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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Conceiving When Test Results Are Normal?

Dear Doc, We are trying to conceive last three years but in vain.my age 32,height 5.2,weight 70,with no medical history.I took clomid,folic acid,duphaston regularly for last 2 years.i have done all my tests and are normal.what shall i do please help me
Tue, 23 May 2017
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General & Family Physician,  's  Response
Hello
This is known as a case of INFERTILITY ( PRIMARY ) . You took clomifene ( clomid ) folic acid ( iron supplement ) duphaston ( dydrogesterone ) .
As all these drug are most potent drugs for infertility .
You did not mention the dose of clomifene .
ANOVULATORY INFERTILITY Dose 50 mg daily for 5 days starting on the 5th day of menses or at any time if there is amenorrhea .
If ovulation does not occurs 2nd course of 100 mg for 5 days may be used commencing as early as 30 days after the previous therapy .
Further treatment may not be recommended if PREGNANCY has not occurred after a total of 6 treatment cycles .
So take these drugs as mentioned above.
Duphaton 10 mg twice in day for or till pregnancy with the help of clomid.
Also get in folicles study ( for dominant follicle , its maturation , its size , burst time and day of ovulation release, thickness of endometrium for implantation of fertilized ovum.
Also get in SEMEN analysis of your husband .
Either upload all reports or concern an INFERTILITY SPECIALIST .
Hope this will help you.
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What Causes Difficulty In Conceiving When Test Results Are Normal?

Hello This is known as a case of INFERTILITY ( PRIMARY ) . You took clomifene ( clomid ) folic acid ( iron supplement ) duphaston ( dydrogesterone ) . As all these drug are most potent drugs for infertility . You did not mention the dose of clomifene . ANOVULATORY INFERTILITY Dose 50 mg daily for 5 days starting on the 5th day of menses or at any time if there is amenorrhea . If ovulation does not occurs 2nd course of 100 mg for 5 days may be used commencing as early as 30 days after the previous therapy . Further treatment may not be recommended if PREGNANCY has not occurred after a total of 6 treatment cycles . So take these drugs as mentioned above. Duphaton 10 mg twice in day for or till pregnancy with the help of clomid. Also get in folicles study ( for dominant follicle , its maturation , its size , burst time and day of ovulation release, thickness of endometrium for implantation of fertilized ovum. Also get in SEMEN analysis of your husband . Either upload all reports or concern an INFERTILITY SPECIALIST . Hope this will help you.