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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatments To Conceive

Hi Doctor,
I am undergoing Follicular Studies from last 3 months. I was advised Clofert 50 mg from 2nd day of periods for 5 days. The follicles are developing and i am also taking Progynova (3 times a day). Rupture happens but after 18th day of the cycle. Till then the body starts preparing for periods and i cannot conceive. My husband's semen test mentions the Abnormal Sperm Count as 7%. Kindly suggest what needs to be done? I want to have a baby.
Fri, 23 May 2014
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General Surgeon,  's  Response
Hi,

Thanks for writing to HCM.

I understand your concern. Let me clear your doubts one by one.

In your case -- Once the follicle rupture and egg is released ,if it is not fertilised , only then it gives signal and prepare for period. Before rupture period preparation won't start so don't worry. For my patients I usually suggest hcg injection once follicle size become more then 19mm. Hcg helps in rupturing (around 14th day avg) follicle.

In your husband case normally if more then 30% normal sperms are present means fertility is good. so 7 % abnormal sperms doesn't cause problem in conceiving.

I suggest you to continue clofert for 3 cycles with hcg injection under your doctor guidance. If by chance you won't conceive then go for IUI. It increases chances of pregnancy. Here healthy sperms are placed in uterus.

Hope I have been helpful.


Regards
Dr.Ashish Verma

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Suggest Treatments To Conceive

Hi, Thanks for writing to HCM. I understand your concern. Let me clear your doubts one by one. In your case -- Once the follicle rupture and egg is released ,if it is not fertilised , only then it gives signal and prepare for period. Before rupture period preparation won t start so don t worry. For my patients I usually suggest hcg injection once follicle size become more then 19mm. Hcg helps in rupturing (around 14th day avg) follicle. In your husband case normally if more then 30% normal sperms are present means fertility is good. so 7 % abnormal sperms doesn t cause problem in conceiving. I suggest you to continue clofert for 3 cycles with hcg injection under your doctor guidance. If by chance you won t conceive then go for IUI. It increases chances of pregnancy. Here healthy sperms are placed in uterus. Hope I have been helpful. Regards Dr.Ashish Verma