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What do my lab test reports indicate?

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Posted on Fri, 6 May 2016
Question: Am 37 year old and has adenomyosis uterus. My weight is 65 kg and am 154 cm in height. I had been married for 3 years. And divorced recently. Am planning for second marriage but am afraid if am not going to have kids may be even my second marriage will also dissolve. Please let me know is it possible to become pregnant and retain it and give successful delivery?.
doctor
Answered by Dr. Sameer Kumar (36 minutes later)
Brief Answer:
primary infertility + endometriosis

Detailed Answer:
Hello,
Kindly attach your latest ultrasound pelvis reports as it would be necessary to understand them first before making a comment here. As you have already tried for last 3 years or so i believe, you must have taken some treatment in form of ovulation induction or an IUI?
Please give your menstrual details as well as to are they regular? heavy or moderate? any passage of clots? painful or normal?
If any hormonal profiles were done earlier?
Adenomyosis is usually a deterrent for conception but if your menses have been regular and uterus is not enlarged then there are fair chances of natural conception as well.
I hope the sperm count of your first husband was normal.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (46 minutes later)
Sir the scans are not getting uploaded.

Uterus: Anterior wall thickness: 11 mm, posterior wall thickness 25 mm
Myometrium: Evidence of myometrial cyst in the anterior wall just above the level of internalos
Serosa; Normal
Junction zone: distorted posteriorly
Endometrium: 11 mm Type 4
Endometrium Cavity: Normal
Cervix: Normal
cevical canal: Normal
cavity: Normal
3D: Normal
Bladder : normal
Vaginal wall: normal

Right Ovary: Measures 44X18X30 mm
AFC:5
total volume: 5 cm3
stroma: Normal

Left ovar: Measure 21X10X22 mm
AFC: 5
Total volume: 5 cm3
Stroma: Normal


Ovary displcaed behind the uterus.
evidence of echogenic foci with possible periovarian adhesions
slide sign negative
Bladder normal POD: Clear
Impression: Adenomyosis uterus with displcaed left ovary.

My menstrual period comes on time but only for a day or 2 and cramps are bearable.
I had not taken any harmonal treatment nor any IUI.
in 2014 I got my AMH done it was 3.94 ng/ml and HSG the two tubes were clear.


One of the doctor said my uetrine wall may rupture if I go for pregnancies. and even IVF is not possible.
Other doctor said there is not problem we can try IVF.

Am so much confused... And some of my friends also say Adenomyosis is very dangerous disease and can never have kids of my own. Am very much depressed with my divorce and health conditions. I have no ray of hope and feel useless.
doctor
Answered by Dr. Sameer Kumar (3 hours later)
Brief Answer:
answered

Detailed Answer:
Hello,
after reviewing the scan report it shows normal ovaries without PCOS and uterus is enlarged though but endometrium is 11mm and normal for phase during cycle and most importantly endometrial cavity is normal . This means that there is no evidence of perforation seen, even if you underwent a D&C earlier.
Adenomyosis is endometriosis of uterine wall where endometrium grows into myometrium and can form small cysts but that doesn't deter the endometrium from receiving a fertilised embryo after fertilisation in tubes.
If the fallopian tubes are patent and ovaries are ovulating then there should be no problem in conceiving. However any adhesions near ovary and fallopian tube should be addressed laparoscopically as they may hinder the path of ovum release and travel into the tube and can be a cause of infetility per se.
But adenomyosis is not a contraindication for pregnancy at all.
If you can get pregnant with IVF and carry pregnancy then you can very get regnant naturally provided the sperm count of your partner is NORMAL and have adequate actively motile sperms. I hope your husband had a normal semen analysis because i really don't see much a reason for you being the cause of infertility.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (15 minutes later)
Sir, if I get pregnant will my pregnancy will be retained? or because of my adenomyosis there will be uterine rupture?.
One of the doctor said its very much risky for me to carry my own pregnancy as well she said my eggs may not be enough healthy. She asked me to go for cryopreservation and surrogacy.
Inspite of asking many times if there is any cure or medicine or treatment for my condition she absolutely said NO and said its risky for my life.
Am unable to understand, am I so unhealthy?? I get periods regularly for 1-2 days, second day very low. I have no thyroid or diabetes. Is my condition very scary?.
Please advice me any medical or diet so that I can live happily like others.
doctor
Answered by Dr. Sameer Kumar (4 minutes later)
Brief Answer:
have a heart...just relax you have been misguided.

Detailed Answer:
Hello,
You have been misguided completely. Your age is not in favour , agreed but that doesn't mean that you have unhealthy eggs. As you are ovulating normally so you should be able to conceive and even maintain pregnancy .
The concern would be chances of aneuploidies which would increase post 35 years but its not necessarily that ways overtime and there are different check points during pregnancy to find out that.
The aim is to get pregnant and then there is nothing in obstetrics which cannot be managed. Believe me.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1723 Questions

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What do my lab test reports indicate?

Brief Answer: primary infertility + endometriosis Detailed Answer: Hello, Kindly attach your latest ultrasound pelvis reports as it would be necessary to understand them first before making a comment here. As you have already tried for last 3 years or so i believe, you must have taken some treatment in form of ovulation induction or an IUI? Please give your menstrual details as well as to are they regular? heavy or moderate? any passage of clots? painful or normal? If any hormonal profiles were done earlier? Adenomyosis is usually a deterrent for conception but if your menses have been regular and uterus is not enlarged then there are fair chances of natural conception as well. I hope the sperm count of your first husband was normal. Regards