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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Pregnancy Possible With 0.58 Fertility Ratio?

After two years of marriage I had a miscarriage and post that have not been able to conceive in last 3 years....all reports were normal till one day I got a AMH serum test done where my fertility ratio came as 0.58...kindly suggest what do I do to conceive
Mon, 27 Feb 2017
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Infertility Specialist,  's  Response
Hi, I think you should do a day 2 ultrasound for antral follicles count. AMH tells the number of preantral and antral follicles left in your ovaries. It is on a lower side for you. But if antral count is more than 7 then you can try some medicines for growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. if it doesn't work then you can go for IUI. If ultrasound shows follicles count less than 4 , you need to go for IVF. Hope I have answered your question.
Regards
Dr khushboo
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Is Pregnancy Possible With 0.58 Fertility Ratio?

Hi, I think you should do a day 2 ultrasound for antral follicles count. AMH tells the number of preantral and antral follicles left in your ovaries. It is on a lower side for you. But if antral count is more than 7 then you can try some medicines for growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 months. if it doesn t work then you can go for IUI. If ultrasound shows follicles count less than 4 , you need to go for IVF. Hope I have answered your question. Regards Dr khushboo