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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infertility

Hello doctor I hve undergone hysterolaproscopy two months back left side tube block and a 3 cm subserosal fibroid was found n removed successfully but I hve still not concieved what should be my next step married for five years no issues please suggest an answer. Thanks. Vijaya.
Fri, 9 Jan 2015
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OBGYN,  's  Response
Hi Vijaya,
It would have been nice if you had provided me some more information like your age, BMI, regularity of menstrual cycles, whether your hormone assay, semen analysis are normal.
What treatment have you taken so far?
First do a bit of homework and find out who is the good infertility specialist in your area and register for treatment.

I presume that baseline infertility investigations were normal and so this is unexplained infertility. Presuming you are young couple If I were your doctor I would first try induction of ovulation with clomid/ hormones for 6 cycles. Next step would be
IUI for 6 cycles and later IVF.
To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three times in a week.
If you have any further concerns do contact me through Healthcare Magic.
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Suggest Treatment For Infertility

Hi Vijaya, It would have been nice if you had provided me some more information like your age, BMI, regularity of menstrual cycles, whether your hormone assay, semen analysis are normal. What treatment have you taken so far? First do a bit of homework and find out who is the good infertility specialist in your area and register for treatment. I presume that baseline infertility investigations were normal and so this is unexplained infertility. Presuming you are young couple If I were your doctor I would first try induction of ovulation with clomid/ hormones for 6 cycles. Next step would be IUI for 6 cycles and later IVF. To increase your chances of conception maintain normal BMI, quit smoking ( if you re a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me through Healthcare Magic.