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Suggest Methods To Conceive And Bear A Child
Hi doctor, I am 20yrs old. we got married before 2yrs I am trying to convince, but no result till date. So I started my treatment by gynaecologist. and dr. told me do TSH, S.FSH,LH, S. prolactin. DR. told me that I have PCOD problem and prescribed me ova care, blong-f and glycomet. my husband semens test was normal. My periods are irregular. than later on see recommend us to do follicular study but unfortunately in that study I didnt evolute. my next period again see told me to do follicular study and before study started, she gave me fertly super for 5 days. On 10th day of study. ovaries size Rt ovarie = 3.38*3.06*1.98 cm volume 10.65 cc Lt ovarie = 3.80*2.26*1.42 cm volume 6.35cc Endometrium 3.4mm Largest follicule 9.5mm in Lt ovarie No free fluid seen. on 12th day Df seen of 10mm in Lt ovarie. endometrium 3.5 mm please doctor help me what should I do. Is there a change for this month to convince. explain us what wrong is going on with us. Thanks
Tue, 29 Mar 2016
Hallow Dear,
You have been diagnosed a case of PCOS. This condition is a tripronged disturbance in body.
1. There are ovarian changes in which the follicles enlarge but do not rupture to release the eggs.
2. There is a state of hyperinsulinism
3. Also, body has hyperandroinism - increased male hormones in the body.
All these three need to be addressed for desired effect.
Your ultrasonography was done on day 10 of the cycle. This is not sufficient. I would advise you to undergo Ultrasonographic ovulation monitoring from day 9 of the cycle onwards; which will inform us about:
1. Whether your eggs are released or not
2. If they are being released, what is the size of the follicle at the time of release. Eggs released from the Follicles between 18 mm to 21 mm are healthiest eggs and have best opportunity to get fertilized and go through the successful pregnancy.
3. What is the thickness of the endometrium at the time of egg release. Endometrium of thickness between 9 mm to 14 mm is most conducive for successful implantation of the fertilized ovum.
PCOS is managed as follows:
1. In this condition, there is increased BMI leading to obesity. It should be managed by high protein, moderate carbohydrates and low fat diet supported by micronutrients and vitamins in optimal quantities. In addition, exercise in mandatory. Gymnasium exercises should be supported by twice a day walk for 40 minutes each at the pace of 90 steps/minute.
2. For ovulation, Clomiphene citrate is given. If this fails, Gonadotropin injections supported by hCG need to be given.
3. Medicines in item 2 usually require support of Metformin tablets to take care of hyperinsulinism. This helps the egg release.
Along with this treatment, ultrasonography for ovulation monitoring is mandatory. You should utilise the days around the day of ovulation. The egg has life of 24 hours while the sperms are active for 72 hours.
Your husband's semen report is reported to be within normal limits. It will be advisable for you to test the patency of your tubes and the reproductory tract by Hysterosalpingography and Laparoscopy.
Depending upon the further development and the response to the treatment, you will require further more advice for which you may ask me a Direct question on this forum.
Till that, this should provide you guidelines.
Dr. Nishikant Shrotri
You have been diagnosed a case of PCOS. This condition is a tripronged disturbance in body.
1. There are ovarian changes in which the follicles enlarge but do not rupture to release the eggs.
2. There is a state of hyperinsulinism
3. Also, body has hyperandroinism - increased male hormones in the body.
All these three need to be addressed for desired effect.
Your ultrasonography was done on day 10 of the cycle. This is not sufficient. I would advise you to undergo Ultrasonographic ovulation monitoring from day 9 of the cycle onwards; which will inform us about:
1. Whether your eggs are released or not
2. If they are being released, what is the size of the follicle at the time of release. Eggs released from the Follicles between 18 mm to 21 mm are healthiest eggs and have best opportunity to get fertilized and go through the successful pregnancy.
3. What is the thickness of the endometrium at the time of egg release. Endometrium of thickness between 9 mm to 14 mm is most conducive for successful implantation of the fertilized ovum.
PCOS is managed as follows:
1. In this condition, there is increased BMI leading to obesity. It should be managed by high protein, moderate carbohydrates and low fat diet supported by micronutrients and vitamins in optimal quantities. In addition, exercise in mandatory. Gymnasium exercises should be supported by twice a day walk for 40 minutes each at the pace of 90 steps/minute.
2. For ovulation, Clomiphene citrate is given. If this fails, Gonadotropin injections supported by hCG need to be given.
3. Medicines in item 2 usually require support of Metformin tablets to take care of hyperinsulinism. This helps the egg release.
Along with this treatment, ultrasonography for ovulation monitoring is mandatory. You should utilise the days around the day of ovulation. The egg has life of 24 hours while the sperms are active for 72 hours.
Your husband's semen report is reported to be within normal limits. It will be advisable for you to test the patency of your tubes and the reproductory tract by Hysterosalpingography and Laparoscopy.
Depending upon the further development and the response to the treatment, you will require further more advice for which you may ask me a Direct question on this forum.
Till that, this should provide you guidelines.
Dr. Nishikant Shrotri
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