Brief Answer: Pain: to bowel/bladder problem OR impending menses Detailed Answer: Hi, Welcome back. Last time when I answered query, you had closed discussion after one query & asked follow up question in review. Kindly utilize follow up question facility, as we can't answer your question, if you write it in review. Also kindly write your query on main dashboard & in medical history you can write if you are having any other significant medical problems. Coming to your complains, pain can be either due to inflammation of bladder/bowel OR it can imply coming menses (menses can sometimes come while taking duphastan). In either case, treatment is simple; Drink lots of fluids & take some pain killer with antispasmodic like dicyclomine for pain relief. Regarding chance of pregnancy, I had explained you already. Hope this helps you. Let me know if you have other concerns. Regards.

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Brief Answer: Stop taking stress. Detailed Answer: Hi, Welcome back. Please stop thinking negatively & be patient. Even IVF, which is most advanced treatment for fertility doesn't give 100% chance in one cycle. Also if you have not got menses till now, this cycle is also not to be considered negative. Wait for the result of this cycle & then we can think about future treatment. Regards.

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Brief Answer: Many reasons. Detailed Answer: Hi, It can happen due to many reasons. First, as I told you had received inj HCG when follicle was small (& probably less mature/immature). In that case follicle might have ruptured late or not ruptured at all. Second thing, some periovarian adhesions (not seen on ultrasound) can prevent follicle from rupturing. It will require laparoscopy for diagnosis & treatment. Third, it can happen in occassional cycle that follicle doesn't rupture without any reason & no reason to worry for it. Hope this helps you. Regards.

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Brief Answer: Information needed. Detailed Answer: Kindly give following details for further guidance. 1. Husband's semen analysis report. 2. Wife's tube test report. 3. How are wife's menstrual cycles? 4. Since how long you are trying for pregnancy (with & without treatment). Regards.

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Brief Answer: Pregnancy possible only if ovulation occurs. Detailed Answer: Hi, Welcome back. For pregnancy to occur normal semen, patent tubes & regular ovulation are required. Your irregular menses imply anovulation. Pregnancy can't occur without ovulation. So you have tried only for one cycle till now. This cycle, you required costly r-FSH injections for follicle to grow. Its highly likely that future cycles may also require injections for follicles to grow. With one ovulatory cycles chance of pregnancy as I told is 25-30%. With 6 ovulatory cycles, you get 70-75% chance of pregnancy. Kindly don't be impatient & don't lose hopes in first cycle itself. As I already told, kindly get your tubes checked before proceeding further, as you are requiring costly injections for ovulation induction & all efforts will go waste if tubes are not patent. You can check your tubal patency through sonosalpingography/hysterosalpingography/laparoscopy. Advantage of doing laparoscopy is that, ovaries can be drilled at the same time, which can reduce requirement for injections for follicular growth in future cycles. All other tips were given in first consultation itself. Kindly be patient, you don't need IVF for conception if tubes are patent. You can conceive easily with ovulation induction. Glycomet is not the treatment of infertility. Its given to reduce severity of PCOS. Again, please be patient. Hope this helps you. Regards.

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