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Causes for inability to conceive from past 6 months - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Getting Pregnant
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2564 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi
Doctor :   Please go ahead with your query.
User :   I am trying to conceive since over 6 months
Doctor :   Ok
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   29 yrs
User :   female
User :   housewife
User :   married
User :   82 kgs
User :   5.4 inches
User :   no
Doctor :   Ok
Doctor :   Do you have any other health problems?
User :   no
Doctor :   Ok
Doctor :   Did you use any birth control method previously?
User :   i have regular periods
User :   no brith control methods
Doctor :   Ok
User :   But since the past 6 months my periods are coming once in 2 months.
Doctor :   What is the duration of your monthly cycle on an average?
Doctor :   Ok
User :   also i am loosing lot of hair on my scalp
User :   30-32 days
Doctor :   Ok
User :   i have put on weight despite normal diet
Doctor :   Have you recently put on weight?
Doctor :   Ok
Doctor :   Do you feel lethargic and dull these days?
User :   2 months ago i missed my periods and had the following symptoms
User :   nausea, throughout the day , weakness, and increase of brreast size
User :   i assumed i was pregnant but my pregnancy test came out negative and i had my periods 40 days after my LMP
Doctor :   Have you gotten your Thyroid Profile done recently?
User :   I have tried the cervical mucus method and BPT method prior to trying to conceive which was normal when i was having my normal cycle
User :   Yes I have done my throid its Normal
Doctor :   Did you take any medicines recently for postponement or preponement of periods or for any other medical problems?
User :   No medication
Doctor :   Did you get an Ultra sound pelvis done recently?
User :   last month i was given progesterone for resuming my periods
Doctor :   Ok
User :   but my periods come on their own with interval of 75-80 days
User :   No I have not done my ultrasound
Doctor :   Ok
User :   what is the best course of action here.
Doctor :   I suggest that you get an Ultrasound Pelvis done and get an opinion from a gynaecologist.
Doctor :   A condition called Polycystic Ovaries has to be ruled out.
Doctor :   You may need some hormonal tests like
User :   I went to gynecologist last month but she did a vaginal examination tried to feel my ovaries and told me that my ovaries are of normal size hence i do not need any ultrasound.
Doctor :   LH, FSH done to know whether you are ovulating or not.
Doctor :   I also suggest that you get your husband evaluated also
User :   How do I suggest my doctor to consider these tests when she says I do not need them as my ovaries are not palpable.
Doctor :   Was there any recent illness that you got?
User :   Nope
Doctor :   She would probably suggest them herself once you go back for a check up.
User :   oh, okay
Doctor :   Once it has been established whether you are ovulating
Doctor :   or not, then further course of action can be taken
Doctor :   Infertility is considered when the couple have not been able to conceive for atleast 1 yr
Doctor :   with unprotected regular intercourse
Doctor :   You can also consider waiting for some more time.
Doctor :   Are you there?
User :   Is there any other condition that could be causing all these?
User :   yes
Doctor :   The most common cause could be either anovulation or failure to produce the ovum
Doctor :   due to hormonal imbalances
User :   if it is anovulation what is the course of action?
Doctor :   or any problem on your husband's side
User :   nope
Doctor :   Anovulation (failure to produce the egg cells )may need some
Doctor :   special medications
Doctor :   it can be corrected with these
User :   like?
Doctor :   These are hormonal medicines that will be prescribed by your Gynaec if needed
User :   oKay..
Doctor :   Please fill the feedback form say done when done
User :   sure
Doctor :   As you are also overweight, you should consider reducing weight as weight gain can also cause infertility.
User :   THank You ! Have a nice day
Doctor :   You arte welcome
Doctor :   Have you filled the feedback form which I have sent?
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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