Hi,

Thanks for writing to us.

It is true that the relative fertility rates drop as age advances. As long as you are ovulating regularly and there are no other hindrances to natural conception like blocked tubes, male factor defects, cervical factors and so on, you can expect natural conception at any age.

Since you had ovulation induction and have a delayed period, it is essential that you rule out pregnancy before you proceed with any other sort of treatment. Progyluton contains estrogen and is not advisable to induce a withdrawal bleed in the present situation. Progesterones may instead be used.

I would ask you to test for pregnancy through blood test and a trans-vaginal sonogram and wait for your normal period to set in if pregnancy is excluded. If you do not attain your normal period, you may see a specialist for further management. Also, resorting to ovulation induction without proper prior investigation and priming is not expected to give good results; so please avoid unnecessary medication.

Hope I have answered your query. Please feel free to contact, if you need further clarification. I will be happy to help.

regards,
Shanti.V.

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Hi,

Thanks for writing back.

Trans-vaginal sonogram is an ultrasonogram where a probe is introduced into the vaginal cavity and sonography performed. This gives very good resolution of the pelvic organs and a very early pregnancy can be detected with ease.

Blood test for pregnancy measures serum beta-hCG levels in the blood; this is the hormone released during pregnancy and this can be observed as soon as 7-10 days after conception. This is an early test for confirmation of pregnancy. It is very sensitive. Urine pregnancy test is expected to read positive only if performed after 3-7 days after a missed period. It is not so sensitive.

If you tested negative for pregnancy through a blood test as well, then it is likely that you did not conceive in this cycle. You should cross-check with a trans-vaginal sonogram by an expert sonologist. If tested negative, you may use hormones for withdrawal.

Since I do not have the course of events through your treatment, I cannot comment on the need of IVF here. You may consult an infertility expert for a second opinion before you embark on any major procedure.

Hope I have made things clear. Please get back, if you have further queries. I will be ready to help.

regards,
Shanti.V.

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Hi,

Thanks for writing again.

Duphaston is Dydrogesterone, a progestogen (progesterone-like) drug orally active at very smaller doses and devoid of the unwanted side effects of other synthetic progestogens. It is used to support the pregnancy during the postovulatory phase if conception occurs in cases of infertility with luteal phase insufficiency. It is safe to use to attain withdrawal bleeding in your case. As it is safe to use in pregnancy, you may follow your doctor's instructions to attain a withdrawal as a test.

Hope I have answered your query. Please feel free to contact if you need any more clarifications. I will be ready to help.

regards,
Shanti.V.

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Hi,

Thanks for your query.

Personally, I would recommend Dydrogesterone among the two choices. I would ask you to consult your specialist also since I did not personally see you and the opinion of your consultant would be better in this matter. As a matter of fact, using an estrogen for a withdrawal is not the practice of the day; progesterones are the choice.

Hope I have clarified your query. Please feel free to get back if you have any more questions.

Wish you good health.

regards,
Shanti.V.

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Hi,

Thanks for writing back.

I am very sorry I am not so sure about expert infertility specialists in your area. I will surely give you a feedback if I get across some information that is useful to you.

Wish you good luck and good health.

regards,
Shanti.V.

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