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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Successfully Conceive?

hi.im 23 yrs old.i got married and i am going to complete 2yrs.im trying to get pregnant and d result ia negative.im taking treatment for d past 5 months.i am taking benforce and folinz regularly.i have putten 2 hcg injections and no use.i have taken duphstan nd ovulet tablets but no use.this month d doctor gave me ova shield tablets.this month i got my period at d same day.last month d doctor told u have more chances to concieve but ???.please give me some useful suggestions.
Wed, 20 Jan 2016
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OBGYN 's  Response
Hallow Dear,

After going through your history, I have understood that in addition to improve your health, you are put on the medicines cause egg release (ovulation). Even after 5 months if these medicines are not giving you any result, I feel there is a need for thorough investigation to locate the cause of infertility.

These causes can mainly be categorised in three groups:

1. Failure to ovulate: It is assessed by different tests like ultrasonography ovulation monitoring, hormonal assays (FSH, LH, Prolactin, Oestrogen, Progesterone), study of the uterine lining (endometrium). Some times other hormonal imbalances like Thyroid also may affect the fertility and their evaluation also may be indicated. If there is no ovulation, you are given medicines to induce the ovulation. You are already on such treatment. After induced ovulation, most of the times, progesterone or hCG preparations are given to stabilize the pregnancy if it occurs.

2. Patency of the Genital tract; fallopian tubes in particular: This assessment is done by taking X-rays after putting in a radio-opaque dye in the uterus and tubes (Hysterosalpingography) and by directly visualising the internal genital organs through telescope (Laparoscopy). If there is any block, partial or complete anywhere in the genital tract, it needs to be tackled, mostly surgically.

3. Semen analysis for the quality and quantity of the sperms and semen as a whole.

I would advise you to undergo all these investigations to locate the fault affecting your fertility and then accordingly have planned appropriate management instead of having just an empirical gunshot therapy treatment.

I hope this helps you.

DR. Nishikant Shrotri
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How To Successfully Conceive?

Hallow Dear, After going through your history, I have understood that in addition to improve your health, you are put on the medicines cause egg release (ovulation). Even after 5 months if these medicines are not giving you any result, I feel there is a need for thorough investigation to locate the cause of infertility. These causes can mainly be categorised in three groups: 1. Failure to ovulate: It is assessed by different tests like ultrasonography ovulation monitoring, hormonal assays (FSH, LH, Prolactin, Oestrogen, Progesterone), study of the uterine lining (endometrium). Some times other hormonal imbalances like Thyroid also may affect the fertility and their evaluation also may be indicated. If there is no ovulation, you are given medicines to induce the ovulation. You are already on such treatment. After induced ovulation, most of the times, progesterone or hCG preparations are given to stabilize the pregnancy if it occurs. 2. Patency of the Genital tract; fallopian tubes in particular: This assessment is done by taking X-rays after putting in a radio-opaque dye in the uterus and tubes (Hysterosalpingography) and by directly visualising the internal genital organs through telescope (Laparoscopy). If there is any block, partial or complete anywhere in the genital tract, it needs to be tackled, mostly surgically. 3. Semen analysis for the quality and quantity of the sperms and semen as a whole. I would advise you to undergo all these investigations to locate the fault affecting your fertility and then accordingly have planned appropriate management instead of having just an empirical gunshot therapy treatment. I hope this helps you. DR. Nishikant Shrotri