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Is Pregnancy After An HSG More Likely?

Posted on Mon, 23 Nov 2015

Question: Hi,
I am 34 years female.
I had a missed abortion in the month of February 2015.
I am on following medicines
Fertisure -f
Ovygyn DSR 75
CCQ 50 (from 3rd to 8th day of the cycle)
Gestingthorpe 300 (from 16th day of the cycle for 10 days)
When I visited my doctor recently,I was suggested for HSG X ray...
Some suggested that there is no need as I had already conceived once.
Please suggest if I have to undergo this procedure

Answered by Dr. Mahesh Koregol (3 hours later)

Brief Answer:
No need of HSG

Detailed Answer:
Hi,

I understand your concerns.

I don't think there is need of HSG. Please ignore your doctor's advice.

HSG is not needed as you have conceived once already.
Let me know if you need any more clarification.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (58 minutes later)

Thank you very much for the quick response doctor.
As I mentioned sometime back to you my husband has taken FERTISURE M and PATERNIA PLUS tablets for three months for low sperm count issue.
Since I am on medications my periods are starting after 31 to 32 days... This is confusing me with ovulation dates.My husband will be repeating the Semen Analysis test within next week.
Doctor has also suggested folicular study for me. Do we have to avoid intercourse if I have to undergo this test as it would my ovulation period?

Answered by Dr. Mahesh Koregol (3 hours later)

Brief Answer:
No need to avoid intercourse

Detailed Answer:
Hi,

There is no need to avoid intercourse. You can undergo follicular growth scan. Have intercourse when follicles are 18 mm or more.

Attach your husband's semen analysis report. This will help me to analyse how low it is.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (6 days later)

Hello Sir,
I have under gone Follicular study for 11th and 13 th days of my cycle and I have attached the report of the same for your reference.
Seeing the 11 th day readings my Gynaec gave me HCG 5000 UI injection of Follicle Rupture. After that I have undergone scan today (13 th day) and the readings are in the attached report.
Based on todays report Doc Suggested me to Repeat the scan on 15 th day.
Please let me know if the reports are satisfactory... I am worried because there is no dominant follicle seen in the left ovary.
However We are having Intercourse from the 11 th day..
FYI : My Husband Sperm Count was on lower side and he was on medication for 3 month. He will repeat the Semen Analysis Test after my Ovulation Period.

Thanks for your patience.

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Attach semen analysis report

Detailed Answer:
Hi,

As per attached reports follicles seem to have ruptured and have ovulated. There are chances of pregnancy.

I don't see semen analysis of your husband. Please attach the report if available. I want to see how low it is.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (21 minutes later)

Sir
Thanks a lot for the response... I will surely attach the SA report of my husband once he gets it done...

Is it normal that only one ovary produces egg? Because there is no dominant follicles seen in my left ovary...

We are having intercourse from my 11th day... should we continue it daily?
My doc has suggested to have intercourse on alternate days

thanks in advance

Answered by Dr. Mahesh Koregol (15 minutes later)

Brief Answer:
It is normal

Detailed Answer:
Hi,

It is normal for one ovary to produce one egg.

Have sexual intercourse everyday for next 3 days.

Let me know if you need any more help.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (46 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Mahesh Koregol (4 hours later)

Brief Answer:
Normal

Detailed Answer:
Hi,

I saw the attached follicular growth scan report.

One follicle has become cyst probably after ovulation. It will be normal after resorption. There is nothing to worry.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (57 minutes later)

Sir,

Does that mean, that I have lost the chance to conceive this month? Doctor said that F2 Follicle is still available so there are moderate chances..
Also If I get my periods should I take Stimulants for Egg Production (CCQ-50 from 3rd day to 8 th day of the cycle) or stop it for this cycle?

Answered by Dr. Mahesh Koregol (13 minutes later)

Brief Answer:
You have chances of pregnancy

Detailed Answer:
Hi,

You have chance to conceive as follicle appears to be ovulated.

If you get periods, get scan to see if the cyst has disappeared. If disappeared, you can take CCQ .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (11 days later)

Hello Sir
Got the Semen Analysis test done for my husband and I have attached the reports. Compared to previous report the motility has increased from 20 to 40 percent while the sperm count remains the same.
Please suggest how to proceed further .
Thanks in advance

Answered by Dr. Mahesh Koregol (28 minutes later)

Brief Answer:
Please follow instructions

Detailed Answer:
Hi,

I saw the attached report.

Only good thing is that motility has improved.

Follow the instructions below to improve sperms :

1) Let him lose weight if he is overweight or obese.

2) Let him stop smoking and alcohol if he has habits.

3) Let him wear loose undergarments and pants and no undergarments at night in home to allow temperature of scrotum to be normal.

Let me know which city you are taking treatment so that I can recommend a good fertility specialist or IVF center who do better job.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Mahesh Koregol (3 hours later)

Sir,
My Husband is not Obese and he is maintaining appropriate weight. Also he is a Non-Smoker and Non Drinker.
Apart from that he is following the instructions your mentioned regarding clothing, since a month or so. He is also doing Yoga and Meditation.
Are there chances for me to conceive naturally? We want to try conceiving naturally for another couple of month before going for any artificial procedures.
We stay in XXXXXXX

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Natural conception chances are less

Detailed Answer:
Given the semen analysis report, the natural pregnancy chances are there but less.You can try for 3 months and then go ahead with any treatment.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Mahesh Koregol (4 hours later)

Sir,

Can you suggest any medicines for both us?
My husband had taken Fertisure-M and Paternia Plus for 3 months.

Answered by Dr. Mahesh Koregol (17 minutes later)

Brief Answer:
You dont need medicines

Detailed Answer:
Hi,

Your husband is on right medicines. Let him continue.

You don't need any medicines as you have already conceived once before.

Regards

Above answer was peer-reviewed by : Dr. Neel Kudchadkar