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Unable to conceive, took Siphene, HCG, suspected case of Fallopian tube blockage. Is it asymptomatic ? - Online Doctor Chats

Date : 10-Jun-2013
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor:Are you there?
User:srry by mistake my session was closed
User:I m trying to concieve frm last 1 yr..
User:but not yet
Doctor:Would you like to post a query to an infertility specialist?
Doctor:We can discuss here
Doctor:May I know your age?
User:i want to post to a Gynacologist
Doctor:We can do that too
Doctor:Please confirm your contact number
Doctor:We will guide you further on this
User:But i wld like discuss my problems so that u can give a better picture
Doctor:It would be my pleasure to suggest you
Doctor:Let me know a bit about your concern
User:Actually we met doctor for two cycles she gave a siphene tablet frm Day2 to Day6
User:i was doing regular scan..of follice
User:fr 2 cycles
User:last time when it reach 20 but didnt rupture
User:she gave me a HCG injection too
User:2 rupture...
User:i saw the next day it ruptured as i notice a white mucus kind of thing
User:but still i didnt concieve...
User:I have my periods very is always 4 day prior
User:no pain during period
User:only one thing i notice a breast pain when near 2 my period...
User:and once period happens the pain goes
Doctor:I am getting you
Doctor:please proceed
User:my husbands test result is proper
User:no issue frm his side wht doctor says
User:Is there be a Case of fallopian tube blockage ...
User:Is HSG very painful?
Doctor:Yes, it is possible
Doctor:Did you have sexual intercourse on the days of your ovulation?
User:but we didnt get any symptoms fr that is it?>
User:yes 1 day b4
User:i guess
Doctor:Did you do it continuously for 3 to 4 days everyday during the days of ovulation?
User:fallopian tube blockage :we didnt get any symptoms fr that is it?
Doctor:Fallopian tube blockade can be asymptomatic
User:but the egg leaves only fr 24 hrs...
Doctor:You are right
User:srry doctor
User:didnt understood Fallopian tube blockade can be asymptomatic
Doctor:Means to say that
Doctor:When the fallopian tube is blocked, it may not present with any symptoms
Doctor:Sometimes, it presents with painful menstruation
Doctor:Sometimes, no mensus
Doctor:Sometimes, lower abdominal pain
User:no frm it is nt painful
Doctor:The symptoms can be very vagure
Doctor:HSG is not painful
Doctor:It is done under short Anesthesia
Doctor:You would not feel any pain
User:i went 2 another doctor ,she wants 2 do again sacn for 3 mnths
User:to see the follicle size
Doctor:Yes, you can go ahead with it
Doctor:Also, get an HSG done to make sure that the tubes are patent
User:but again i guess she ll fgive tablet clomid
Doctor:No harm in consuming it
User:is it?
User:no side effetcts
Doctor:be rest assured
Doctor:It is going to help you conceive
User:But frm my point of view i shld do HSG
User:then go with these tables fr follicle
User:what u recommend
Doctor:GO ahead with the tablets
Doctor:Also go ahead with the follicular study
User:but when i taold doctor...c told no let us wait fr 3 mnths
Doctor:Also, get an HSG done
Doctor:There is no harm in getting the HSG done
User:i dnt want waste time..alreday 1 passed..i ll get frustrated
Doctor:I understand the concern
Doctor:Go ahead and do the HSG as well
User:Any other possible cause..of not conceiving..
Doctor:Ideally, you must conceive in the next 3 months
Doctor:PCOD is one common cause
Doctor:Do you weigh more than normal?
User:i have a mild fibroid
User:no i m 56
Doctor:Fibroid can be the cause as well
User:i have height 5.2
Doctor:That is ideal weight and height
Doctor:Nothing to worry
Doctor:I do not think it is PCOD in you
Doctor:How big is the fibrioid?
User:but doctor told it is very mild..and the postn where it is it shldnt affect
Doctor:I agree with it
Doctor:Do you know the actual size of the fibroid?
User:no srry
Doctor:Thats ok
Doctor:check your ultrasound report again
User:i dnt remember but c told too small
Doctor:Not to worry then
User:what size is ok...
Doctor:Less than 5 mm is ok
User:i ll see the report
User:doctor in case i have this fallopian blockage..can i go fr ayurvedic/homeopathy i m ver very afraid of surgery
Doctor:In case there is a block
Doctor:You need to undergo surgery
Doctor:It is an anatomical defect mostly
Doctor:That alternative medicine or for that matter oral tablets will not correct
Doctor:Only surgery will correct it
User:And suppose my tubes are proper
Doctor:Then, nothing needs to be done further
User:and XXXXXXX be i m nt ovulating/my follicle size growth is not growing
Doctor:Then you will need medications like Clomid
User:ant natural diet which can help me...
User:The tablet siphene which i took fr 2 cycles...
User:it seems u shldnt take more than 10 cycles
Doctor:Eating healthy is what matters
Doctor:Avoid junk
Doctor:You are right
User:but fr clomid?
Doctor:In fact not more than 6 cycles
User:clomid can i take more than 6 cycles...
Doctor:Both are same
Doctor:Both are ovulation induction drugs not to be taken more than for 6 cycles
User:then if it doesnt happen in 6 cycles...
Doctor:Then you can try other methods
Doctor:The options are wide
Doctor:Think positive but
Doctor:I only see that you can well conceive in next 3 months
Doctor:Hope for the good
Doctor:All the best
Doctor:Do you have more queries?
Doctor:We shall call you and also assist you to post a query to a Gynecologist
User:but hsg is nt painful rght
Doctor:It is not
User:ok Thanks...
Doctor:Thank you too
Doctor:Is that all for now?
User:Any suggestion u want 2 give
Doctor:Make sure you have intercourse continuously at least once daily in your days of ovulation for minimum 4 days at a stretch
User:ok thanks
User:i stay in Blore
Doctor:Me too
User:any good doctor u can suggest
Doctor:You can consult the OBGYN department at manipal hospital at air port road
Doctor:The specialists are good there
User:Any specific name
User:of doctor
Doctor:I think the doctor's name is Dr. AAAA
Doctor:give me a moment
Doctor:It is Dr. XXXXXXXXXX
Doctor:She is good
User:ok thanks
User:u want my contact number is it?
Doctor:Oh yes
Doctor:Thank you
Doctor:We will call you soon
Doctor:Bye for now
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