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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain During Intercourse, Painful Menses. History Of Abortion. Suggested Laproscopic Surgery To Conceive. Suggestions?

aboHi, I am 27 years old. I had a vacuum aspiration abortion nine years ago. I was 6-7 week pregnant.
Doctors did not prescribe medicine nor antibiotics after abortion.
Its been 2 years since i'm trying to get pregnant , my first hormone test was LH 86.86mlU/ml , FSH 21.77mlU/ml and serum prolactin 22.28ng/ml.
Doctor gave me serophene 50 mg because according to my test i was not ovulating.
Second hormone test LH 4.42mlU/ml and FSH 7.56mlU/ml.
Increase my dose till 150mg of serophene.
My last test LH 6.04mlU/ml, FSH 9.93mlU/ml and serum progesterone 58.10ng/dl.
Doctors said that i need to do Laparoscopic + Dye.
Question:
What can be the causes and treatment of anovulatuon and infertility in my case.
A few symptoms: pain & dryness during intercourse, painful menses and hot flashes
Please give me full details because my laparoscopy surgery is on the 24th of this month.
Thanks
Fri, 19 Apr 2013
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OB & GYN Specialist 's  Response
Hi, I hope that my answer will be usefull to you.
First you didn't mention what type of contraception you have been using during the 5 years period since your abortion and the time you decided to get pregnant.
Second, I think you have good ovulation because your hormone levels are good except for the serum prolactin.
The first thing you must do is to check your partener's semen analysis, which if good, I agree to have a laparoscopy as well as a hysteroscopy which is of equal importance and can be done at the same setting.
At the end I wish you the best of luck.
Dr. Ahmed Bahaa
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General & Family Physician Dr. Sadaf Akhtar's  Response
Hello dear hope you be fine
Dear lets have a detailed view of your problem
You want to cobceive but couldnt your hormone levels ate favourable for ovulation ,,,,dear check for yourself use ovulation induction kit itvwill ell you presicesly whether you ovulate or not,,,then make intercourse accordingly,,,,,
Second you have pain in intercoarse dear jellies are available on market for lubrication they will remove this issue
Third i am of openion you should undergo laproscopy and hysteroscopy dor tube patency
Get yur partner examined too
A few tips low female body ph,low calcium and high potassium favour pregnancy,,take bananas and yawns,,,,make your partner drink cofee before intercourse it increase sperm motility
Hope my ans us of some help to you
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Pain During Intercourse, Painful Menses. History Of Abortion. Suggested Laproscopic Surgery To Conceive. Suggestions?

Hi, I hope that my answer will be usefull to you. First you didn t mention what type of contraception you have been using during the 5 years period since your abortion and the time you decided to get pregnant. Second, I think you have good ovulation because your hormone levels are good except for the serum prolactin. The first thing you must do is to check your partener s semen analysis, which if good, I agree to have a laparoscopy as well as a hysteroscopy which is of equal importance and can be done at the same setting. At the end I wish you the best of luck. Dr. Ahmed Bahaa