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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Treatment To Get Pregnant?

I m 26 years old, and we have been trying to conceive for Eight months. I have a 28-day period, and I experience all the symptoms of ovulation, but I also have severe PMS. Is that the reason why I m not getting pregnant? I start to take Ovacare, Ebexid and Fertomid-50 mg with the consultation of my docotor after three months there is any chances for getting pregnant! please suggest!
Mon, 30 Nov 2015
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OBGYN 's  Response
Hallow Dear,

Pre menstrual syndrome does not affect the fertility as they are just the subjective symptoms a woman feels.

You have been put on Ebexid (for thyroid dysfunction), Ovacare and Fertomid (for ovulation problems).

I hope these dysfunctions are confirmed after due investigations before stating this treatment.

Now you have to monitor your ovulation either by ovulation monitoring kit or by ultrasonography. Accordingly you have to plan your sexual intercourse.

Usually the follicle in the ovary ruptures after it reaches 18 mm size. If it does not rupture naturally, it may have to be induced by hCG injection. Usually within 24 hours after hCG, the ovulation takes place. The egg or ovum has a life of 24 hours while the sperms are 72 hours active. Hence, a period of about one week around the day of ovulation is considered as fertile period. If you can plan your marital relations during this Fertile window, the chances of success are more.

Please note that the ovum released after the follicle has crossed the size of 21 mm size does not have that good chance of getting fertilized or to carry on with successful pregnancy.

During ovulation monitoring by ultrasonography, the endometrium is also visualized. Endometrium of about 10 mm or more in thickness is very conducive for implantation of fertilized ovum.

Considering these fact, you can adjust your life-style in the pursue of desired pregnancy.

If you have any more doubts, or want any more information, you may ask me by Direct question.

With the Best of Luck,

Dr. Nishikant Shrotri
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OBGYN Dr. Zenab Tambawala's  Response
Hi,

PMS does not hamper or effect fertility. Do not take the medications with out finding a cause. Every medication a has its side effects and limitations.
You need to wait for a year at least before taking medications, as most couples conceive within a year. If you don't, you need to first do test to find out the cause before taking any treatment.
For PMS you should try exercise, diet and stress reduction along with maintenance of a symptom chart where every month the days you have symptoms are identified.

Hope this helps.
Regards.
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What Is The Best Treatment To Get Pregnant?

Hallow Dear, Pre menstrual syndrome does not affect the fertility as they are just the subjective symptoms a woman feels. You have been put on Ebexid (for thyroid dysfunction), Ovacare and Fertomid (for ovulation problems). I hope these dysfunctions are confirmed after due investigations before stating this treatment. Now you have to monitor your ovulation either by ovulation monitoring kit or by ultrasonography. Accordingly you have to plan your sexual intercourse. Usually the follicle in the ovary ruptures after it reaches 18 mm size. If it does not rupture naturally, it may have to be induced by hCG injection. Usually within 24 hours after hCG, the ovulation takes place. The egg or ovum has a life of 24 hours while the sperms are 72 hours active. Hence, a period of about one week around the day of ovulation is considered as fertile period. If you can plan your marital relations during this Fertile window, the chances of success are more. Please note that the ovum released after the follicle has crossed the size of 21 mm size does not have that good chance of getting fertilized or to carry on with successful pregnancy. During ovulation monitoring by ultrasonography, the endometrium is also visualized. Endometrium of about 10 mm or more in thickness is very conducive for implantation of fertilized ovum. Considering these fact, you can adjust your life-style in the pursue of desired pregnancy. If you have any more doubts, or want any more information, you may ask me by Direct question. With the Best of Luck, Dr. Nishikant Shrotri