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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Hysterolaproscopy For Endometriosis. Prescribed Medicines. Endometrial Thickness Not Increasing. Continue Medication?

I had endometriosis and have been hysterolaparoscopy in the month of Sep 12 and was on zoladex in sep, oct and nov 10ths. I was asked to stop zoladex injection in Nov. I did not get my periods till Jan 11th, 2013. First cycle, i was not any medication , i ovulated on 12th day with ET at 7.5mm and i did get my periods on Feb 12th. My Doc suggested me to take Letoval 2.5 from 3rd day till 8th day and today is 10th day, when i went for scanning, my follicles are 14x12 but then ET is only 2.5? why did my ET is not growing? what should i do now? shall i continue with Letoval or is there any alternaltive for letoval? I was also asked to take Duphaston from 18th day? please suggest as i am confused?
Mon, 10 Jun 2013
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OBGYN 's  Response
Hello
Thanks for your query.
Your ET is quite less.
It could be due to various reasons.
Poor endometrial perfusion is the leading cause.
Tuberculosis and endometrial pathologies should be ruled out.
You can try taking sildanefil or estrogen tablets after consultation with your doctor.
Letoval is not to be continued after the 8th day.
Duphaston is routinely given as luteal phase support.
For your next cycle, you can switchover to another ovulation inducing agent, provided patency of your tubes has been demonstrated.
All the best
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Had Hysterolaproscopy For Endometriosis. Prescribed Medicines. Endometrial Thickness Not Increasing. Continue Medication?

Hello Thanks for your query. Your ET is quite less. It could be due to various reasons. Poor endometrial perfusion is the leading cause. Tuberculosis and endometrial pathologies should be ruled out. You can try taking sildanefil or estrogen tablets after consultation with your doctor. Letoval is not to be continued after the 8th day. Duphaston is routinely given as luteal phase support. For your next cycle, you can switchover to another ovulation inducing agent, provided patency of your tubes has been demonstrated. All the best