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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Pregnant?

I am trying to conceive for last 5 years.i diagnosed as unexplaind infirtility.i took clomiphen citrate about 6 cyle letrazole 6 cycle on 2011-2012.and again took 3 cycle of clomiphen citrate in 2014 with IUI.My estrogen, progesterone levels are good.my doctor told me every month 7 follicle developed in my ovary instead of 10-20 but i am.also told me i have premature ovulation when i was in clomid.but in this month i found LH surge on 12th of my cycle.my questions are 1.what treatment is suitable for me?2.do you think shall i be menopose earlier?3.am i able to conceive?4.is it a problem if 7 follicle develope insteade of 10-20?please help me i can t understand what to do...
Wed, 18 Jan 2017
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OBGYN,  's  Response
Hi,

Firstly, get the idea of premature menopause out of your mind. The fact that you have been labelled as a case of unexplained infertility suggests that your all other factors like tubal patency, semen quality and quantity are normal. If Clomiphene citrate for 6 cycles have failed to achieve success in effecting the conception, you should not give any more trial to this medicine; instead you may try hCG/HMG combination.

Even these medicines also fail to offer you pregnancy, you will have to opt for some Artificial Reproductory Technique (ART); of which, you have already tried IUI. Development of 7 follicles should not be a concern. The follicle which releases the egg should be between 18 mm and 21 mm in size to release healthiest egg. During ART, well developed eggs only will be collected. LH surge on day 12 is a good sign. This is an indication that you may produce egg.

I hope this offers you valid options. Let me know if I can assist you further.

Regards,
Dr. Nishikant Shrotri
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How To Get Pregnant?

Hi, Firstly, get the idea of premature menopause out of your mind. The fact that you have been labelled as a case of unexplained infertility suggests that your all other factors like tubal patency, semen quality and quantity are normal. If Clomiphene citrate for 6 cycles have failed to achieve success in effecting the conception, you should not give any more trial to this medicine; instead you may try hCG/HMG combination. Even these medicines also fail to offer you pregnancy, you will have to opt for some Artificial Reproductory Technique (ART); of which, you have already tried IUI. Development of 7 follicles should not be a concern. The follicle which releases the egg should be between 18 mm and 21 mm in size to release healthiest egg. During ART, well developed eggs only will be collected. LH surge on day 12 is a good sign. This is an indication that you may produce egg. I hope this offers you valid options. Let me know if I can assist you further. Regards, Dr. Nishikant Shrotri