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Undergoing treatment with fertyl super for ovulation. When should i get injection hucog for rupture? - Online Doctor Chats

Date : 14-Mar-2013
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:hi, doctor this is XXXXXXX
Doctor:please proceed with your query
User:i am undergoing treatment with fertyl super for ovulation
User:today is day 13th and the follicle size is 18mm
User:endometium thickness is 5mm
User:i have taken the same treatment in the previous cycle also
User:i had taken injection fertigyn for rupture
User:but did not conceive
User:i was wondering that is 5mm thickness ok on day 13th
Doctor:it is well within the normal range
User:should i take hucog injection tomorrow
Doctor:but usually it would be around 7-8 mm
Doctor:but 5 mm is not abnormal
Doctor:Yes, you should continue with your treatment as suggested by your treating infertilitiy specialist
User:tomorrow should i get the injection hucog for rupture. or should i wait for the thickness to improve
User:my doctor was not available today and tomorrow and hence i was not able to take a call
Doctor:You can wait one more day
Doctor:and record your basal body temperature
Doctor:and check your LH levels with the kit
Doctor:and if the LH levels are high
Doctor:you can take the injection
User:i could not get the kit for LH levels in market
User:what is the puropose for injection hucog
Doctor:it is nothing but Human Chorionic gonadotropin
Doctor:it is given to sustain the conception
Doctor:in people with difficulty in conception, the products of conception fail to get implanted properly and are pushed out, Hucog prevents that expulsion
User:in my last cycle i had got the injection done when the follicle size was 25mm. after the injection follicle had ruptured. but i did not conceive. what is the optimal size of follicle and endometrium for taking injection
User:just thinking that whether it is too late to take injection if follicle size becomes big(>25mm)
Doctor:Follicle size does not actually matter
Doctor:HuCod will act once the follicle has ruptured and has been fertilized by the sperm and is ready to get implanted
Doctor:the main action of HuCog is to make sure that a fertilized ovum stays inside the ueterus
User:so which is the injection to rupture the follicle
Doctor:Leutinizing hormone is the hormone which causes the follicles to rupture
Doctor:That is why in all persons undergoing infertility treatment measuring the LH levels is needed
Doctor:You can visit a good pharmacy where these LH kits are available
User:ok thanks doc
Doctor:during the mid cycle LH(Leutinizing hormone) rises sharply, that is what causes a rupture, not the HuCoG
Doctor:HuCoG is to maintain the conception
Doctor:Next time you discuss with your doctor also to find out how to improve your chances of getting pregnant
User:one more thng decapeptidyl ...does this help in rupture
Doctor:decapeptidyl is a synthetic analogue of LH
Doctor:That means, it has the same effect as the LH
Doctor:so it will cause the rupture of a mature follicle
User:other doctor adviced me to take it once follicle size is 18-20 mm..
Doctor:That will help if your LH rise is not adequate enough to cause a rupture in time
Doctor:so its use depends upon your LH levels and whether it is resulting in a rupture every month or not
Doctor:so again you will have to discuss this with your doctor before starting
Doctor:you will need to get you LH levels estimated on the day of follicle rupture
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