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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Conceive. Biopsy Showed Mycoendobacterium TB. Taken HMG Injection, Done Cautery. Done Follicular Study

hello Dr., my name is khushboo from Rajasthan. Its been 4 yrs of my marriage but i m not able to concieve. I am taking treatment from last two years. My first dr did my biopsy and found myco endobactirum TB. I took the medicines for about six months & den dey said its ok. last year in Aug'2012 IUI was done. my follicles was not growing as expected so they give me injection of HMG 75mg. later that in dec'12 i approached an other dr she did all my test and said everything was ok except the insulin level which was on higher edge. she said there may b a chance of PCOS but there is no symptoms of PCOS found in me except the small follicles found in sonography. now i am undergoing treatment with an other dr. she said its cervicitis. i undregone cautery in feb'2013. still taking bactrium DS and probiotic tablets. she ask me to go for follicular study. report are as undre:
10th day- few follicles in left ovary largest is 12.6*12 mm endo thickness is 5.6mm triple lining and no fluid seen in POD
12th day- follicle size 13*13 mm endo thickness is 7.7 mm triple lining and no fluid seen in POD

Tue, 6 Aug 2013
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General & Family Physician 's  Response
Hi, Thanks for using HCM.

Raised insulin level suggests insulin resistance that occurs in PCOS. And it may be in early stage. Get checked for your sugar levels also.

Usually in TB, most common is salphingitis and the ovum does not move into endometrium Since no problem in the structure you can conceive without problem.
Now with the description the follicle size is increasing. So 2 days around your ovulation day you should actively involve in sex. So discuss wiht your doctor and follow her advice. Hope I answered your question. Consult your doctor for further examination and management.
Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
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OBGYN Dr. Rubee Khattar's  Response
Hi Khushboo,
In order to conceive,a female should have the following things set
1) Patent tubes
2) Mature follicles in the ovary of about 18-20 mm around mid cycle
3) good endometrial lining appx. 8mm
4) Patent and yes infection free genital tract
and of course normal semen analysis of your husband.
The first doctor found endometril TB which disturbs the uterine lining and prevents implantation, second diagnosed you of pcod (mild), which disturbs the ovulation and the third one with infection.The more no. ofr doctors you visit, the more confusing the picture. Also, the chances of conception in a single cycle in a normal fertile female is also not 100%. My advise is to stick to one doctor, let her investigate and treat you thoroughly and then proceed.

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Trying To Conceive. Biopsy Showed Mycoendobacterium TB. Taken HMG Injection, Done Cautery. Done Follicular Study

Hi, Thanks for using HCM. Raised insulin level suggests insulin resistance that occurs in PCOS. And it may be in early stage. Get checked for your sugar levels also. Usually in TB, most common is salphingitis and the ovum does not move into endometrium Since no problem in the structure you can conceive without problem. Now with the description the follicle size is increasing. So 2 days around your ovulation day you should actively involve in sex. So discuss wiht your doctor and follow her advice. Hope I answered your question. Consult your doctor for further examination and management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards