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Clomid to prevent infertility - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   Hi, may I answer your
User :   good aftertoon sir
User :   my wife will not getting pregnant
Doctor :   Good afternoon
User :   my wife will not getting pregnant
Doctor :   How old is she
User :   25
Doctor :   How old r u?
User :   31
Doctor :   DDoes she has regular cycles?
User :   yes
Doctor :   Can tell me her weight
User :   aprox (48-50) kg
Doctor :   Does she has acne
Doctor :   I mean lot of pimples
User :   yes (but not more)
Doctor :   OK
Doctor :   I hope u and she has no medical problems
Doctor :   First step, timing of intercourse is imp
Doctor :   When she get periods /bleeding that is day1
Doctor :   so count down for 14 th day
User :   we are having relationship on 13,14 and 15 day must
User :   for the last 2 years
Doctor :   so have intercourse 3 days before and 3 days after that day
Doctor :   Ok
Doctor :   That did not work
Doctor :   Go for some lab tets
User :   already i was did for me
Doctor :   for ur spouce
User :   yes did
Doctor :   All normal?
User :   yes
User :   for me i will check personally
User :   but now showed with dr
Doctor :   SHe may be getting anovulatory cycles
Doctor :   that means she getting cycles/ perids
Doctor :   but ovum is not released
Doctor :   Did u get the semen analysis
Doctor :   If u have not gone for that get it done
Doctor :   ths gives a clues what to do next
User :   my semen analysis is
User :   color: pale whitish
Doctor :   Was it done ?
Doctor :   Was it normal?
User :   volume: 1 ml
Doctor :   OK
User :   consistency: normal viscous
Doctor :   OK
User :   liquefication time: 15 min
User :   fructose: 245mg/dl
User :   pH: 8.0
Doctor :   She can use medicines which helps to release eggs/Ovum from Ovaries
Doctor :   sorry continie
User :   actively mobile sperms: 75%
Doctor :   ok
Doctor :   These looks in the normal range
User :   sluggishly motile sperms: 05%
User :   non-motile sperms: 20%
User :   sperm count: 97 million/c.c
Doctor :   'Did you see the physicians and showed the results
User :   for me or she
Doctor :   i recommend you to consult Infertitiy clinc
Doctor :   For u
Doctor :   If she uses medicines she has good chances of getting conception
Doctor :   medicnes releases eggs
User :   which type of medicine she need to user
User :   use
Doctor :   It should be decided by Gynecoligt after looking at the labs
User :   what is the minimum sperm count to get pregnancy
User :   any sperm count is there for she?
Doctor :   hold on plz
Doctor :   ligospermic specimen reveals concentration of less than 20x106 and normospermic specimen contains more than 20x106
Doctor :   and ur is 97
Doctor :   so it is beyond normal range
Doctor :   that is good
Doctor :   ormally >50% of sperm in the specimen are motile.
Doctor :   in ur sperms only 20 % sluggish
Doctor :   that means 80 % actively motiles
Doctor :   so thati sgood
Doctor :   So ur semen ananlsys is normal
Doctor :   some times the look at morphology of sperms
Doctor :   But most of the problems are femal related
Doctor :   There is a medicine called clomid
Doctor :   thet stimulate ovaries
Doctor :   and reliease ovum
Doctor :   there are also othe medicines
Doctor :   LH and FSDH analogues
User :   how long she need to have that medicine (clomid)
Doctor :   So Gynecologist will determine what medicine are best to start with
Doctor :   Untill she gets
Doctor :   conception
User :   LH and FSDH analogues to whom need to check this me or she?
Doctor :   LH and FSDH analogues are medicnes
Doctor :   your doctor will advice
Doctor :   I am giving u the light what to do
User :   ok
User :   k
Doctor :   If everything is normal and u do not want to wait
Doctor :   there medicines which help her
Doctor :   There is high possibility of conception
Doctor :   We usually try the medicnes for 6 months
Doctor :   if still fails
Doctor :   there are other steps
Doctor :   They will take your sperm and her egg and introduce in her uterus
Doctor :   So the first step is consult inferility clinic
Doctor :   get the prescription
Doctor :   try medicnes for her
Doctor :   wait for 6 months
Doctor :   if fails go for invivo fertilization which is very expensive
Doctor :   Did you follow my advice?
User :   yes
User :   surely
Doctor :   I understand it is cumbersome on ind
Doctor :   I really fel ur feelings
Doctor :   this problem can solved with Gynecoligist help and medicnes
Doctor :   OK
Doctor :   Thank you for consulting
User :   ok
Doctor :   Bye for now
User :   bye
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