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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Problem In Getting Pregnant?

dear doctor. im 24 female from pakistan, married to a 30 yrs old male. its almost 1.5 yrs to our marriage and i didnt conceive. i had polycystic overies issue and my prolactin and tsh was high too. but now all my tests are normal and my follicles are good. and im on clomis induction. its the 3rd time im having the medicine and not conceiving whats the issue?
Tue, 18 Apr 2017
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General & Family Physician 's  Response
Hi,
Thanks for the query.I understand your concern
Inspite of normal hormonal values &clomin stimulation... you had no +ve gain.. this suggests need for re evaluation of the readings/revising dose of the clomin/addition of some more drug.
get ovulation study , & assessment of àll fertility hormones ( FSH, LH.THYROID FUNCTION TEST.
,SERRUM PROLACTIN levels )to be sure of their normality.Also husband's semen analysis should be checked .
Clomin stimulation is one of the methods of treating pcod. It causes maturity of one or many graphian follicles at a time... &so possibility of multiple fetusess remains.. if one tries to conceive this time.The treatment is aimed at maturity &rupture of multiple immature follicles (that collect in ovary tiincrease ovarian mass &causes the problem )... thus the ovary becomes normal followed by eventual normal function &ovulation.
If there is no favorable improvement in 6 months to one year by using different combinations of drugs for follocular stimulation...next more sure way of treatment is used.. by laproscopic surgery..which mostly offers good results.
* So l would advise to get pcod treated & then go for regnancy.. for good out come.Please follow the instructions given by your gynecologist strictly... have patience.. you would definately succeed.
Thanks.
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What Is The Problem In Getting Pregnant?

Hi, Thanks for the query.I understand your concern Inspite of normal hormonal values &clomin stimulation... you had no +ve gain.. this suggests need for re evaluation of the readings/revising dose of the clomin/addition of some more drug. get ovulation study , & assessment of àll fertility hormones ( FSH, LH.THYROID FUNCTION TEST. ,SERRUM PROLACTIN levels )to be sure of their normality.Also husband s semen analysis should be checked . Clomin stimulation is one of the methods of treating pcod. It causes maturity of one or many graphian follicles at a time... &so possibility of multiple fetusess remains.. if one tries to conceive this time.The treatment is aimed at maturity &rupture of multiple immature follicles (that collect in ovary tiincrease ovarian mass &causes the problem )... thus the ovary becomes normal followed by eventual normal function &ovulation. If there is no favorable improvement in 6 months to one year by using different combinations of drugs for follocular stimulation...next more sure way of treatment is used.. by laproscopic surgery..which mostly offers good results. * So l would advise to get pcod treated & then go for regnancy.. for good out come.Please follow the instructions given by your gynecologist strictly... have patience.. you would definately succeed. Thanks.