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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Difficulty In Conceiving

Hi my age is 24 and my husband is 27 My waight is 80 kg and am trying to get a chance for baby from 6 months we married in 2014. But no result are come SI when I m going at clinic Dr suggest me to take all 9 tab 1 tab id a day and oosure 2 times in a day but I m not know for what this both tablets r used Pls give me some info about both tablets
Thu, 26 May 2016
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OBGYN 's  Response
Hallow Dear,

I could not understand from your history which tablets you have been prescribed. If you inform me the details about the medicines by asking me Direct question, I can guide you more.

From your weight, I feel you could be having Polycystic Ovarian Syndrome. Please report to your Gynaecologist for its work up. Blood levels of FSH& LH initially will guide us in making the diagnosis.

Please get ovulation monitoring done by ultrasonography. if you are not ovulating, you may require ovulation induction.

PCOS is a condition wherein along with a ovulation, there is high insulin level and high androgen levels. Initially Clomophene citrate tablets may be tried for induction of ovulation. Support of Myo-inocital will help having better results. This medicine also helps to control high insulin and high androgen levels. If Clomiphene citrate fails, you may have to take gonadotrophins.

Also check patency of your genital tract by Hysterosalpingography and/or Laparoscopy.

please get your husband's semen examined.

After these investigations, we can plan further managements.

Dr. Nishikant Shrotri
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Infertility Specialist Dr. SANTOSH KUMAR JENA's  Response
Hi.. I have gone through your case.
All 9 is basically a multivitamin containing Folic acid and methylcobalamine which should be taken preconceptionally and throughout pregnancy.
Oosure basically contain a substance called myo-inositol which is beneficial in polycystic ovarian syndrome(PCOS)
First thing that should be tried in PCOS is life style changes. In tour case if you loose atleast 4-5 kg weight, it may help you.
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Suggest Treatment For Difficulty In Conceiving

Hallow Dear, I could not understand from your history which tablets you have been prescribed. If you inform me the details about the medicines by asking me Direct question, I can guide you more. From your weight, I feel you could be having Polycystic Ovarian Syndrome. Please report to your Gynaecologist for its work up. Blood levels of FSH& LH initially will guide us in making the diagnosis. Please get ovulation monitoring done by ultrasonography. if you are not ovulating, you may require ovulation induction. PCOS is a condition wherein along with a ovulation, there is high insulin level and high androgen levels. Initially Clomophene citrate tablets may be tried for induction of ovulation. Support of Myo-inocital will help having better results. This medicine also helps to control high insulin and high androgen levels. If Clomiphene citrate fails, you may have to take gonadotrophins. Also check patency of your genital tract by Hysterosalpingography and/or Laparoscopy. please get your husband s semen examined. After these investigations, we can plan further managements. Dr. Nishikant Shrotri