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Does Duoluton L Help In Getting Pregnant?

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Posted on Fri, 31 Jul 2015
Question: Hello Doctor, Very Good Morning
My Wife is taking Duoluton L tab (advised for 21 days). Our main doubt/worry by taking this tablet, will she able to conceive in a normal relation. Right now we are not in interested in any IUI Treatment. Please advice...
doctor
Answered by Dr. Aarti Abraham (18 minutes later)
Brief Answer:
Need more details.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Duoloton L is oral contraceptive pill, given to regulate menstrual cycle.
It does not help in conception, just helps to regulate irregular cycles.
Please provide few more details.
Since how long are you trying to conceive ?
What treatment has been taken so far ?
What all investigations have been done so far ?
Looking forward to hearing from you with more details.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (1 hour later)
Thank you doctor for your quick response.

Please the response for your further questions.

Since how long are you trying to conceive ? 6 months

What treatment has been taken so far ? Scan done to see whether any other problem. The result showed small cyst formation. for that doctor had given duoloton tablet. (advised for 21 days)


My Main worry/ fear is after taking this tablet for 21 days. After that

will I be able to conceive in normal contact. Please advice.


doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
The tablet will not lead to any long term difficulty

Detailed Answer:
Thank you for the update.
Let me explain in detail.
Duoloton - L is a hormonal pill, it is generally prescribed as oral contraceptive , however it can be used to regulate irregular periods, and to treat small functional cysts of the ovary.
Can you please upload the ultrasound scan showing the cyst ?
I will be able to explain better then.
Also, please do not worry.
This tablet does not have any long term side effects.
If there is no other problem in conceiving, then she will be able to conceive after finishing the course of tablets.
Since she is already 35, and you have been trying to conceive for 6 months, you should now actively start treatment and investigation for this problem.
After she takes this tablet for 21 days, please wait for her next period.
On day 2 of the period, please get following tests done -
1. Baseline ultrasound scan to see if the cyst has resolved.
2. Hormonal tests - FSH, LH, TSH, Prolactin, OGTT, DHEAS , AMH, Free Testosterone.
Next go for a cycle of follicular monitoring.
This involves daily or alternate day scanning from day 7 of the cycle, till ovulation ( rupture of the egg ).
Remain sexually active around the time of ovulation.
If 3 cycles of follicular monitoring fail, more intensive therapy such as IUI / laparoscopy / IVF maybe needed.
Also please get a semen analysis done next month, along with the other tests for your wife.
Ask her to take regular folic acid tablets, and maintain ideal weight.
You can contact me anytime, directly, by clicking on the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Wish you all the best and good health always.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (5 hours later)

Hello Doctor,

Thank you so much for your response and Soothing words.

I've uploaded my wife's scan report and images. Please have a look and share your thoughts. (Able to upload in profile tab).

I've also done the semen analysis test which shows less count. I'm taking the following medicine,

1. CoQ Forte Cap's
2. Enphene tab
3. Lineator Cap's
4. Enova-M

Doctor suggest me to take these tablet for two months.

Now start the confusion for both (Myself / Mywife)
As you aware she is taking Duoloton - L tab (21 days). Now if we both in contact will it possible for her to conceive. If not what could be the possible reason for not been conceived 1) due to my low count 2) due to her intake of Duoloton -L tab.

Another question is how periodically I need to check the semen test for count increase. OR do we need to wait for 21 days for her to complete the tablet OR After seeing the semen analysis which indicates the increase in count, after that only we need to be in contact to achieve the result.

Please share your thoughts/advice in this regards.

Thank you.
doctor
Answered by Dr. Aarti Abraham (51 minutes later)
Brief Answer:
As below.

Detailed Answer:
Hello again.
I am not able to view any of the uploaded images or reports.
Please upload them on this page via the upload reports / images prompt on the top right hand corner of the page., or you can email them at - YYYY@YYYY with the subject heading - ATTENTION DR. XXXXXXX
Also I need to see your semen analysis report, please upload that also.
While she is taking Duoloton - L tablet, she would not conceive even if you remain sexually active.
That is because of the tablets.
You should repeat the semen analysis after 2 months of the initial report.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (36 minutes later)

Hello Doctor,

I've uploaded all the reports/images as per your instruction. Please let me know whether your were able to see the same. And Kindly share your thoughts/advice.

Thank you.
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
Explained.

Detailed Answer:
Hello
Thank you for uploading the relevant details.
I have gone through all your reports.
There are two separate issues here.
First is your semen analysis report.
The semen count is low, motility is poor and there are almost no normal sperm forms.
It is very difficult to achieve a pregnancy with this report using natural methods.
Please take the supplements as advised by your doctor, and repeat the test after 6 weeks.
Meanwhile, the course of Duoloton - L tablets will be over.
Then get a repeat semen analysis and repeat scanning done.
If the semen report is still the same, then you will have to go for IVF, I do not think even IUI will work if the report is so bad.
If the cyst persists, please get a laparoscopy done to check the patency of the fallopian tubes.
I think you need to consider ART ( Assisted Reproductive Technology ) because there are 3 problems here - age, semen report and the endometriotic cyst.
Hope this advice helps you.
You have the direct link to my profile, and you can reach me anytime.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Does Duoluton L Help In Getting Pregnant?

Brief Answer: Need more details. Detailed Answer: Hello Thanks for writing to us with your health concern. Duoloton L is oral contraceptive pill, given to regulate menstrual cycle. It does not help in conception, just helps to regulate irregular cycles. Please provide few more details. Since how long are you trying to conceive ? What treatment has been taken so far ? What all investigations have been done so far ? Looking forward to hearing from you with more details. Take care.