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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Pregnant?

Have been trying to fall pregnant for the past 10 months with no success. We have a 2 year old. My Dr prescribed Fertodim-50 and said I should take it on day 2 of my cycle for 5 days. My cycle is 25-28 days. I took it this month and started intercourse on the 9th day according to my Dr and fertility calculator. We had sex for 3 consecutive days. Should we have proceeded after the 3rd day and how exactly should I be taking the pill if I m not pregnant ?
Thu, 15 Dec 2016
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OBGYN 's  Response
Hallow Dear,

Fertomid pills are the tablets of Clomiphene citrate. I would have appreciated had you taken some more scientific steps as described below:

1. From day 9 onwards, subject yourself for the ovulation monitoring by ultrasonography. Usually the egg is released when the follicle attains the size of 18 mm to 21 mm. So you can plan your sexual relations accordingly. Ultrasonography also will provide an evidence of egg release.

2. Some prefer to give Inj. hCG when the follicle is matured to have guaranteed and planned egg release. So from a couple of days before that to few days after injection, sexual contacts are advisable.

3. Clomiphene citrate should not be taken for more than 6 cycles. If it does not result into pregnancy, you may have to change over to HMG/hCG combination for induction of ovulation.

If all these fail, you may have to go for Artificial Reproductory Technique.

I hope this provides you brief and still apt guidelines.

Dr. Nishikant Shrotri
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How To Get Pregnant?

Hallow Dear, Fertomid pills are the tablets of Clomiphene citrate. I would have appreciated had you taken some more scientific steps as described below: 1. From day 9 onwards, subject yourself for the ovulation monitoring by ultrasonography. Usually the egg is released when the follicle attains the size of 18 mm to 21 mm. So you can plan your sexual relations accordingly. Ultrasonography also will provide an evidence of egg release. 2. Some prefer to give Inj. hCG when the follicle is matured to have guaranteed and planned egg release. So from a couple of days before that to few days after injection, sexual contacts are advisable. 3. Clomiphene citrate should not be taken for more than 6 cycles. If it does not result into pregnancy, you may have to change over to HMG/hCG combination for induction of ovulation. If all these fail, you may have to go for Artificial Reproductory Technique. I hope this provides you brief and still apt guidelines. Dr. Nishikant Shrotri