58 cm as my day 12 stimulated cycle. After that, my doctor give me progynova 2 times a day as my endometrium is thin only 0.46 cm, intact isoechoic. Two days after, my doctor instructed me to have TVS on my day 14, with results of 0.57cm, thin, my endometrium and my follicle F1 measured as 2.55 x 2.03 cm. Then, i came back to my OB with the results. She said it is time to do the iui a day after the injection of prygnil for ovulation. After 24 hours, IUI was performed. She instructed me to have 30 minutes rest before I am going home. She give a duphaston 30 tablets good for 15 days and taking those tablet twice a day. I started taking duphaston after 2 days iui. Aside from that, i continue taking the progynova for 10 days aftee my iui. My questions are the following;
My first time iui, is it possible to get pregnant for all of these treatments?

How many days should i take the pregnancy test after iui?

I am waiting my menstruation this 25th in august. And i iui was done last aug 8.

What will i do now? I took a vacation leave from my office work for 7 days after iui. I am so excited to kniw the results.

By the way, my husband sperm count is 33.6m per ml before pre-washing and after washing resulted to 39 m per ml and other remarks stated normozoospermia.

Today, I stop taking progynova as instructed and continue taking duphaston.

I need more advices from the doctor, infertility specualist.
Tue, 20 Aug 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Your question is , is it possible to get pregnant?
Yes, you can get pregnancy.
Ovulation date was 9-10 August ,so now if ovum fertilized i.e.pregnancy , you can test blood for Human Chorionic Gonadotrophin (HCG) ,level should be 300-500 ng/dL,if pregnancy.
If you want home pregnancy test than wait 7 days after delay of period date.
Both tests are reliable ,but in my opinion this is good to wait for home pregnancy test.
Your husband's sperm count is low .
Normal fertility is associated with sperm count of >48 million /mL.
Endometrium thick of uterus is also below than normal.
In my opinion consult one more infertility specialist and get his opinion.
As you are taking metformine , this is usually taken in PCOD (PCOS) cases , so please upload ultrasound report of both ovaries( if cyst ).
Hope I have answered your question .
If further any question I will help.
Good luck.
Dr. HET
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Unable To Get Pregnant, Tried Prognova, Metformin. Endometrium Thin, Had IUI. Could I Get Pregnant ?

Hello, Thanks for the query to H.C.M. Forum. Your question is , is it possible to get pregnant? Yes, you can get pregnancy. Ovulation date was 9-10 August ,so now if ovum fertilized i.e.pregnancy , you can test blood for Human Chorionic Gonadotrophin (HCG) ,level should be 300-500 ng/dL,if pregnancy. If you want home pregnancy test than wait 7 days after delay of period date. Both tests are reliable ,but in my opinion this is good to wait for home pregnancy test. Your husband s sperm count is low . Normal fertility is associated with sperm count of 48 million /mL. Endometrium thick of uterus is also below than normal. In my opinion consult one more infertility specialist and get his opinion. As you are taking metformine , this is usually taken in PCOD (PCOS) cases , so please upload ultrasound report of both ovaries( if cyst ). Hope I have answered your question . If further any question I will help. Good luck. Dr. HET