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What Are The Side Effects Of Ovofar?

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Posted on Mon, 3 Nov 2014
Question: We are planning for baby.
My wife has irregular periods and she did not get periods for almost 2 months and so we met doctor and explained the problem.Since we are planning for baby,doctor has given Ovofar 50mg for egg development and said that she need use these tablets.They said that if she use these tablets ,there will chance to get pregnant when we(Husband and wife) each other.Can u tell me how long we need use.Is there any problem we use these tablets for more than 6 months?
doctor
Answered by Dr. Sree Gouri SR (32 minutes later)
Brief Answer:
These tablets help for ovulation induction

Detailed Answer:
Hi,
Thanks for the query.
Ovofar tablets contains clomifene citrate. It helps in ovulation induction.
It should be used from 2nd or 3rd day of menstrual period.
Then follicular study by ultrasound is advised from 10th day onwards.
It helps in monitoring the ovum development.
According to that you have to be together around the time of ovulation. This will increase the possibility of pregnancy.
If these tablets are used for more than 6 months, that can lead to complications like ovarian hyperstimulation etc. So better not to use the tablets for more than 6 months continuously.

Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the response, please give your review at the end of the discussion.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sree Gouri SR (11 hours later)
Thanks for explanation and we understood.My wife started medications this oct month as suggested by doctor and at the same time my blood has been tested and result says that RA(Rheumatoid arthritis) factor is positive and Rheumatologist doctor has given Methotrexate tablets for 2 months and we were told that,we should wait for at least 2 months to plan for baby after I stop the medications.

Now what should we do,Can My wife stop the medications and again can start the Ovofar 50mg after 3 months.
doctor
Answered by Dr. Sree Gouri SR (1 hour later)
Brief Answer:
She can use after three months

Detailed Answer:
Hi,
Yes, your wife can stop the tablets now and can use after 3 months.
For this month, better to use some contraceptive method to prevent pregnancy.
Barrier contraceptives like condoms can be preferred which are not having any effect on hormonal levels.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sree Gouri SR (9 hours later)
Hi,
Thanks for giving clear explanation.I have one more questions,in the website so many articels says that Methotrexate tablets are some what dangerous if we use more and also leads decrease in sperm count and also has some side affects.
So is it ok,If I go for Homeopathy treatment for Rheumatoid arthritis.
Right now I am in Shanghai(CHINA country),so Can I go with chinese traditional treatment for RA.Which one is better approach for RA.
Is this RA a harmful disease?Mainly what kind of foods should not be taken as diet?
Your answer is very valuable for me.
doctor
Answered by Dr. Sree Gouri SR (3 hours later)
Brief Answer:
Reversible changes in seminal parameters

Detailed Answer:
Hi,
As per many studies available, methotrexate may not have much affect on seminal parameters.
Usually it causes reversible changes. After stopping the tablets seminal parameters can come to normal levels.
Methotrexate is a useful drug in rheumatoid arthritis. It helps in disease remission and in preventing progressive destruction of joints.
Regarding other treatment options of rheumatoid arthritis please consult rheumatologist.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sree Gouri SR (2 days later)
Hi Mam,
Today my wife has gone to hospital to get Scan whether egg development has taken place or not after using Ovofar 50mg tablets and doctor has told that no development has taken and also told that dosage has to be increased to 200mg and then need to be checked again for egg development.She also said that it is not sure after taking 200mg egg development will take place or not.
Is it ok,If she takes high dosage like this and continued for 6 months.How many months my wife can take high dosage like this.Even doctor has told if eggs are not developed with this dosage then these tablets needs to be stopped.In this case what is next step we need to take to have child.My wife's BMI is around 29 and she also trying to lose her weight.what are the natural ways for egg development.Doctor has meprate 10mg to get periods.Is it ok,if she uses this kind of tablets for more times to get periods.

Can I use any supplements to increase sperm count and have healthy sperms.Could you please suggest which kind of supplements I can take and how long can it be used.If I use these kind of supplements for longer period will it cause any problems.In the website I have seen one product named as Volume Pills,Is it ok if I take this product.
doctor
Answered by Dr. Sree Gouri SR (12 hours later)
Brief Answer:
Plan pregnancy after completion of methotrexate

Detailed Answer:
Hi,
As you are taking methotrexate and want to postpone the pregnancy till you complete the dose, there is no need for ovulation induction drugs now.
Let your wife stop ovafor now and she can use the tablets after six months when you plan for baby.
Meanwhile she can loose weight and can try for regularization of hormone levels.
I hope your wife took ovafor tablets from 2nd or 3rd day of starting of menstrual flow.
In that case, as upto 35 days menstrual cycle is considered normal, she can wait for two to three weeks for onset of menstrual flow.
If she doesn't get menstruation even after 35 days from the last menstrual period, she can use meprate tablets to induce withdrawal bleeding.
Using tablets for one or two cycles may not cause much harm. But better to avoid prolonged usage.
Till you complete the course of methotrexate better not to go for drugs for seminal parameters.
After completion of methotrexate, check the seminal parameters and then plan accordingly.
Usually commercial products are not reliable, better to use any drugs with your doctor's advice only.
The thing to be remembered is, first complete your methotrexate course.
During this period, both of you don't go for other tablets.
After completing the course plan for pregnancy.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sree Gouri SR (2 days later)
Hi Mam,
Sorry for asking so many questions.
Actually I am staying in shanghai with my family for the past 17 months and doctors here in China cannot speak English.
So My wife is planning to check completely in XXXXXXX and then she will come to Shanghai.
So for this reason she want to have the dosage of 200mg Ovafor and check whether egg is developed in her or not as per expectation (18mm).
When she used Ovafor 50 mg ,the egg developed is around 12mm.Doctor told it should be 18mm.
Question:If she uses high dosage of 200mg for 6 months instead of 50mg,will there be any problem?
and doctor has told meprate can be used any number of times,so we got doubt and consulted you.
Note:She has taken Ovafor from 5th day of starting of menstrual flow as per doctor sugestion and went for scanning on 12thday to know about egg development.

The doctor has also tested about my fertility and he told every thing is ok and done seminal test.From the reports the motility and other parameters are ok but the sperm count is around 14.5 millions which near to border.So for me he has suggested to use Vitamin C(500mg) and Multivitamin tablets for 70 days.If I continue to use this tablets for more than 6 months will there be any problem?.
I will start this course after my RA medications.
Note:We met each other(wife & husband) continously for 3days before this test.
Actually My worry is about,Will RA affects my fertility?
I am doing regular exercises and taking good diet(apple,banana and lemon water and green tea regularly).Will RA will be go away If I do this regularly.
How to increase my sperm count naturally in addition to supplements.
doctor
Answered by Dr. Sree Gouri SR (20 hours later)
Brief Answer:
low dose may enough

Detailed Answer:
Hi,
Usually ovafer tablets will be prescribed from 2nd or 3rd day of menstruation.
As your wife took the tablet from 5th day and size of the follicle is 12mm on 12th day, that can be considered good only.
Follicular study should be continued on alternative days to monitor the size of the follicle.
Possibly with your history, the follicle might have reached to around 18 to 20mm size by 18th day.
So, around 50mg to 100mg dose is enough to her according to this.
But here the thing to be remembered is that, with this result we cannot surely predict the response after 6 months.
Follicular study is needed after 6 months when she uses the tablets.
She should not use 200mg high dose tablets for six months which can lead to complications.
She can start after completion of your treatment.
If she gets menstrual flow naturally, no need to use meprate. Using meprate for few days in two to three months may not lead to much problem.
Prior to semen analysis, two to three days of abstinence is advised.
So, according to your history, the result may not be that much accurate.
But you can continue vitamin and mineral tablets for few months, as there is no harm in using them.
And continue the healthy diet you are taking.
Including fruits, vegetables, milk, fish, eggs in diet can help.
RA may temporarily reduce sperm count, may cause erection problems and decreased libido.
But treatment can help in improvement of these things.
Take care.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sree Gouri SR

OBGYN

Practicing since :2006

Answered : 5839 Questions

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What Are The Side Effects Of Ovofar?

Brief Answer: These tablets help for ovulation induction Detailed Answer: Hi, Thanks for the query. Ovofar tablets contains clomifene citrate. It helps in ovulation induction. It should be used from 2nd or 3rd day of menstrual period. Then follicular study by ultrasound is advised from 10th day onwards. It helps in monitoring the ovum development. According to that you have to be together around the time of ovulation. This will increase the possibility of pregnancy. If these tablets are used for more than 6 months, that can lead to complications like ovarian hyperstimulation etc. So better not to use the tablets for more than 6 months continuously. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the response, please give your review at the end of the discussion. Take care.