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Fertility treatment or a pusedo menopause - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
User :   can i request for a gynaecologiest pls?
User :   I am Dr AAAAAAA
User :   How can I help you ?
User :   Hello doctor, can you pls put me to a gynaecologies if you don't mind
User :   I am A General Physician and have dealt with Gynecological cases and will help you with the best of my competency. But if you need a Gynecologist's Opinion , You have to take a Specialist Opinion or we can Fix an Appointment for you.
User :   thanks...for now i don't need an appointment but would like a second opinion
User :   Ok.
User :   no offense to you but i would prefer if it can be a gynecologiest
User :   Ok.That is absolutely fine.Can You please log out and log in again, I shall ask Dr AAAAAAA to take your chat.
User :   Hope that is fine.
User :   sure...but what if another doctor comes online?
User :   and am assuming Dr AAAAAAA is a gynac
User :   I think the HCM team will take care of that , I shall mail them about your requirement.
User :   Yes she is agynecologist.
User :   Please log in after 5-10 mins.
User :   thank U
User :   Thank you for consulting me.
User :   Take care, Bye for now.
User :   bye..thanks for ur help
Doctor :   Hi
Doctor :   Dr. XXXXXXXX here
Doctor :   How can I help you?
User :   hello doc, i was told u r a gynac...plc correct me if am wrong
Doctor :   Yes Please I am A Gynecologist , Please go ahead with your query.
User :   i need your opinion on something...let me know if u can help
Doctor :   Is it an Obstetric or Gynecological Problem ?
User :   post hystero laprosopic surgery for surface endometriosis...
User :   do u suggest a fertility treatment or a pusedo menopause?
Doctor :   Both can be considered . A lot depends on the extent of the surgical intervention , Age of the patient And the consideration of medical treatment prior to the Surgical treatment.
Doctor :   I feel medical treatment has to be considered before you opt for Surgery if your Age is Pre-menopausal.
Doctor :   Please let me know your age .
User :   31
User :   what if the surgery is already done
Doctor :   Have you had any children by now ?
User :   no
Doctor :   So I suggest you to take a Fertility treatment after the surgery has been done.
User :   what are the advantages of psuedo meno pause for 3 months
User :   and what are the disadvantages of immediate fertiflity treatment if any
Doctor :   Ok. let me tell you one after the other
Doctor :   Disadvantages of Pseudo menopause are 1. Side effects of Hormonal treatment as seen regularly and non improvement in fertlity and they can be used only for limited periods.
Doctor :   Advantages of treatment are 1.they can be managed and changed as we see the patient responding to the hormonal therapies, 2. Effective pain control and conservative management after a painful surgery, 3. Decreased costs of Intra Uterine Insemination or ICSI .
Doctor :   hope you are following.
User :   kind of
Doctor :   Do you have anything else to ask on this specific two points that I have elaborated ?
User :   are u giving me the advantages of pseudo menopause
Doctor :   Yes please .
User :   are there any disadvantages of immdte fertility treatment
User :   is there a reason for you to suggest that
Doctor :   I will advise you to opt for a fertility treatment considering your age and your History of Endometriosis.
Doctor :   May I know when exactly you had the Laparoscopy done to advise you better ?
User :   about a couple of days back
Doctor :   Ok.
Doctor :   Then I would suggest you to wait for A 3 month Pseudo menopause for regularisation of your cycles , to see if the Endometrial lining is fine now and is not again landing up into Endometriosis as there is a chance of recurrence and immediate In-vitro can sometimes cause Ectopic Pregnancy and Infectios and PID.
Doctor :   Please do not immediately opt for IVF or IUI now.
Doctor :   Hold on for a little while.
Doctor :   Hope you are following .
Doctor :   And i Have not confused you ?
Doctor :   Are you there ?
Doctor :   It seems you have moved out of the chat
window. Please log in back if you have
medical queries
Doctor :   I have to close the window as you are not
Doctor :   Thank you.
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