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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Conceive After Laparoscopy?

hi doctor . i have one child of 4years old recently i have ectopic pregnancy and went for laproscopy ,now i want to get pregnant .since 3 monts using ovacet tablets and progesteron tablets but iam not getting pregmant buy my body weight is increasiny 3kg every month.can u suggest any thing pleasa thank you
Mon, 3 Oct 2016
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OBGYN 's  Response
Hallow Dear,

It seems you had undergone tubal repair/removal during Laparoscopic management of the ectopic pregnancy. When this is done through Laparoscope, the damage to the tube and surrounding tissues is much less and the chances of pregnancy are better.

Your previous pregnancies were natural. So there should not be any issue of egg production with you. You have been given progesterone which helps the stabilization of pregnancy. Ovacet contains Methylfolate, Myo-Inositol, Vitamin D3. These tablets are given for folic acid supplementation. It also helps good growth of chorionic tissue which binds the baby to mother's uterus.

Try to find out about the patency of your reproductory tract - particularly tubes. Since you had ectopic pregnancy, probably only one of the tubes is likely to be patent. If that also is blocked then you will have to get the reconstructive surgery of the tube performed. Tubal patency can be assessed by Hysterosalpingography and/or Laparoscopy.

If at least one tube is patent, please undergo ultrasonography for ovulation monitoring. Plan your sexual relations on and around the day of ovulation. If the eggs are not getting released, you will have to take medicines like Clomiphene citrate or HMG/hCG.

If you are putting on considerable weight (3 kg/month), please find out any evidence for Polycystic Ovarian Syndrome (PCOS). Ultrasonography during ovulation monitoring can detect this. If it is detected, you will have to undergo comprehensive treatment with the advice of a Gynaecologist. Diet control and exercise will help you reduce the weight.

I hope this helps you.

Dr. Nishikant Shrotri
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How To Conceive After Laparoscopy?

Hallow Dear, It seems you had undergone tubal repair/removal during Laparoscopic management of the ectopic pregnancy. When this is done through Laparoscope, the damage to the tube and surrounding tissues is much less and the chances of pregnancy are better. Your previous pregnancies were natural. So there should not be any issue of egg production with you. You have been given progesterone which helps the stabilization of pregnancy. Ovacet contains Methylfolate, Myo-Inositol, Vitamin D3. These tablets are given for folic acid supplementation. It also helps good growth of chorionic tissue which binds the baby to mother s uterus. Try to find out about the patency of your reproductory tract - particularly tubes. Since you had ectopic pregnancy, probably only one of the tubes is likely to be patent. If that also is blocked then you will have to get the reconstructive surgery of the tube performed. Tubal patency can be assessed by Hysterosalpingography and/or Laparoscopy. If at least one tube is patent, please undergo ultrasonography for ovulation monitoring. Plan your sexual relations on and around the day of ovulation. If the eggs are not getting released, you will have to take medicines like Clomiphene citrate or HMG/hCG. If you are putting on considerable weight (3 kg/month), please find out any evidence for Polycystic Ovarian Syndrome (PCOS). Ultrasonography during ovulation monitoring can detect this. If it is detected, you will have to undergo comprehensive treatment with the advice of a Gynaecologist. Diet control and exercise will help you reduce the weight. I hope this helps you. Dr. Nishikant Shrotri