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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infertility Problem

dr.mam we have no childern yet after 6th year of our marriage, we have already advise by our specialists & many tests are made , there is noting complicacy in our body, we are now continueing medicines like, Ebxid, B long F, Lutozole & HMG injs. kindly advise us for further step.

Deepak Mohanty

Bonaikela, Joda

Dist: Keonjhar, Orissa-758038

Mob-0000
Mon, 29 Jun 2015
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OBGYN 's  Response
Dear Deepak,

I can understand your apprehension on the infertility issue. In fact you should have asked this question as a premier question where you could have uploaded all your reports for our review before advice. Even now I will urge you to ask a direct question to me or premium question addressed to me so that I can study your case completely and advise you.

Currently, since you have mentioned that there is nothing abnormal in both of you and you fulfil the required criteria for fertilization, I would advise you to follow the following ordeal:

1. Please subject your wife routinely for ovulation monitoring to locate the day of egg formation (ovulation).
2. Usually the ovulation takes place after the follicle has attained the size of 18+ mm.
3. Base on the size of the ovulation, plan your intercourse around this day. Try to have it at least on alternate days. Give such a trial for 3-6 cycles.
4. If this does not work, you may require hCG support. Please consult your Gynaecologist for that.
5. If still this does not work, you may go for intrauterine semen instillation (with advice of your Gynaecologist only).
6. Otherwise you may have to think of Artificial Reproductory Technique.

I know I have give you a broad general outline of the plan. If you share with me your all the reports and then answer my some questions based on the reports and your history, I can specify the advice to a narrow options.

Wishing you a success and happy parenthood.
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Suggest Treatment For Infertility Problem

Dear Deepak, I can understand your apprehension on the infertility issue. In fact you should have asked this question as a premier question where you could have uploaded all your reports for our review before advice. Even now I will urge you to ask a direct question to me or premium question addressed to me so that I can study your case completely and advise you. Currently, since you have mentioned that there is nothing abnormal in both of you and you fulfil the required criteria for fertilization, I would advise you to follow the following ordeal: 1. Please subject your wife routinely for ovulation monitoring to locate the day of egg formation (ovulation). 2. Usually the ovulation takes place after the follicle has attained the size of 18+ mm. 3. Base on the size of the ovulation, plan your intercourse around this day. Try to have it at least on alternate days. Give such a trial for 3-6 cycles. 4. If this does not work, you may require hCG support. Please consult your Gynaecologist for that. 5. If still this does not work, you may go for intrauterine semen instillation (with advice of your Gynaecologist only). 6. Otherwise you may have to think of Artificial Reproductory Technique. I know I have give you a broad general outline of the plan. If you share with me your all the reports and then answer my some questions based on the reports and your history, I can specify the advice to a narrow options. Wishing you a success and happy parenthood.