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Dr. Andrew Rynne

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I am having kartagener's syndrome, what precautions i have to take to conceive ?

Hi, Doctor , iam leaving in california. iam having kartageners syndrome-situs inverses. iam suffering with cough, sputum and runny nose. iam married women, iam trying to conceive from past 2 years. but i didn t conceive yet. I was consulted to Gynecologist here. she did Ultra sound and hysteosalpingogram and some more tests. she told everything is fine. what precautions i have to take to conceive..and if iam choosing for IVF how much i have to pay here from my pocket. mine is greatwest Cigna 80:20 insurance. Pls give me your valuable sugessions to me Thanks & Regards USHA
Wed, 31 Aug 2011
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Orthopaedic Surgeon 's  Response
Welcome to Healthcare Magic
Regarding cough and sputum you could be having long term infection which can cause Bronchiectasis which is irreversible damage to the lungs. You need to get complete checkup to rule out Bronchiectasis and also Cystic fibrosis. Yes. Kartagener's syndrome patients are infertile but fertility can be restored if IVF is done. The cost depends from Clinic to Clinic. You can approach Clinics who will accept the insurance and find one with best charge. In USA average cost of IVF is $12000 to $15000. Keep this in mind and e where to get it done. GOOD LUCK !!!!
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General & Family Physician Dr. Jitender Chauhan's  Response
Hello , welcome to HCM. Women who have Kartagener's syndrome (primary ciliary dyskinesia) may or may not be fertile. The bronchial mucociliary clearance is reduced markedly in most of these women. Thus you might be suffering from repeated pulmonary infections. As you told your doctor has told you that everything is fine in your gonads you can conceive naturally. Talk to your husband and try to concieve by taking advice of your gynecologist. You can also opt for IVF but its cost varies. Your gynecologist would be able to enlighten you in this matter in much better way. Wish you good health.
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  Anonymous's Response
Anonymous's  Response
Hello Usha;
welcome to Healthcaremagic
If you want to choose for IVF in California then you will have to consult & ask a infertility specialist there who will exactly guide you regarding cost of the procedure.As for precautions to get pregnant you try to have intercourse on alternate day from 10-20th day in a regular 28 day cycle & keep lying down for at least 2 hours after intercourse.Also if you decide for IVF you can consider India also as here it will be cheaper than Caifornia.
All the best
Thanks
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