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Dear Dr. My Name Is XXXXXXX Borole. I Am Trying

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Posted on Tue, 25 Aug 2020
Question: Dear Dr. My name is XXXXXXX Borole. I am trying to get conceive from last 1 year but was unable to do so. I am 30 years now. I had D
doctor
Answered by Dr. Sameer Kumar (52 minutes later)
Brief Answer:
primary infertility with endometriosis

Detailed Answer:
Hello,
thanks for the query to ask a doctor panel.
After having gone through your reports, it is evident that you have a subserosal fibroid with an endometrioma in right ovary likely a hemorrhagic or endometriotic cyst with implants over left ovary. The fibroid is unlikely to be a reason for infertility but yes, endometriosis is likely to be the cause . Also evidence of possible anovulation or delayed ovulation or possible Polycystic ovaries as evident by small follicles in ovaries.
you need to mention about your menstrual pattern of last 3 months, whether there is pain , clots, heavy menses or darkish brown blood flow. Also a hormonal profile would be required- fsh, lh, amh, serum testosterone and serum estradiol levels, thyroid profile , serum prolactin levels.
Also important would be your partner's semen analysis report to rule out male infertility.
So please follow up.
Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sameer Kumar (2 hours later)
Dear Dr. Thanks for the reply. Mensuration cycle: regular time line. Sometimes 2 days sometimes 3 days. Extensive pain. Clots are there, sometime heavy menses, flow of darkish brown blood flow is there. AMH 1.12 Attached are the reports as requested
doctor
Answered by Dr. Sameer Kumar (4 hours later)
Brief Answer:
follow up.

Detailed Answer:
Hello,
unfortunately the reports are all blurred and too small to read. the format needs to be changed to pdf. please upload again changing the format.
Extensive pain confirms endometriosis and that needs to be addressed first before you can plan for your pregnancy.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sameer Kumar (2 days later)
Dea5 Dr please find attached report
doctor
Answered by Dr. Sameer Kumar (14 hours later)
Brief Answer:
follow up.

Detailed Answer:
Hello,
I am sorry i cannot read the reports as the format is appropriate for the file. You need to upload a clearer image and in pdf format ideally. I can't even see the heading, they are too small. please take a photograph and then try uploading again.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1753 Questions

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Dear Dr. My Name Is XXXXXXX Borole. I Am Trying

Brief Answer: primary infertility with endometriosis Detailed Answer: Hello, thanks for the query to ask a doctor panel. After having gone through your reports, it is evident that you have a subserosal fibroid with an endometrioma in right ovary likely a hemorrhagic or endometriotic cyst with implants over left ovary. The fibroid is unlikely to be a reason for infertility but yes, endometriosis is likely to be the cause . Also evidence of possible anovulation or delayed ovulation or possible Polycystic ovaries as evident by small follicles in ovaries. you need to mention about your menstrual pattern of last 3 months, whether there is pain , clots, heavy menses or darkish brown blood flow. Also a hormonal profile would be required- fsh, lh, amh, serum testosterone and serum estradiol levels, thyroid profile , serum prolactin levels. Also important would be your partner's semen analysis report to rule out male infertility. So please follow up. Regards