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Trying for baby, not conceived yet. Reason,tests and treatment? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Getting Pregnant
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User:Hello doctor good evening
User:this is XXXXXXX i had few questions related to gynec
Doctor:hello and welcome to XXXXXXX
Doctor:sure, please proceed with your query
User:we have been planning for kid for last 4-5 months, but my wife hasn't conceived yet
Doctor:how long have you been married ?
User:2 yrs and 3 months
User:we met with doctor last month, she suggested to go follicle scan
Doctor:did u use any contraception before these 5 months ?
User:only condoms
Doctor:so were any investigations done ?
User:on 7th day follicle size was 10 mm, 10th day also 11 mm, 12th day follicle size was same 11mm, and on 21st day (which is today) it's 17 mm
User:we had met with doctor on last saturday, she had suggested to go for scan again, and suggested that if size increases then injection can be given, else from next month need to take one tablet to increase the follicle size
Doctor:did the ultrasound , mention if the follicle had ruptured, to release the egg ?
User:it's not ruptured yet
Doctor:do u know , the duration of your wifes cycle ? is it 28 days or 34 days ?
Doctor:IN other words , how often, does she get her period ?
User:it's 32 to 34 days
Doctor:in a 34 day cycle, ovulation usually occurs around the 2oth day of the cycle
Doctor:has ur doctor, asked u to come for ultrasound at a later date ?
User:she told to go for scan tomorrow
Doctor:so, i would expect the egg to be released in the next few days
Doctor:once, the timing of ovulation, and egg release is known, further need for therapy can be decided
Doctor:in case, you have sex during the time of ovulation, then chances of conception , are higher
User:can ovulation timing be known thru scan
Doctor:did your wife have issues like cysts in the ovary ?
User:that is very small, doctor told that it will not cause any problem
Doctor:yes, the reason for follicular studies, is to know when the ovulation occurs
Doctor:so , this means, that she does have ovarian cysts
User:it's 12 by 10 mm in right ovary
Doctor:anyway, in case there are issues with ovulation, (if it does not occur ), then your doctor will ask you to wait until the next cycle begins
Doctor:and then prescribe a medication, to induce ovulation ,
User:can it happen that one doesn't ovulate at all?
User:or only timing differs of ovulation from person to person?
Doctor:yes, Ovarian cysts, can cause anovulatory cycles, which mean, the menstrual cycles , do not produce eggs
Doctor:no, in case of cycles being regular, ovulation timing is also time specific
Doctor:in a 28 day cycle, the ovulation occurs by 14th day
Doctor:in a 34 day cycle, ovulation occurs within 18 to 21 days
User:when ovulation occurs, should intercourse be done on same day to conceive
Doctor:yes, intercourse should accompany the timing of ovulation
Doctor:sperms released into the vagina, have a life of less than 24 hours
Doctor:so, if sex occurs just around the time of ovulation ( 24 hrs + or minus), conception occurs normally
User:got it..
Doctor:ovarian cysts is a hormone imbalance problem which can interfere with normal ovulation.
Doctor:and it is the most common cause of female infertility
User:if ovulation is induced through some injections, can that have any impact on mother or kid?
Doctor:the action of the drug is the same as the normal body hormones
Doctor:the deficiency of the hormones is the cause of the lack of ovulation
Doctor:hence , the same normal hormones produced synthetically are given to induce a ovulation
Doctor:hence they cannot be harmful to the mother or the baby
Doctor:in fact the duration of action , of the hormones injected is short , say about 24 to 48 hrs XXXXXXX
Doctor:so , there is no point to think, that it can actually affect the baby
User:ok..that helps
User:one thing doctor had mentioned, that follicle size is small on 10th or 12 day..
Doctor:this is coz, normally women have a 28 day cycle
User:so if she doesn't conceive this month, then asked to take one tablet for five days
Doctor:but your wife has a 34 day cycle
Doctor:so, the follicles , will be smaller in the early part of the cycle
Doctor:yes, that is right, meds will be given to help her ovulate properly
User:can medicine be given after 21 days to ovulate
Doctor:for ovulation, to occur, there is a cycle of events , that need to precede,
Doctor:this cannot be started midcycle
User:got it
Doctor:it has to be started, at the initial days of the cycle , so that the ovary is ready, and releases a healthy egg that can be fertilised
User:Thank you so much doctor, this conversation with you is very very helpful, got to know many things which used to confuse a lot earlier
Doctor:My pleasure
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