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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For A Problem In The Uterus

Dear Dr.Anirudha Malpani, I had undergone IVF on 26th Feb 2010 but the result was negative. I would like to give you the detail prosses of the IVF treatment i went through. My ovam were pick up on 22nd june 2009. The transfer of the embroy could not be done after two days b coz the blood flow to the uterus was absent in three zone and so the embroys were preserved. After two months the blood flows as improved,but there was another promble, the emdometrium line had come done and was between 9 & 10. During transfer my emdometrium was 9 but the blood flow was good all four zones showed good blood flow Impt: After ovam pick up i did not ovlulate for 6 months i.e till my transfer. i asked the reason to the doctor but did not get proper answer. Please help to give solution. Thanks & Regards, Nutan Ghadi 0000
Fri, 13 May 2016
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Infertility Specialist 's  Response
Dear Nutan, thanks for posting the query. As I do not have your entire medical history and your test reports it is difficult to answer your question satisfactorily. Sometimes it takes time for your ovaries to come back to its original self after being subjected to stimulation using gonadotropin drugs. Having said that, it is important to evaluate why you didn't get your periods after ivf. The reasons why you didn't ovulate could be many. Excessive stress due to ivf process can have inhibitory effect on ovulation and so is excessive physical exercise and poor nutrition. Other reasons could be thyroid or prolactin hormone abnormalities, polycystic ovaries, poor ovarian reserve, or defects in the endometrium
( adhesions and synechae due to infection) or very very rarely due to malignancies and conditions. Like Cushing syndrome or CAH ( congenital adrenal hyperplasia) and many others which is highly unlikely in your case. You must understand that ovulation , though looks like a simple process , is a very complicated endocrinal orchestra played by hormones, receptors and many other small molecules and a slightest defect anywhere can disrupt the ovulatory process. I have laid down only general causes of ovulatory dysfunction as I don't have complete information and further evaluation has to be carried out by your doctor. Hope this helps. Good luck!
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Suggest Remedy For A Problem In The Uterus

Dear Nutan, thanks for posting the query. As I do not have your entire medical history and your test reports it is difficult to answer your question satisfactorily. Sometimes it takes time for your ovaries to come back to its original self after being subjected to stimulation using gonadotropin drugs. Having said that, it is important to evaluate why you didn t get your periods after ivf. The reasons why you didn t ovulate could be many. Excessive stress due to ivf process can have inhibitory effect on ovulation and so is excessive physical exercise and poor nutrition. Other reasons could be thyroid or prolactin hormone abnormalities, polycystic ovaries, poor ovarian reserve, or defects in the endometrium ( adhesions and synechae due to infection) or very very rarely due to malignancies and conditions. Like Cushing syndrome or CAH ( congenital adrenal hyperplasia) and many others which is highly unlikely in your case. You must understand that ovulation , though looks like a simple process , is a very complicated endocrinal orchestra played by hormones, receptors and many other small molecules and a slightest defect anywhere can disrupt the ovulatory process. I have laid down only general causes of ovulatory dysfunction as I don t have complete information and further evaluation has to be carried out by your doctor. Hope this helps. Good luck!