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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tying To Conceive. Blood Test Done, Report Normal. Prescribed Siphene, Decdan. Need Of Medicines If Ovulate Regularly?

I’m 27Yr old. Married since 3yr. I’m tying to conceive last 9month, but nothing get any result.
I have regular period.i had to check ovaluation kit,on day 15 it show light line as compare control line.i check also BBT on day 18-19 show rise 99.2. on day 10-12 i feel egg white cervical mucus.
blood test on day 2 on my cycle
i’m O Positive
haemoglobin 9.9
Triiodothyronine .8
Throxine 7.9
TSH .8
FSH 8.6 Method(C.L.I.A)
LH 1.6
PRL 11.0
DHEAS 137.40
My USG report: on day 16th
No Pelvic mass is seen
uterus normal size,shape
uterine size: 75*43*44mms.
Endometrium thickness size normal(9mm)
Midline echo appears normal.
No focal lesion is seen arising from the uterus.
Ovaries normal size. No significant cystic change are seen.
Minimal free fliud in cul-de-sac.
trying for baby have intercouse everyday between 10to20day on my cycle.
I have lot of Family presur.I’m so frustrate and tensed.
Palease help me, can i get pregnant naturely.
Now this cycle my doctor give me medicine:-
SIPHENE-100(Clomiphene citarte tablet)
DECDAN 0.5mg (Dexamethasone tablet) starting form 2nd day to 6day on my cycle.
my question is if i have regular ovulate, why i take these medicine????
Sat, 26 Oct 2013
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OBGYN 's  Response
Hi,

The BBT and temperature results are OK. The ultrasound is not showing any follicle on day 16 so you may have ovulated already. The best test to actually know if a woman is ovulating is ovulation study, where a scan is done every day. Starting from day 10 to see if a follicle is developing and if actual ovulation is taking place. Since this has not been done, prescribing Siphene directly will not give results.
This is usually combined with an IUI [Intrauterine insemination procedure], that is direct instillation of semen into the uterus, as sometimes there are certain components in the cervical and vaginal secretions that do not allow ascent of sperms. Any abnormalities in sperm deposition in the vagina are also countered by this.
Another important cause is problems in the sperm. If a semen analysis test has not been done, get your husband to do it as early as possible as 30% cases of infertility are due to problems in males.
So, I suggest that you do an ovulation study and an IUI if ovulation is occurring after your husbands semen analysis. If there are no results with this, a laproscopy+hysteroscopy and an analysis of the endometrium for infection or abnormalities needs to be done.

Hope this was helpful.
Keep taking regular treatment and you will conceive.

Thanks for using health care magic and best of luck.
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Tying To Conceive. Blood Test Done, Report Normal. Prescribed Siphene, Decdan. Need Of Medicines If Ovulate Regularly?

Hi, The BBT and temperature results are OK. The ultrasound is not showing any follicle on day 16 so you may have ovulated already. The best test to actually know if a woman is ovulating is ovulation study, where a scan is done every day. Starting from day 10 to see if a follicle is developing and if actual ovulation is taking place. Since this has not been done, prescribing Siphene directly will not give results. This is usually combined with an IUI [Intrauterine insemination procedure], that is direct instillation of semen into the uterus, as sometimes there are certain components in the cervical and vaginal secretions that do not allow ascent of sperms. Any abnormalities in sperm deposition in the vagina are also countered by this. Another important cause is problems in the sperm. If a semen analysis test has not been done, get your husband to do it as early as possible as 30% cases of infertility are due to problems in males. So, I suggest that you do an ovulation study and an IUI if ovulation is occurring after your husbands semen analysis. If there are no results with this, a laproscopy+hysteroscopy and an analysis of the endometrium for infection or abnormalities needs to be done. Hope this was helpful. Keep taking regular treatment and you will conceive. Thanks for using health care magic and best of luck.