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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infertility In Women

hi sir am 25 years old nd with height of 5.4 nd weighing 76kgs, last month i had my follicular study and the size remained as14*11 in 15th 17th 19th nd even on 22days, am also using tablts like benforce-m in the mrng nd xplode,duphaston in the night nd also used letoval last month.i want to conceive immediately kindly suggest me on this
Wed, 16 Jul 2014
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General & Family Physician,  's  Response
Hello
Let me explain you something about infertility and follicular study.
You only mentioned the size of follicle 14* 11 on 15th, 17th, 19th and 22nd days ( follicular study for the size for DOMINANT follicle ( which burst or rupture and liberate or release ovum for fertilization) .
Now note down this report .
"The size of follicle should be around 19 to 20 mm on day 14-15 at least to rupture and endometrium thickness must be around 11 mm to CONCEIVE ".
It means in most of cases ovum release on 14-15th day ( count as 1st day of menses first day).
In your case the size of follicle was not up to a standard size required for liberation of ovum.
As you mentioned that you are taking drugs like benforce-M (benfotiamine+metformine ) as this is a combination of drugs used in the treatment for PCOD ( Poly Cystic Ovarian Disease) .
Beside you are also taking xpolde , duphastone i.e. dydrogesterone for infertility .As you are taking hormonal tablets so this may be the reason of irregular size of follicle ( due to hormonal imbalance ) .
In my opinion first of all get in ultrasound of both ovaries to rule out PCOD .
If PCOD present ( more chance ) get in complete treatment for regular bleeding ( menses ) and then deal accordingly .
Hope this information will help you.
Consult a infertility specialist and get his opinion.
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Suggest Treatment For Infertility In Women

Hello Let me explain you something about infertility and follicular study. You only mentioned the size of follicle 14* 11 on 15th, 17th, 19th and 22nd days ( follicular study for the size for DOMINANT follicle ( which burst or rupture and liberate or release ovum for fertilization) . Now note down this report . The size of follicle should be around 19 to 20 mm on day 14-15 at least to rupture and endometrium thickness must be around 11 mm to CONCEIVE . It means in most of cases ovum release on 14-15th day ( count as 1st day of menses first day). In your case the size of follicle was not up to a standard size required for liberation of ovum. As you mentioned that you are taking drugs like benforce-M (benfotiamine+metformine ) as this is a combination of drugs used in the treatment for PCOD ( Poly Cystic Ovarian Disease) . Beside you are also taking xpolde , duphastone i.e. dydrogesterone for infertility .As you are taking hormonal tablets so this may be the reason of irregular size of follicle ( due to hormonal imbalance ) . In my opinion first of all get in ultrasound of both ovaries to rule out PCOD . If PCOD present ( more chance ) get in complete treatment for regular bleeding ( menses ) and then deal accordingly . Hope this information will help you. Consult a infertility specialist and get his opinion.