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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Confirm Or Rule Out Possibility Of Tuberculosis?

hi! i am a doctor too, having problem conceiving. all hormone assays are normal. esr is raised 45mm/hr. how to confirm or rule out any tuberculosis? i already have a 4 year old daughter.in the interim i was using multiload with no problem. i have removed it since august. i also went for follicular monitoring and have already taken one cycle of letrozol, which did lead to some increase in follicular size (16.5 mm as opposed to 13.5 mm without treatment; and also ovulation) but the endometrial thickness remained poor at 6mm. as already mentioned lh,fsh,E2,thyroid and prolactin are normal. but esr is raised to 45mm (on 2nd day of menstrual cycle).i need to know how to confirm or rule out possibility of tuberculosis. thanks for your help.
Mon, 17 Jul 2017
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OBGYN, Maternal and Fetal Medicine 's  Response
hi.. although all your investigation s are gud..regarding prolactin..anythingbreast secretions are slight/copious?

also Now after so many years of test etc
a review of all tests
a diagnostic hysterolaparoscopy shd be planned to see the exact status of tubes. ovaries n uterus
then we see our further plan of action
bld tests include:D2 LH,FSH,TSH,PROLACTIN,S.AMH
HUSBAND SEMEN analysis

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How To Confirm Or Rule Out Possibility Of Tuberculosis?

hi.. although all your investigation s are gud..regarding prolactin..anythingbreast secretions are slight/copious? also Now after so many years of test etc a review of all tests a diagnostic hysterolaparoscopy shd be planned to see the exact status of tubes. ovaries n uterus then we see our further plan of action bld tests include:D2 LH,FSH,TSH,PROLACTIN,S.AMH HUSBAND SEMEN analysis