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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "prolactin-9.8" Suggest While Undergoing IVF Treatment?

Regarding IVF - I want to gone under treatment of IVF in AIIMs is it ok for me or not . Please suggesst



My history is below given.





Name – Pinki Age – 33 Weight 72 Height – 5ft 4inch



Married in 2003



Problem – No Pregnency since oct 2005



Ist miscarriage in 2005 Feb – 2nd month (+VE) but no USG done. No D&C



2nd in Oct 2005 - 2nd month UPT ( +VE ) but no USG done. No D&C



Patient History – H/o Ovarian cytology ( Laparoscopy) – L ovary - ovarian cyst removed done in 1996.

Laparoscopy - Left ovary absent & right ovary present. – 14 Feb 2010

CPT – Rt side tube locked , left tube not seen



Diabetic since 2008 At present since two months Daily fasting & PP are normal but HbA1c is 7.2.



Medicine now taken . – humaninsuling doses – 40 & 30 , Glysyphase SR

BP – Normal





Test Details conducted



Test      Done on      Result

HSG     18 Mar 2006     UT(N) , B/L Spill (+ve)

Semen husband      14 Mar 2010     120M/ml , 70% + 25%

H/o Ovarian cytology ( Laparoscopy) – L ovary - ovarian cyst removed     1996     Hpe – serous cystadenoma.

H/o Laparoscopy      14 Feb 2010     Left ovary absent & right ovary present.

CPT – Rt side tube locked , left tube not seen

     2006     

          FSH – 6.8

          LH – 5.2

          E2 - 31.2

     2008     

          FSH – 4.85

          LH – 3.67

          PRL -20.27

          

HSG      4 Aug 2011     Partial block

Rt hydrosaline - No spill

Lt - Free spill

Left tube ok



In ultrasound – all ovary present.

LMP     2.Sep.10     

     6-Sep-10     

          S. E2 – 29.55

SCH - 2.62

S.FSH -3.73

IUI      18. Sep-10     IUI Done

          USG –L0 -17,14

E7- 7.1mm

          

Semen      18 Sep 2010     50M/ml, > 85%

          

IUI      27. Nov 2010     80/95%

          

          Doctor suggested for for IVF after blood suger normal.

          

Test done for IVF     31 Jan 2011     

          

Prolactin           9.8

AMH          23.00

Free T4          1.562

S.Tshs           4.48

Hb1plv          11.5/34.9

HbA1c          7.7

VDRL          NEG

HEPB          NEG

HEPC          NEG

HBS           NEG

          

HbA1c     May 2011     7.2

          







Medicine taken during 2009 & 2010 during treatment



•     Supregoet

•     Puragoan

•     Suprafact

•     Corion

•     Utogeston

•     Supradopin







Mon, 3 Nov 2014
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General & Family Physician 's  Response
As you have bunch of reports.!!
Hard to evaluate.
As far as hsg and ultrasound report is concerned left ovary is absent and right tube is blocked that suggest normal fertilization couldnt happen.
As you didnt mentioned unit in values of thyroid profile it is difficult to say but it seems normal.
Your hba1c is above normal limit that means your diabetes not in control since last 3,months.
So first your sugar must be in control and according to my opinion ivf is best option.
And as far as aiims concerned is the best hospital in india , no need to worry about that.
Get well soon..
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What Does "prolactin-9.8" Suggest While Undergoing IVF Treatment?

As you have bunch of reports.!! Hard to evaluate. As far as hsg and ultrasound report is concerned left ovary is absent and right tube is blocked that suggest normal fertilization couldnt happen. As you didnt mentioned unit in values of thyroid profile it is difficult to say but it seems normal. Your hba1c is above normal limit that means your diabetes not in control since last 3,months. So first your sugar must be in control and according to my opinion ivf is best option. And as far as aiims concerned is the best hospital in india , no need to worry about that. Get well soon..