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Suggest Treatment For Difficulty In Conceiving
Question: For a year or so now, (ever since I first started using ovulation testers), I've noticed a bizarre pattern that occurs each month - my cycles are quite regular now averaging from 28 days to 30 days and as early as day 11 of my cycle an ovulation tests positive to detection of LH surge. I continue getting a positive result for a further 5 to 6 days on average each...one month it was 9 days. And yes all tests showed a darker line than the control line so no mistake they are all positive results. I have had several 21 day blood tests (blood actually taken at different days 21 days upto 24 days) that show my progesterone levels being at a level indicating ovulation occured. Why is this occuring?
I have had an ultrasound many times and my ovaries show that neither are dominant. Both the left and right share the responsibility pretty evenly...there has been two ultrasounds, at different months, that show 16 follicles in one ovary and 3 in the other.
I have had an ultrasound many times and my ovaries show that neither are dominant. Both the left and right share the responsibility pretty evenly...there has been two ultrasounds, at different months, that show 16 follicles in one ovary and 3 in the other.
Brief Answer:
Likely PCOS
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Since you are having difficulty in conceiving, no dominant follicle in the ovaries, multiple small follicles in both the ovaries and increased LH levels for more days in a cycle (LH is detected in ovulation kits)- all these factors are suggestive of the fact that you are having polycystic ovarian syndrome (PCOS).
PCOS is a disease of hormonal imbalance in which there is elevated LH, multiple follicles in the ovaries, no dominant follicle and irregular or no ovulation at all.
In this scenario, you should be given ovulation induction drugs to assist ovulation and increase the chances of conception.
You should consult an infertility specialist for proper treatment.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Likely PCOS
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Since you are having difficulty in conceiving, no dominant follicle in the ovaries, multiple small follicles in both the ovaries and increased LH levels for more days in a cycle (LH is detected in ovulation kits)- all these factors are suggestive of the fact that you are having polycystic ovarian syndrome (PCOS).
PCOS is a disease of hormonal imbalance in which there is elevated LH, multiple follicles in the ovaries, no dominant follicle and irregular or no ovulation at all.
In this scenario, you should be given ovulation induction drugs to assist ovulation and increase the chances of conception.
You should consult an infertility specialist for proper treatment.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
If fertility drugs were used to assist the growth and release of mature eggs from the ovaries, combined with artificial insemination...could this result in multiples? EG: Twins or Triplets?
In Australia is it restrictive to how many sperm is used for the insemination process? As in they only place 3 single sperms or do they release the amount of sperm that my partner would usually release on ejaculation during sex?
What are the reasons my eggs arent maturing? Is it because there are too many eggs to grow at once or am I not getting enough hormone FSH? Because this would contradict my FSH blood test results...all extremely low...never having passed a level of 5.
In Australia is it restrictive to how many sperm is used for the insemination process? As in they only place 3 single sperms or do they release the amount of sperm that my partner would usually release on ejaculation during sex?
What are the reasons my eggs arent maturing? Is it because there are too many eggs to grow at once or am I not getting enough hormone FSH? Because this would contradict my FSH blood test results...all extremely low...never having passed a level of 5.
Brief Answer:
Can lead to multiple pregnancy
Detailed Answer:
Hi dear,
Ovulation induction by fertility drugs can very well lead to multiple pregnancy.
In Insemination process, processed semen is injected in the uterus, whole of it is injected and not 2-3 sperms.
PCOS is a disorder in which the eggs do not mature due to hormonal imbalance of insulin, testosterone and LH.
It has nothing to do with FSH levels.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Can lead to multiple pregnancy
Detailed Answer:
Hi dear,
Ovulation induction by fertility drugs can very well lead to multiple pregnancy.
In Insemination process, processed semen is injected in the uterus, whole of it is injected and not 2-3 sperms.
PCOS is a disorder in which the eggs do not mature due to hormonal imbalance of insulin, testosterone and LH.
It has nothing to do with FSH levels.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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