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[ { "from": "human", "value": "Hello doctor, I just had a miscarriage for the third time following an IUI.My first two conceptions happened naturally and the miscarriage happened in 4 weeks and 11 weeks respectively.My AMH count is 1.Should I try out for natural conception or should I go for IVF.RegardsIndrani" }, { "from": "gpt", "value": "hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about..should I try for natural conception or IVF after third miscarriage...right.well...my answer is..YES. u can try for natural conception after third miscarriage. as u told that u had conceive for two times naturally. so there is HIGH CHANCES of conception by natural method.u can go through it without any doubt in ur mind.secondly let us discuss about the miscarriage u had. u told that u had miscarriage at 4 n 11week....right. so most of the time it is usually happens if there is any chromosomal or genetic abnormalities having in embryo, or any infections in mother or sometimes it is unexplained.so DON'T LOSE HOPE...KEEP PATIENCE. u can get pregnant with natural methods.if u r come under the reproductive age group(women from 15-45 years are came under this group. in this group chances of getting pregnancy is high) and u r having regular menses then chances of getting pregnancy is DOUBLE.bur u didn't give info regarding ur menses n ur age.so it is difficult for me to comment on this. if u have both then RELAX, NOTHING TO WORRY.with the above discussion u can try out my suggestions-1. there is high chances of getting pregnancy with the natural method. so RELAX, RELAX..2. try to do coitus during fertile period(it is from 10th to 16th day of menses) during this period chances of getting pregnancy is high.so do coitus as more as possible during this period.3. if u r in hurry then visit nearby gynecologist or infertility specialist. he/she can help u.I hope the above information is useful, informative and helpful for u.regards- Dr sudha rani panagar(i can understand ur situation, but DON'T WORRY. EVERY PROBLEM HAVE SOLUTION. I pray the God that u will be blessed with a cute n healthy baby..hopefully TWINS)" } ]
[ { "from": "human", "value": "i am 34 years lady and some days ago i had some rashes on my vagina,my doctor advised me a torch test. i am much worried about this torch test, although these rashes vanished after some days and are nomore.should i do this test or not, as i am planning for a pregnancy in near future." }, { "from": "gpt", "value": "Yes it is. It screens you for toxoplasma ( mainly taken from not well ashes fruits contaminated with cat's fecals), rubeola, citomegalovirus, herpes simplex virus. If you have one of these, it can affect your baby later." } ]
[ { "from": "human", "value": "Hello, I am a married woman & we are planning for baby. I got my last periods on 2nd November 2012. And we had committed for a baby on 01st December 2012. Still I have not get my periods. So shall I do pregnancy test now? Or else I should wait for some more days?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns now.Do you have regular periods every 28-30 days? If so, then you can do the pregnancy test now. Generally speaking, you can do the pregnancy test on the day of your scheduled periods. Sometimes the urine pregnancy test may not pick up the pregnancy. In that case repeat the test after 4-5 days if you have still not started the periods by then.I hope this is helpful.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "hello doctor i have a polycysr ovaries last 2 years and v r planning to have a pregnency last 2 years but i am not conceived my periods are also regular i have one child she is 4 years old i have ceizarian,what can i do doctor give me a advice" }, { "from": "gpt", "value": "Hello,Do serum TSH and serum prolactin then HSG on 8th or 9th day of period. Then do serial follicular study after day 2 of Clomiphene with gonadotropins as prescribed by your gynecologist. Wait till follicle grows in size to 18 mm and then ruptures and then IUI.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "hi im 3 days late on my period and i had sex 3 weeks ago and it was unprotected im also on birth control but i have irreglar periods. i started spotting 2 days after for like 1 and a half i been thorwing up and i been exhausted everyday and with no engery and i have really bad heartburn and acid could i be pregnant ?" }, { "from": "gpt", "value": "Have you taken the pills regularly. Because if not, if you forgot then yes these signs may indicate that you are pregnant. take a test to be sure." } ]
[ { "from": "human", "value": "Hi, I am a 36 year old, had the right ovary and tube removed in 2009 due to dermoid, otherwise healthy. I was on bcp's for 3months and did not restart after my lmp on 10/27/12 (could not afford co-pay). Is there any chance I could be pregnant so soon? Did check an online ovulation calculator and did have sex during the predicted ovulation time but not sure with recently stopping the pill and only one ovary." }, { "from": "gpt", "value": "Yes, you can get pregnant as you only removed one ovary and the other is still left there. So yes you can." } ]
[ { "from": "human", "value": "I am Archana from Mumbai, I had a missed abortion three months back. Thyroid level was high - 9.6. Now I want to plan. My gynec has advised me to do follicular study and take fertomid 50mg (2 tab daily for 5 days). My periods are regular. thyroid is also within range. Is follicle study required in my case?" }, { "from": "gpt", "value": "Hi Mrs Archana, Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns.Since you had a pregnancy recently, it is clear that you do not have any problem in getting pregnant. Happy to know that your thyroid hormones are in the normal range. I am of the opinion that there is no need to take fertomid or have follicular study now. Give yourself time. You will conceive.To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three to four times in a week. Do take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishesDr Rama" } ]
[ { "from": "human", "value": "Hello Doc,I was diagnosed with high FSH 12, last oct, now my fsh fluctuates between 4.9 to 6. I am getting treated with a Fertiliy clinic. I have gone through 2 IUI failed cycles. I am on third one now. Also my follicles grow erratically. With these do you think what are my conception chances?Regards,Devi" }, { "from": "gpt", "value": "Hi Devi, I find your result erratic. FSH once raised ( More than 7 mIu/ml, bad if > 12miu/ml) cannot just come down like that, you have been mislead.FSH is a hormone produced by a gland, Pituitary , in brain. FSH ( Follicle Stimulating Hormone) stimulates ovaries to produce eggs(which lies within follicles) . If eggs come in first say , FSH will not raise further, but if number of eggs in ovaries is reduced or not responding, especially around menopausal age, FSH will try to stimulate again , I mean higher dose of FSH come. It keeps increasing till eggs are released. So lesser the eggs , more the FSH will be. It will stay so. If your periods are regular with good flow forget about FSH or LHFSH is always to be checked on DAY 3or 4 of periods. Even further confirmatory is Serum AMH in first half of the periods. For IUI to be successful you will need good hormone stimulation from 2nd or 3rd day of cycle, till the day 10-13 of periods when follicles are right size to rupture. As you have not given any other details like your age,other hormone levels, scan findings, husband factors etc.Kindly see if the following checklist of investigations is doneHusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center ( examination done by andrologist), Blood sugarsWife - Blood Sugars, Thyroid profile Ultrasound scans to evaluate Uterus , Ovaries & adnexa Confirm tubal patency- most important- Tube is the connection between uterus & ovaries( the bridge where sperm meets the egg & forms a baby) this is size of hair follicle & cannot be seen on scans. So check with HSG( Xray with dye), or SSG ( Scan with dye) or LaparoscopyIf all this done & found normal , nothing can stop a pregnancy with God's willHope I have cleared your queryAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "I Kusum 38 Indian -> Its being almost 2 years after marriage; due to doctor negligence i lost my left fallopian tube, the case was treated as ectopic pregnancy. Now its almost 10years I am not pregnant. IUI, polycystic, harmones level is being checked. But still no positive. Request to help/guide me." }, { "from": "gpt", "value": "Hi Kusum, From you history I gather that all your investigations are normal.Except for removal of left fallopian tube. Your other risk factor is age of 38 yrs.Tubal pregnancy is due to some sort of damage to inside of tube, may be infection or surgery etc. Usually if one tube is damaged by infection , other one also s at risk of damage , you never get cold in one nostril !!So no matter what you do, IUI or injections Sperm & egg may not be meeting at all . Keeping history of failed treatments , History of tubal damage & most important age of 38 yrs, I would advise you to try IVF. Once you reach 40 yrs, your ovaries will not have healthy eggs enough to have pregnancy.In IVF tube is not needed & pregnancy chances are high.It is costlier than other methods but has definitely higher pregnancy chances.Hope I have clarified your queryAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "sir, i am married i had seven month baby.now i had delayed my periods four days from normal period time.may i take mensovit plus tab.bcoz to avoid second pregnency .its little bit doubt i have.my mail id is YYYY@YYYY for ur replay thankyou." }, { "from": "gpt", "value": "Hi.Four days is not too long and even in the life of a woman who has always had a regular cycle, such fluctuations can take place due to factors like stress, diets, exercise, etc. Do not worry, and wait for a while longer, if you do not get your period in the next week, then report to a doctor who will surely help you.Best wishes." } ]
[ { "from": "human", "value": "i had a sex wirth my bf .. and he put condoms ... but whn orgransm coming out so he stops doing in frnt n done at back ... n whn it was tear out so we stopped it .. though i had i pill no vomiting occur in 3 hrs after consuming it ... is der changes fr me to be pregant ?" }, { "from": "gpt", "value": "Hi.If I understood well enough, your partner was performing anal intercourse around the time when he ejaculated or until the condom tore; in either scenarios there is no chance for conception so you need not worry ma'am.Best wishes." } ]
[ { "from": "human", "value": "I had sex with my partner unprotected on the 29th October. My period arrived on the 31st but lasted on two days rather then 5 but didnt think too much of it. Then again on the 5th and 18th we had unprotected sex. On the 10th and 11th i had mild but sickening cramps on and off and they subsided. Now i was due on again yesterday being the 23rd of november and today i still havent started my flow but did notie a pinkish brownish colou when i wipe but nothing else and that was just once. Is tere a ossibilty i could be pregnant ......" }, { "from": "gpt", "value": "Hi.As you did have unprotected sexual intercourse around the middle of your usual cycle, there does exist a chance. But just a one day delay is not substantial enough, I would recommend a home pregnancy test to be conducted with an early morning urine sample. You can repeat this test every alternate day around 2-3 times just to make sure we have a more conclusive result.Best wishes." } ]
[ { "from": "human", "value": "this is archana madam am using in this cycle tab hispene50mg and aliver tab acutuall y in last cycle I used ovasheild and hsg injection and m follicular study showed on 23rd follicle had ruptured and I used meprane tbs.plz advice me m treatment is correct" }, { "from": "gpt", "value": "Hi.Yes the treatment advised is correct, be patient it can take time in some individuals, and especially if there were no other abnormalities diagnosed during your fertility examination, then you shall soon conceive.Best of luck." } ]
[ { "from": "human", "value": "IM A 26 YEAR OLD MARRIED WOMAN. I HAVE PCOS IM ON METFORMIN 2000MG A DAY. IVE ALSO STARTED 400MG OF FOLIC ACID. IM OVER WIGHT AND TRYING TO LOOSE WEIGHT. IS IT POSSIBLE TO STILL BECOME PREGNANT EVEN THOUGH IM OVER WEIGHT WITH NO PERIODS TAKING METFORMIN AND FOLICA ACID DAILYY?" }, { "from": "gpt", "value": "Hi.Your main two issues here are your weight and the fact that your weight and the polycystic ovaries are causing an irregularity in your menstrual cycle.With an irregular menstrual cycle conception is difficult and even if it does take place, the pregnancy will be risky. So it is best you work towards losing weight, which will help in regularising your cycle.Best of luck." } ]
[ { "from": "human", "value": "I am a woman, I am 41 years old, I want to pregnancy and childbearing. And reviewed more than a doctor. I have all confirmed the absence of anything to prevent pregnancy, note that I have 6 daughters, and I want to have a child, is there hope or is the child-bearing age does not allow it??" }, { "from": "gpt", "value": "Hello,You are having 6 children, hence now it is not advisable to conceive again. Your age is also high for getting pregnant. Hence, even if you become pregnant it will be a high-risk pregnancy (abortion chance and congenital malformations chance high with advanced age). You can consult a gynecologist for examination and discuss all these issues.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami" } ]
[ { "from": "human", "value": "My Dr said that there are two eggs from two ovaries. i've taken Ovipure 5000 injectionon on 8th(which is 12th day after i got the period) of this month at 9PM.Dr suggested to have intercourse for 3 days.yesterday Dr said two eggs are released from two follicles.when might be the ovulation after taking the injection and how many chances of having twins?" }, { "from": "gpt", "value": "Hi.Ovulation can take place anytime now, and chances for twins always exist with iatrogenic stimulation of fertilisation, but we cannot be sure of it now.Best of luck." } ]
[ { "from": "human", "value": "gud-day sir, my name is lizzy, please i had 2 miscarriages, August 9th and October 9th 2013, i washed my stomach d first time, then d second time, i didnot wash my stomach, since then, i have not took in, and i have been having hotness of the body immediately after my ovulation, i have gone for pelvic scan and its confirm that i am ok and i have been taken series of infection drugs just for me to conceive. pls could you help?" }, { "from": "gpt", "value": "Hi.I am sorry if I misunderstood, but did you say you are taking antibiotics (to fight an infection) to help you conceive? Or did you mean you are taking a couple of injections to help you conceive.?Please discontinue self medicating with any kind of drugs, and especially not antibiotics.As for your fertility status, it does seem that yours is a complicated case, but I am sure a specialised obstetrician and gynaecologist can help by correcting your hormone levels and providing you with fertility drugs to help increase the chances of conception, either ways, please do not self medicate.Best wishes." } ]
[ { "from": "human", "value": "i got tubal sterilisation, sometimes my periods are irregular, one time doctor gave me cycloreg, that time my cycle came, but again same problem occured in this month. do i need to take same tablet. Is there any possibility of getting pregnant even after strelisation." }, { "from": "gpt", "value": "Hi.It would be helpful if you could take the medication again, but I wouldn't advise it without consulting with your doctor once again. At the same time you can ask your doctor if you can continue with this medication as per his/her instructions.As for conception after tubal sterilisation, there is only a very low chance for this to happen Best wishes." } ]
[ { "from": "human", "value": "hie i have recently started my period and the colour was orange what could be the problem and i have been trying to get pregnant bt it looks like im nt going to fall pregant im nt using anything its nw four months since i stopped taking some pills so is there any effect if i may use african herbsto get pregnant" }, { "from": "gpt", "value": "Hi.Orange blood during menstruation can at times occur, but as you mentioned you are not on any medications and have no help from a doctor I would strongly advise it.A doctors guidance will help you have your period regularly (a regular menstrual cycle indicates good fertility), and once this is achieved your doctor can also prescribe you with fertility drugs which can increase the chances of conception significantly. Please consult a doctor and I am sure you will conceive soon.Best wishes." } ]
[ { "from": "human", "value": "Hello doctor, I went for a folliclle study at 11thday for my period, scan says there is a dominant folliciler right overy , she suggested to visist 13th day, but due to some reason I failed to visit doc and at my 16th day there is no dominant follicilar.. I am looking for a baby.. Pls suggest me.." }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Unfortunately, if your follicle study show that there was an egg present on the 11th day and then on the 16th the follicle was gone, that means you already ovulated for that cycle.The timing of ovulation when trying to get pregnant is critical even within a few days. So, missing an appointment can sometimes unfortunately miss the window of opportunity if you were planning insemination or some other procedure at your ovulation time as there is only a 72 hour window between when the egg ovulates and when you can conceive.The good news is, the fact that your follicle disappeared shows that you actually do ovulate – sometime between your 11th and 16th day. So unless you've already failed trying to get pregnant through timed intercourse, making sure that you have sex between the 11th and 16th day of your cycle may be able to increase your chance of pregnancy.I hope I was able to adequately answer your question today, and that this information was helpful.Best wishes in getting pregnant,Dr. Brown" } ]
[ { "from": "human", "value": "Hello Doctor, I am 39 years old and have a 19 yo daughter. 2 months ago I had a missed miscarriage followed by a D and C. This pregnancy was my 2nd only in my life. I am wondering if you MX3 capsules are safe to take as part of my 4 month preconception plan? Do you know what benefits it could provide me with? thanks so much." }, { "from": "gpt", "value": "Hello, and I hope I can help you today.MX3 is a supplement derived from the Mangosteen fruit, which is used as a traditional medicine in certain cultures.Unfortunately, because this supplement is not truly a drug, it is not been tested for safety or effectiveness in a conventional scientific way. Therefore, there is no way to know what its effects may be on trying to conceive and pregnancy. In addition, there is no evidence that this herbal supplement actually has any of the effects that are listed on the bottle, because supplements are not required to undergo testing in the same way as conventional drugs.Certainly, there is no evidence that this medication will be harmful to you while you are actually trying to get pregnant. So if you desire, taking MX three while you are trying to become pregnant does not seem to be harmful. However, once you conceive, I would not recommend continuing the medication.The only reliable supplementation that has been shown to increase the chance of a good pregnancy outcome is taking folic acid. Folic acid is involved in the development of the fetal brain and spinal cord, and folic acid deficiency is associated with an increased risk of neural tube defects. For that reason, women are recommended to take a folic acid supplement of at least 400 mg when trying to conceive and during pregnancy.So in summary, I would not recommend taking MX3 once you are pregnant, however taking it while you are trying to conceive is not likely to be harmful. However, there is no evidence that it will increase your chance of getting pregnant or help the health of your pregnancy. Only folic acid taken during preconception has been shown to improve pregnancy outcome.I hope I was able to adequately answer your question today, and that this information was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "Hi, I started taking Microgynon about 6 weeks ago. We had sex after only 3/4 days and now I'm worried could i be pregnant? I took a 7 day gap between packs and did bleed. I keep burping all the time which is not likeme at all and have very sore breasts. Thanks." }, { "from": "gpt", "value": "Hello, and I hope I can help you today.First of all, if you've been taking your birth control pills every day and you did have a menstrual period during the seven-day break, there is no reason to suspect that your pill is not effective in preventing pregnancy.Birth control pills can have very similar side effects to the symptoms of pregnancy in the first three months of use. These include bloating, breast tenderness, nausea, mood changes, and spotting when you're not supposed to have your period. Most women see the side effects decrease after their body gets used to the pill which takes about three months.So in your case, as long as you're taking your pills every day according to the package directions and do not have more than seven days in between packs, your chance of pregnancy is less than 1%.The most common sign of pregnancy is missing your period. So if for any reason you do not bleed during the pill free week, especially if you do not miss any pills during the month or deviate from your schedule, that would be a time where I recommend performing a pregnancy test.I hope I was able to adequately answer your question today, and that this information was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "Hello doctor, I took clomid from cd 2-6 and my follicle was 19mm on cd16. I was given a trigger shot on cd16 evening and was asked to take Duphaston twice a day for 14 days starting cd17. Since I might have not ovulated yet, will taking Duphaston is ok. Can I still have the chances of getting pregnant?" }, { "from": "gpt", "value": "Hello dearI understand your concernYou have 19 mm follicle size on 16th day.You took HCG shot to induce ovulation.After taking HCG shot of you had sex then high chance of pregnancy.I would suggest to again go for USG scan to confirm about ovulation.If ovulation has not been occur then duphaston does not increase chance of pregnancy.But it correct luteal phase abnormality and regularize periodTo induce ovulation, you can also use metformin to induce periodAvoid stress, take healthy diet, drink plenty of diet, do regular exercise and maintain weight according to BMI Hope this may help youContact further if follow up neededBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "hai my name is roja my weight is 60kg and height is 5 age is 24 yrs iam suffering from pcod from last 2 years iam taking treatment for teh same my doc asked me to visit her on 15 day and gave me hcg is this the right procedure how soon ill become pregnant and please give me any tips for the same" }, { "from": "gpt", "value": "Hi Roja ,You don't need to panic. you are in the age of high chance for pregnancy.You are slightly overweight. Your weight should be Height in cms - 100 I mean 5 ft= 152-100= 52 kgThis is reason for PCO & difficulty in pregnancy.Try to reduce the fat around mid segment of body. No fasting. Have controlled diet regularly with low calories, no junk food. Regular exercise , especially for the waist , thighs & mid segment of body. take your time . If you get pregnant with fat, chances of pregnancy complications are also high.Once you lose weight , your periods will also be regular with good flow ( normal flow) & you may get pregnant even without medications. Inj HCG is hormone which causes your follicle to rupture & egg is pushed out. Usually 13-15 day of cycle follicle will be ripe to rupture, hence doc has give you that injection.Have faith in God , you will get pregnant when right time comesAll the best Dr.Balakrishnan" } ]
[ { "from": "human", "value": "We consulted a Gynac yesterday...she told that the egg has got released from the ovary of my wife...She suggested us to have intercourse as the egg would be alive for about 48 hours...i wanted to know what are the chances of my wife becoming pregnant??" }, { "from": "gpt", "value": "Hi , Rightly said Egg has life of around 48 hrs , but is very healthy for 24 hrs only.Sperms stay alive for 3 days , that is 72 hrs.So chances of pregnancy is high if you have sex just before ovulation & also for next 2-4 days.Sperms should reach the tube first & then wait for the egg to come into tube , where they meet & form the baby. Then baby moves & fixes in the uterus.Chances of pregnancy in normal couple is only 10 % . That's because the healthy egg may not meet the healthy sperm always. Healthy doesn't mean you have a problem. Incidentally the egg or the sperm chosen may not be good. If you are lucky , you may be in that 10 % & you get the best sperm to meet the best egg & you have a healthy lovely baby.These are somethings we cannot control.All the best , God bless youDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi. I there a problem if me and my partern have the same bloog group? We are trying to conceive and has not yet happened, this it the thrid month. I am 30 and my husband 32, not history of medical problems. I have previously used the injection contraception, the last one was in June 10." }, { "from": "gpt", "value": "Hello,The same blood group has no effect on conception. Don't worry regarding the same blood group. Check your both thalassemia status before conception. Try to do intercourse from 12 to 18 days of menstrual cycle as during this period ovulation occurs, so conception chance is high. (LH kit can be used for presuming ovulation.) If after 1 year you can't conceive then detailed evaluation is needed with serum progesterone, estrogen, FSH, LH estimation, HSG, serum TSH, free T4 estimation, husband semen analysis, etc., like investigations.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami" } ]
[ { "from": "human", "value": "hi. i had an abortion in oct 2011. now want to concieve again and going thorugh with some test currently im undergoing with serial scanning . tomorow may be the last visit but when we checked for my husband in his case his sperm count is less and his sugar is little high. and we r running short off time as my age is 35yrs and his 38yrs. now we have consulted in CMC BANGALORE , can we take others opinion along like any fertility centre or shall i go through wih same . and what can be done in this situation" }, { "from": "gpt", "value": "Hi , Your age being 35 yrs is a concern, but you can take another 2-3 yrs as grace period. Don't worry. Husband age is not a big problem. But his sugar is to be corrected immediately. May be that abortion was also because of this.When his sugar level is high, no matter how high,his body may lodge certain infections. High sugars & infections can damage the head of sperm( that's where the genetic material of father is transferred to the baby) so the count may be normal but sperms not healthy, hence the pregnancy out of this unhealthy & can cause abortions. Now over years even the count also is reducing. This can be effectively corrected by oral pills or better with Insulin injections. Insulin for immediate control ,later can be switched to oral pills , under diabetologist supervision.You can spend 2-3 mths in this treatment & get control.Once done you can have tubal patency tested , HSG ( Xray with dye ) or SSG ( scan with dye ) or Laparoscopy . You may also need antibiotic / antifungal treatment for vagina ( transmitted from husband)Once confirmed & semen parameters improved , especially the morphology of sperms( health of sperms) go ahead with IUI ( Intrauterine insemination) which increases pregnancy chances by 4 times . You can try it 3 times , if not successful go ahead with IVF, because of your age factor.If you are not happy with the management there , you should take a second opinion, as your time is ticking away.As you had a pregnancy ,even though it ended in an abortion, your chances for another pregnancy is very high. All the best Dr.Balakrishnan" } ]
[ { "from": "human", "value": "i am trying to conceive and my doctor says i should take ampliclox to prevent chiken pox because my partner has it. do you think it will affect my chances of conceiving this month particular as i have 1 week to my ovulation date and i am to take the drugs for 5 days. please advise me." }, { "from": "gpt", "value": "Hi, There is no medication which can cure or prevent Chicken pox. Ampiclox is an antibiotic , something that affects bacteria & Chicken pox is a virus !! how can it help. It only reduces secondary infections after you get chicken pox.If your partner has chickenpox, better you delay attempting for pregnancy till fully healthy.When male gets infections- their sperm count, motility & health is reduced. So pregnancy chances is low.In women - Ovulation may not occur due to fever. But incidentally if you get pregnant, the virus in chicken pox & fever itself will cause certain irreparable damages in the baby. Either it will end in abortion or baby with certain defects warranting abortion.So I would advise you to wait for the infection to completely leave your house for you to try for pregnancy.Hope I have cleared your queryAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi i am 27 yrs female.My bothovaries are enlarge in size but have normal shape,outline and echogenicity.There are multiple small (less than 5mm) cysts at peripheral parts of both ovaries.No calcification is seen in ovary. Right ovary measures 30.0x22.5x40.0mms(vol:-14.2cc) and left ovary measures 32.8x15.3x35.2mms(vol:-9.2cc).I do not have my periods regularly without oral pills.Can i have baby after marriage?please help........" }, { "from": "gpt", "value": "Hi , You are having PCOD ( Polycystic ovary disease) . Let me start by saying you will definitely have as many pregnancies as you want. But will need some effort from your side.Typical PCO has such peripheral arrangements & volume of ovaries will be>10 cc & periods irregularYou are in right age for pregnancy.Try to reduce your weight , Height in cms -100= weight in kgsReduce fat around the mid-segment of body. Even if you are not overweight, have regular exercise for mid-segment of body, controlled low calories diet, avoid junk food. No fasting please.This itself without any medications will normalise your hormones, periods & ovulation.Now your eggs are not rupturing on their own , they are seen as multiple cysts on scan, so they don't meet sperms, so no pregnancy. Only if your follicles rupture your periods will be regular.If you get pregnant with abnormal hormones, you stand a chance of early abortions too.Just get your Thyroid profile & Serum Prolactin level checked in early morning, empty stomach. They too may affect ovulation.All these are correctable. Not to worry aboutAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "hi doctor,i am 27yr old and i have the past history of pcod and thyroid problem taking the tablet metformin 500mg and eltroxin 50mg,since 1 year am trying for to get preganant,so we had taken treatment with clomid 50mg for 5 days and done fs,that time egg was not ruptured,nd again on aug we done the fs that time egg was ruptured and done iui,so dat time also not conceived,but in this month again done the fs with clomid tab,the follicle size is 20mm on left ovary and 14mm on right ovary,and done hcg injection,so this is the 16th day,dr told to take duphastone tab till 28th day,so my question is any hope to conceive on this month?and whet is the use of taking this tab duphastone?" }, { "from": "gpt", "value": "Hi, In second half of the periods after follicles rupture , progestrone hormone is released ( same as Duphastone) which will make the lining of uterus favorable for the possible implantation of the baby. It will make the bond between baby & uterus strong preventing early pregnancy bleeding & abortions.If your follicle has ruptured after injection & is healthy & if it meets a healthy sperm it will form a healthy pregnancy. Man can control only till the step of sperm meeting the egg , rest is controlled by God.You should try your best & pray well.If you are not lucky, try to find some other cause. Like any hormone problem like Thyroid still not normal , Serum prolactin, abnormal blood sugars, Blocked tubes ( tested by HSG or SSG or Laparoscopy) , repeat semen analysis at different center , preferably at infertility center, done by andrologist, husband blood sugar.Hope I have clarified your queryAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "I want to get pregnant but I have PCOS. My ob-gyne recommended metformin and duphaston to regulate my menstrual cycle and I've been taking it for two months. HOwever, I am having breakthrough bleeding and my cycle is short (only 21 or 22 days since I started taking the medicines). I'd like to know what are the chances of me getting pregnant and how long should I take treatments?" }, { "from": "gpt", "value": "Hi , Let me start by saying PCOS has a high chance of pregnancy.By using hormone pills you are treating the symptoms not the cause. That extra pad of fat around the mid-segment of body is responsible for the hormonal imbalance & no ovulation. Your weight(Kg) should be Height in cms -100.Have regular controlled diet, low calories diet, No junk food . NO FASTING.Have regular exercise, especially for the mid-segment of body.Kindly check if Thyroid profile & Serum Prolactin levels are normal.Take Metformin , which helps in ovulation & also reduce weight.Not only the chances of pregnancy increase , also chances of abortions reduce after fat reduction. Some docs advise Laparoscopic ovary drilling, but better avoided , as it will reduce lots of healthy eggs from ovaries.In the meantime confirm your tubes are patent - by HSG ( X-ray with dye ) or SSG( scan with dye) or laparoscopy. Husband's semen analysisAfter getting regular periods ,try for 6-8 mths without medications. If still negative try Ovulation induction medicines as Tablets +/- injectionsAll the best, be patient, everything has a time Dr.Balakrishnan" } ]
[ { "from": "human", "value": "I dont know wat to doI have missed my period that should have came on 22nd and I had sex with my boyfriend on the 22of october(last month)and this month is ending and I still haven't gotten my period.i am irregular I think but it should have came this month and it hadn't. Could I be pregnant?i have also had a change in my breast.my tummy cramps but no period. I get nauseous. I eat alot.im so tire and I go to the bathroom a lot. Is it possible I could have gotten pregnant during my period in oct 22nd?i would be 5weeks and 4days right? Please help me and thank you" }, { "from": "gpt", "value": "Hi, Only ways to confirm is have a Early morning Urine pregnancy test done , if result is not clear, get a Serum Beta HCG done. It will confirm pregnancy if present , no matter how small it is. It will not be seen on scan if too small.Other symptoms you mentioned are not specific to pregnancy, they can occur in impending periods too.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "I had undergone a surgery on last year and removed my left ovary ,we are trying to conceive for an year now.and recently my doc tests my husband for sperm DNA fragmentation and shows >60% (high)...and under medication now. I really want a twin to conceive(both of my parents aunts and uncles ,cousins got twins.any possibilities of conceiving twins?" }, { "from": "gpt", "value": "Hi , As you have strong family history of twins , you have a high possibility of having twins , even without any treatment. Chances are high but not 100 % .Even if you have 1 ovary you pregnancy chances are the same. Your husband needs treatment & once corrected you stand a good chance of pregnancy.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Its been 2-3 yrs I m on keraglo eva for alopecia n complete hair loss.m a 27 yrs old lady now ..planning to get married and conceive.i have to take it for hair regrowth issues I have pcod.pls plz lemme know what kind of side effects I can face now and if it can be taken during pregnancy. I also have sebbeorhic dermatitis of and on." }, { "from": "gpt", "value": "Hi, Keraglo- eva is just a combinations of dietary supplement ( gamma- linolenic acid , multivitamins , multiminerals & natural extracts) it has no effect of pregnancy. Seborrhic dermatitis & hair fall can be due to excessive male hormones produced due to PCOD. You will have receding hair line, male type baldness, excessive oily skin of face, lot of acne of face, hair growth on chin & cheeks, Slight dark pigmentation on lower half of face.You can take these medications , which will improve the health of skin & hair . Try to reduce weight if excessive. Weight should be Height in Cms-100. Even if not overweigt, Regular exercise, especially for the mid-segment of body. Controlled diet , low calories diet. NO FASTING. This fat reduction will reduce all unnecessary hormones & regularise ovulation , periods & improve pregnancy chances , Also reduce chances of any abortion , which is high in uncontrolled PCOD.Hope I have clarified your queryAll the best Dr.Balakrishnan" } ]
[ { "from": "human", "value": "I am 7th day post IUI. I am currently taking tablet Duphaston 10 mg at nights. My Gyneic has prescribed them to be taken for 10 days and i have pain lower abdomen and backache also lots of cervical mucus spotting pls give me answer that is good sign or bad sign." }, { "from": "gpt", "value": "Hi , These symptoms can be of the baby entering the uterus lining, but also seen in impending periods. The excessive discharge is due to the progestrone hormone in Duphastone , but if pregnant , body is producing the same hormone in excess to support the baby.No test can confirm the condition so early. Only the urine test as per your Doctor's advise or Serum Beta HCG at that time can confirm pregnancyAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "I am getting my Mirena removed next week and I am wondering if the removal of an IUD causes ovulation. I am wanting to get pregnant as soon as possible and need to know what the chances of an immediate pregnancy are. I have had my iud since April 2011 and have only had one period while it was in place. I haven't had any problems with the iud." }, { "from": "gpt", "value": "Hi , Mirena is not a simle IUD. It has hormones impregnated , which were entering your body & suppressing your body's hormones. It will take some time for your body to start the regular cyclical hormonal production. Usually within a month or two you will have normal hormone levels , so normal ovulation. Usually after such suppression body hormone show a surge & suddenly good number of follicles start growing & pregnancy chances are good.Hope I have cleared your DoubtsAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi doctors i am sara married since last 2 years at marriage time my husband was for only 2 months after that he went abroad now iam with my husband from 1 year we trying to conceive from 8 months but there no result i hve pcos and my husband sperm is low i wnt to know will laproscopy surgery is good for us or we should take ivf iui wt will be helpful plz reply" }, { "from": "gpt", "value": "Hello,What is the sperm count? Ask your husband to take a course of antibiotics as advised by a gynecologist. Take Clomiphene from day 2 and go for follicular study till follicle size grows up to 18 mm till follicle rupture and then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "I got the mirena removed on oct 12th, i bleed on oct13th-oct19th, then again oct. 26th-29th, had a cyst in that time, trying to get pregnant, when will i ovulate? I've been doing daily ovulation tests and daily basal temps and still nothing. Took a pregnanacy test yesterday and it was neg." }, { "from": "gpt", "value": "Hi , Mirena is hormone impregnated device. It would have suppressed all the necessary hormones from the body. After removal it takes some time for the body hormones to normalise & ovulation to occur . So don't worry if initial cycles are irregular or frequent& pregnancy negative. If your pregnancy test is negative, kindly consult gynecologist & have medications for withdrawal bleeding, after confirming there is no pregnancy. You may need a course of hormone pills to regularise your body hormonesAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "hi ! I am trying to conceive for last 5 months but unable to conceive. As all the test of my husband and mine were done all are normal except my size of ovaries are very small for that my doctor advised me to go for follicular monitering that also i have done and during follicular study doctor given me some injection to increase the size of ovaries. on 15 th day size of my RT Ovary is 19.2mm and LT 14.2mm and Endo. is 9.3mm. So what are the chances of conceiving." }, { "from": "gpt", "value": "Hi, In follicular scan I think 19.2mm & 14.2mm are sizes of follicles, if so you are absolutely normal. Even the inner lining of uterus of 9.3 mm is great. All this means you are producing normal eggs with good hormonal values & having a good lining of uterus , which is healthy & good enough for the baby to attach.Kindly have patience, 5 mths attempt is not a long duration enough for you to worry about. As you said all your's & husband's investigations are normal you don't need to worry. If the best egg meets the best sperm , at right place & if the pregnancy has a good landing in the uterus , you get a healthy pregnancy.We can make sperms & eggs meet , but rest is in almighty's hands.Be patient for the right time for the jackpot.All the best, God bless youDr.Balakrishnan" } ]
[ { "from": "human", "value": "i have fibro adenoma in my right breast 2cm and 0.9 cm also the doctor they told it is very small size so no need to surgery but you can take evion 400 tablet . then i got married last year but still i didnot pregnent still now . it will problem in the about fibroadenoma pls tell me." }, { "from": "gpt", "value": "Hi, Fibroadenoma is called \"Mouse in the breast\"It is an inert & harmless swelling which does not produce any hormones. Needs surgery only if big enough or suspecting malignancy This can never be a reason for infertility. There are many other reasons which you should rule out. Kindly consult an infertility specialist & get yourself & husband evaluated.You can forget the fibroadenoma All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "My menstrual cycle is regular. we are planning to get baby since one year back... we consulted a gynecologist... done all tests. we both are very normal... then doctor gave me some tablets called Cabgolin, then ovashield, then fertisure -F, now m taking nacfil fort along with fertisure -F. these all exercises are done from April 2014.... I want to know what may be the problem with us?" }, { "from": "gpt", "value": "Hi , All these medications are only to improve the health of the eggs & cause ovulation.I can give you a check list of investigations , which you can check if doneHusband- Atleast 2 semen analysis 4 weeks apart, preferably done at an infertility center( tested by andrologist , not by technician), Blood sugarsWife - Blood sugars, Thyroid profile, Serum Prolactin ( last 2 early morning in empty stomach)Ultrasound scan to confirm normal uterus / ovaries & adnexaTubal patency - most important- HSG( X-ray with dye) or SSG ( scan with dye) or laparoscopy. Tube is the bridge between uterus & ovaries where sperm & egg meet to form baby. Unfortunately it is not seen in scan.Based on these investigations treat furtherAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "i am 20yrs old i got married before 1and half year and i have no baby i have concived before 1year and i got miss carriage in 3mth and after that i am trying to concive but i had'nt concived and i had contacted to a gynecologist and she found ploystic ovaries and she suggest to use clofert 50mgs for 3days,b-long f and ovanac plus and now how should i have to take care and what should i have to do to concive?" }, { "from": "gpt", "value": "Hi , As you already had a pregnancy, even though you aborted, your chances for another pregnancy is very high.Just 1 abortion is to be considered like an accident, will not repeat again.Kindly get a tubal patency tested by HSG ( X-Ray with dye ) or SSG ( Scan with dye) or Laparoscopy . Tube is the bridge between uterus & ovaries , where egg & sperm meet. It's diameter is size of hair follicle. So can get blocked , you never know. It cannot be seen on USG.Now for the PCO, best treatment is reduce weight. Weight should be Height in Cms- 100 ( eg if 165 cms weight can be 65-67 kg)Even if not overweight, have a regular controlled diet with low calories, No junk food , NO FASTING. Regular exercise, especially for waist area. Once Fat reduces, many hormones come back to normal , you will ovulate regularly, pregnancy chances improve & chances of abortion reduces. With abnormal hormones PCO has high abortion rates.Also have Thyroid profile & serum Prolactin level. Only those medicines you are taking may not be enough. You will conceive even without medicine , with weight reduced.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi Dr. I was having stomuch pains and took the hyospamol pills and planning to fall pregnant I m on my ovulation days can this affect my chances of becoming pregnant as I have been trying for almost 2 Years to fall pregnant after my 1st child.. Thanks" }, { "from": "gpt", "value": "Hi, As you already had a successful pregnancy, you have a very good chance to get pregnant again.It is always better to avoid painkiller if trying for pregnancy. It may stop the egg from coming out of the follicle.i would advise you to have a tubal patency test done. Tube is the bridge between uterus & ovaries , where the egg & sperm meet & form the baby. It's very thin , size of a hair. It cannot be seen on scans. You never know if it is clogged or blocked. Have a HSG ( X-ray with dye ) or SSG ( Scan with dye ) or laparoscopy. These tests can also open a blocked tube.Also have husband's semen tested . If all fine you should be pregnant within a month or twoAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi Doctor,i went to doctor for checkup as iam not having any child,she got TB-Gold test done and result was positive.she prescribedAkt-4Benadon-1/2 odLiv 52 and antacidi want to know what for Benadon is being written.Ihave taken full course of Anti tubar cular drugs 7 yrs back." }, { "from": "gpt", "value": "Hi , Tab Benadon is Vit B6 . This is used in conditions where person's health is to be improved. As in TB , Anemia etc, where body is in down hill course & we are treating the main cause with antibiotics etc. It improves health & improves our resistance or fight back capacity.All the best Dr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi, mam. i suffering with hormonal imbalence .undergone for iui for 5cycles,but not successfully .now my docter asked use thyronorm 12.5g alternatedays so that my fsh level be low.i am much worried about my future can i have child ? i am a working women travelling about 80km per day" }, { "from": "gpt", "value": "Hi,Your history gives only limited information.Don't get disheartened by having -ve IUI. As your doc has started Thyronorm only 12.5 mcg, it means lowest dose, it's not significant. Thyronorm does not affect FSH !!No matter how much you travel, pregnancy is not affected.Kindly confirm if following test have been done.1 . Husband- Atleast 2 semen analysis 4 weeks apart, showing all parameters normal . Preferably from an infertility center ( where trained andrologist examines ) Blood sugar2 . Wife- Blood sugar / Thyroid levels/ Serum Prolactin Tubal patency evaluation with - HSG ( X-Ray with dye) or SSG ( Scan with dye ) or Laparoscopy Ultrasound scan of pelvis- evaluate Uterus & ovaries / adnexaUsually these tests will confirm one of the faults.If you are aged 35 yrs or above, have Serum AMH levels , to evaluate the number of eggs in ovaries.Don't worry IUI is not the last steps. There is time for everything, when right time come you will get that jackpot. Have faithAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "hello doctor. we are undergoing a pregnancy treatment and as part of it my wife is taking an injection named HUMOG 75. on the second day she started feeling fever and body pain. kindly advise whether the medicine is having any side effects or its a natural fever?" }, { "from": "gpt", "value": "Hi , HUMOG is hormone produced in body, It does cause release of further hormones, but not significant to raise body temperature / body ache. It most probably is incidental some other infection, which needs treatment.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "hi,i and my girlfriend indulged in unprotected sex about 54 hours back. We did not complete the intercourse, neither did i achieve my climax. We want to know if there are any chances of her getting pregnant. Kindly suggest us something we do not wish to have a baby so soon." }, { "from": "gpt", "value": "Hi, Pregnancy can occur if even a drop of semen or the pre-seminal fluid ( the white fluid produced before the semen's emission - has more healthy sperms ) enters the vagina. Studies say that even if semen falls on the thigh or genitals , sperms can swim up towards uterus.As it's 54 hrs, have an emergency contraceptive pill. Earlier the better.Prevention is better than such unprotected sex. Condom has failure chances. Oral Contraceptive pills is good options & doesn't interfere in the sexual act & will avoid all the anxiety after unprotected sex.You can meet a gynecologist for further advise of future contraception based on your girlfriend's periodsAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "hai madami am 25 years old and married 1year ago now we are planning to conceive and to mention that i have irregular periods so what should i do in order to conceive and i consume more of panner in diet and lot of carbohydrates and i am not obese so what should i do pls help me madam" }, { "from": "gpt", "value": "Hello,Do serum TSH and serum prolactin and follicular study after taking Clomiphene from day 2 with gonadotropins after visiting a gynecologist. Till follicle size increase 18 mm then ruptures then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "my wife was getting hevy periods & irriregulars on her piriod cycles doctor suggest to take fertyl-super 100mg from her cycle 5th day for 5days & duphaston on her 16th day of cycle . so when she will ovalete , whats will the exect day to do sex to get her pregnent" }, { "from": "gpt", "value": "Hi ,If your wife has irregular periods , it's better to have those medicines & do follicular scans to confirm follicle size & ovulation. Those tablets are hormones which simulate a lady's hormonal cycle , but hey cannot confirm ovulation. To rule out other causes for irregular cycles hope you have done Serum Thyroid profile / Serum Prolactin , they affect ovulation.You can have sex once her periods bleeding stops, daily or alternate day or as per your convenience. This is not for pregnancy , it's to throw out old sperms. Older the sperms , poorer the healthy pregnancy chances . As life of sperm is only 3 days.Have sex till 10th day of periods ( 1st day of bleeding is 1 st day of periods)Then no sex for 3 days. This will help accumulate young sperms for the ovulation , which occurs usually around 14-16 day of cycle.Have sex for 4-6 days, any number of times , daily.Later than this is optional. Egg's life is only 1 day.But this schedule can be followed only if cycle is regular.Hope I have made it clear with reason.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "i am 29 year old woman. we have been trying to get pregenent in 3 years. now my doctor have giving fertyl -super 100mg tablet. today is my second perioday i want star to eat that medicine. so i would like to know the side effect. and also i have been having ulcerative colitics 4 years still the treatment is going on. and this ulcerative colitics make danger to the baby in pregenecy. and will my baby will be healthy or dsiable." }, { "from": "gpt", "value": "Hi.It would be best to start taking the medication from the 2nd day until the 5th day of your cycle. No there are no side effects other than mild abdominal tenderness, nausea, vomiting, etc.Ulcerative colitis will not effect the pregnancy or harm it so there is nothing to really worry about in regards to the condition.Best wishes." } ]
[ { "from": "human", "value": "Dear Doctor, I was diagonised with PCOS 3 years ago. I concieved and have a baby boy of 1 year and 10 months. I have been having regular periods after birth until last month when I missed my periods. I had all signs for pregnancy but I tested and i wasnt pregnant. I visited a GYN who prescribed duphaston 10mg for me. he doesnt know my history of PCOS, HE thinks that since i gave birth by C-Section, they could have blocked my tubes. I am afraid of taking the duphaston 10gm because i am still breastfeeding and also have herpetitis B. wont this medicine affect me and my child. I badly want to concieve. Many thanks JY" }, { "from": "gpt", "value": "Hi.Duphaston is a hormonal pill that will help regulate your cycle, and if at all you are breastfeeding, fluctuations in your menstrual cycle are normal, and I would not worry too much about it.As for the C-section, the procedure cannot block your tubes, and you should be safe to conceive, it may just be a slight fluctuation in your hormone levels that is making it a little difficult. Continue to try to conceive, and write to me using our premium service so I can guide you in a more accurate manner with some fertility tips and medications.Best wishes." } ]
[ { "from": "human", "value": "hello Im 28yrs old having PCOS problem from almost 6yrs now. Im 5ft tall and weigh about 53kgs. I was on Diane 35 for almost a year due to my irregular periods, as a BCP and for my hairloss problem. Now, I planned to conceive for which my gyneac instructed me to stop diane 35 and take deviry 10mg from 21st to 25th day of menses cycle (for 2 months). Now, it has been 10days since I completed 25th day of menses cycle and the tabs, but there are no signs of getting my period. Im very much worried. Will I ever be able to concieve?" }, { "from": "gpt", "value": "Hi.It can happen, especially as you shifted over from Diane to a new medication, there may be a few irregularities for a while, but the change is for the better, so do not worry, be patient, and I am sure you will soon conceive and in no time have a bundle of joy to yourself.Best wishes." } ]
[ { "from": "human", "value": "I HAVE BEEN HAVING NORMAL PERIODS BUT AFTER 2 YEARS OF MARRIAGE HAVE NOT YET CONCEIVED. HAVE NEVER MISSED PERIODS ANY MONTH. 2 WEEKS AGO I WENT TO SEE A GYNEE AND I WAS PUT UNDER HYPONNID MEDICATION. I WAS ALSO DIAGONIZED WITH PELVIC INFAMATORY DISEASE WHICH HAVE TAKEN MEDICATION. WHEN CAN I GET PREGNANT" }, { "from": "gpt", "value": "Hi.Once the pelvic inflammatory disease has been well treated, we may have to go ahead with an investigation called a hysterosalpingography just to make sure there are no obstructions in your reproductive tract.The hyponnid is to help you to lose weight and you should also work out an exercise and diet regimen. Ruling out/confirming conditions like polycystic ovarian syndrome can direct better management, but generally if your cycles are normal, then I would just advice weight loss and fertility medication like clomiphene to be initiated. You can start trying about 2-3 weeks after the last dose for the PID treatment.Best of luck." } ]
[ { "from": "human", "value": "my name is chandrasekhar i got married 5 years back after one year my wife got Pregnancy but after 3rd month doctor's did abastion because of baby growth is less we wait for normal pregnancy but some day we want for laperscopy in that test result is TB in Stomach its a insatl stage pls she can consive na" }, { "from": "gpt", "value": "Hi.I would just recommend non-invasive imaging of your wifes reproductive system (i.e. if she was the one diagnosed with TB of the stomach). If all is well with her reproductive system, then there is nothing to really worry about.Best wishes." } ]
[ { "from": "human", "value": "ok my friend is having problems concieving and her and her mother were talking the other day and her mother told her that she had to have a surgery to straighten out her tubes so that she was able to have my friend.... what type of problem is this and she would like to know if its hereditary." }, { "from": "gpt", "value": "Hi.Probably tubular torsion (of the fallopian tubes) from the sound of it. No it is not herediatary sir.Best wishes." } ]
[ { "from": "human", "value": "Im 31,female,45 kgs,5 ft 4 inch,,my husband is a seafarer and he'll be here this end of july,,we're married for two years now and no baby at all.. my doctor said im healthy..What am i going to do? im asking for some healthy tips on how to get pregnnt.. what are the best pre natal medicines? Thank you so much." }, { "from": "gpt", "value": "Hi.You can choose any pre natal vitamin based on the doctors recommendation and your requirement, but some of the more popular brands include MegaFood, Garden of Life, Rainbow, New Chapter, Thorne, etc.Best of luck." } ]
[ { "from": "human", "value": "hello doctor doctor suggested to me you can take fertyl 50 mg but i want to know when i take this tablet before dinner or after dinner and simultaneously can i take eldervite tablet and what is the use of nutrilite tablet coz doctor suggested to me for this tablet." }, { "from": "gpt", "value": "Hi.Fertyl can be taken anytime, but it would be best to fix a particular time and take the medication at the same time every day. I recommend taking the medication from the 2nd to the 5th day of your cycle good results, opinions can vary.Nutrilite helps provide you with vital vitamins that can help with proper growth and development of your baby.Yes it can be taken with eldervite.Best wishes." } ]
[ { "from": "human", "value": "hi i contracted clamidia a few years ago but it was treated iv been trying for a baby 4 3 years now and i have miscarried twice could you suggest anything? many thanks jacqui" }, { "from": "gpt", "value": "Hi.A miscarriage does show that fertilization is taking place and there is no obstruction in your tubes, thus the problem probably lies in your hormone levels. I would recommend an elaborate hormonal profile along with an ultrasound of your abdomen and pelvis to help rectify the issue.Best wishes." } ]
[ { "from": "human", "value": "i have done an intercourse with a girl two times,on 20/april/2010 and 25 april/2010. that girl last menstrul was on march/20 she said.her expected menstruation period is every 28 days she said.she is telling that she is pregnant.i dont know whether she is cheating me or not.please answer me.this is my life." }, { "from": "gpt", "value": "Hello,Important is 20th March, the ovulation time around 31st March to 10 April in a 28 days cycle. But you had sex later so unlikely she is pregnant with you if her cycles are regular.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "HI Dr i got missed abortion last year October i.e 2013 till now am trying to get pregnant but nothing happen. i get something moving in my uterus yet i receive period monthly. iam 39 years. Dr do you think i can get pregnant again Iam so desperate\\" }, { "from": "gpt", "value": "Hi.The first and most important step is to check on your hormone profile, ultrasound of your abdomen and pelvis and meet an obstetrician. Gettung pregnant and conception is no joke, and if you can get pregnant once, I am sure with the right guidance you can conceive and go through with a healthy pregnancy for sure, but not on your own, with a doctors supervision.Best wishes." } ]
[ { "from": "human", "value": "hi doctori m anjali.ihad an abortion of 3month of pregnancy through medicines prescribed by a lady doctor n i hd used i pill5 or 6 times in 3 years of married life..now i want to b pregnant bt i m stressed that i will be or not..is previous abortion may harm in my pregnancy?" }, { "from": "gpt", "value": "Hi there, Dear Anjali, I have understood your concern. As you have been pregnant before, you can get pregnant again. Usually, having history of pregnancy termination in the past or use of emergency contraceptive pill, has no adverse effects on getting pregnant in future. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in this period, then you stand chance to get pregnant. Please start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "hi, im nidhi .i missed my period and its due date on 7 dec but couldn\"t come till yet.i have done a pregnancy test yesterday but the line at t appears lighter and the line at c is darker.so.i m in a doubt dat i m still pregnant or not.please clear my doubt" }, { "from": "gpt", "value": "Hi there, I have understood your concern. If you have history of regular cycles and also there is history of unprotected sex act in the fertile period of cycle, means between day 10 to 20 of the cycle, then you stand chance to get pregnant. If you have crossed your dates, and your urine pregnancy test is Showing two lines then you can be pregnant. Faint line near T area can be due to diluted urine or due to early pregnancy. Please get morning's first sample of urinetested for pregnancy. In case of doubt blood beta HCG test and USG will be of help. If you are planning for pregnancy, please start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. .I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar. ." } ]
[ { "from": "human", "value": "Ihave PCOD problem, what are the effects of duphaston tablets bp 10 mg, i m married from last 3 years,my age is 30 , i want to conceive baby...wht will be the solution, we tried IUI 3 times.... but no result..(my husbands semen count is 82%) ruchira-mumbai" }, { "from": "gpt", "value": "Hi there, I have understood your concern. Duphaston tablets is a kind of progesterone hormone. It helps support early pregnancy. In case you have PCOS, please don't panic. This is a lifestyle disorder. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Drink plenty of water in the day. Avoid deep fried foods, bakery products and refined sugars. Avoid substance abuse if any. Start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar. ." } ]
[ { "from": "human", "value": "hi! i am planning for pregnancy but at night from last two months i am not getting sound sleep at night so i am taking one bottle of. benadryl cough syrup every night for sound sleep so i just want to know that will it affect the pregnancy planning? kindly reply me." }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you to avoid and better stop taking this medicine. This is a cough suppressant, containing opiate derivative. It has habit forming potential and opiates have bad effects on the baby's growth. Please get proper counselling done. You can opt for a healthy diet and regular exercise regimen. There are various ways to train yourself for sound sleep. Please be relaxed. Be happy.Meditate regularly. Engage in recreational activities. Strat taking Vitamin B 12, Folic acid and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "hi im on the pill for 5 months and i decided to get off the pill. but i finish one pack before i stop the pill last november 2013 and i have my meanstruation dec 02 2013.. and then my bf and i having a withdrawal sex on dec 20, dec 28 and jan 1st 2014. should be possible that i get pregnant? now i feel abdominal cramps randomly, breats soreness and feeling bloatness." }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. If you have history of regular cycles then your sex act falls in the fertile period, means between day 10 to 20 of the cycle. So with unprotected sex act, you have chance to get pregnant. You can take emergency contraceptive pill within 24 to 72 hours of unprotected sex act. This works to prevent pregnancy in most of the cases. If this is not feasible, then please wait for the expected date of the cycle. If you happen to cross your dates, then please get morning's first sample of urine tested for pregnancy. In case you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you you . Thanks. Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "me and my husband have been trying to get pregnant for 6 months now. i have had all the pregnancy symptoms about a month ag but the test was negative when i ask a doctor he said that it was my hormones giving me all the symptoms. i have not tested again since then but my stomach has really grown a lot and i have had my perios, but i have a feeling that i might be pregnant is it all in my mind or should i do a test again?" }, { "from": "gpt", "value": "Hi.If you have had your period then you need not test again, hormonal fluctuations can also cause gastric irritation which in turn can result in abdominal bloating. In my opinion you need not test again, but you can choose to do so if it would provide you with some satisfaction.Best wishes." } ]
[ { "from": "human", "value": "infertility problemsI been trying to concieve for two years nothing never happens...I once had a cyst removed off one of my ovaries..is there any fertility pills I can buy over the counter that will help me concieve??..do you think ovarian cyst is stoping me from getting pregnant...can somebody please help me????...it hurts to see other womens having kids with no problem" }, { "from": "gpt", "value": "Hi.The cyst does indicate a possibility for or has led to a hormonal imbalance. Please understand that such issues cannot be treated with over the counter medication. Pregnancy and conception is no joke and so although your problem is minor, with proper guidance and treatment you will surely be able to conceive soon. A thorough work up followed by control of cycles along with the initiation of medication like clomiphene can help your conceive soon.Best wishes." } ]
[ { "from": "human", "value": "i have taken loette tablets for 2 yrs and frm last 1 yr i have stopped, now willing to get concieved i have undergone Hsg test as well, now i have got a ist period after my HSG, i am now in confused status, i am scared whether i will get concieved or not" }, { "from": "gpt", "value": "Hi there Please do not panic. If you have regular cycles, your fallopian tubes are patent and partner's semen reports are normal then you need not worry about the pregnancy. Low dose contraceptive pills do not have any negative impact on getting pregnant. Please start on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in this period, then You Stand chance to get pregnant. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "I just had a baby a little over 8 weeks ago. My husband and I had a few oops and I was worried about being pregnant so I decided to test. I do not know for sure if I ovulated but I have not had my post postpartum menstrual cycle. I tested on Monday it came back negative, tested again on Tuesday and got a faint . I called my dr office and was instructed to go in for a blood test. It came back negative, the test given was a \"Yes/No\" blood test not a beta. It came back negative. Could the test be incorrectly negative? Or possibly a false positive? Does a diuretic affect pregnancy test results? I took a diuretic the day before would that affect my results on the home pregnancy test or the blood test?" }, { "from": "gpt", "value": "Hi there, please don't panic. Usually, diuretics lead to increase urine Formation. And dilution of the urine. This might lead to false negative results. If you have history of regular cycles and also there is history of unprotected sex act on on and around the days of ovulation, then you need to rule out pregnancy. If urine pregnancy test is not predictive, then please get blood beta HCG test done. Results above 25 confirms the pregnancy and results below 5 rule out the pregnancy. I will suggest you to get proper sex counselling done. This will help to prevent unwanted pregnancy and STDs. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "hi, i m married for 2 years and i m trying for a babyfor the last one year, i and my husband have take all the tests, everything is normal, i m vexed now plz suggest me wat to do and also suggest good gynec in bangalore, thanks in advance. JUDY DENIS" }, { "from": "gpt", "value": "Hello,Check your serum TSH, serum prolactin, and follicular study after taking Clomiphene from day 2 with gonadotropins. If needed meet gynecologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "am I pregnant?Hello my name is gina , and i currently have pcos for a year now. But I have been tracking my basel temp latley and it says 97 degrees . I was wondering is this a big sign that I have already ovulated? I'm not on any birth control or anything . advice please ?" }, { "from": "gpt", "value": "Hi there, I have understood your concern. Yes, rise in basal body temperature is a sign of ovulation. But this is indirect test. Better and direct test is a sonography guided ovulation study. If you have history of PCOS then I will suggest you the following - Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Drink plenty of water in the day. Avoid deep fried foods, bakery products and refined sugars. Use of vitamin B 12, Folic acid and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "I m trying to get pregnant and been taking prenatal vitamins since april 2014. I had a miscarriage but in January 2014 at 8 weeks pregnant, the doc said to wait 2 menstrual cycles and start trying again, is August 2014 and we re still trying....I ve been taking prenatal vitamins since april...any other advice please" }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic .Sorry to hear about your previous pregnancy loss. 2 ) please fully trust in your treating doctor .You are rightly advised to wait for 3 months before you plan to get pregnant. Also, it is a very right advice to start prenatal vitamins. Usually, I suggest to start with Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. 3 ) As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have unprotected sex act in the fertile period, at least on alternate days, then you stand chance to get pregnant. Also, you can Get HSG - hysterosalpingography done, to know about the patency of your fallopian tubes.I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "i m suffering from leukorrhea from last 9 years. i m 23 years old. i m taking medication.Symptoms somewhat improves but not completlely diminsh especially before periods the flow increases.know i m getting married soon. what kind of complication can come? could i concieve?/" }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) If you have vaginal discharge, that increases before your expected date of cycle, then it is quite normal. If your vaginal discharge is not foul smelling, curdy white or green I'm colour. and if it is not associated with Itching or burning urination, then you need not worry. 3 ) keep private parts clean and dry. Use of Lactic acid containing vaginal wash on daily basis will be helpful. I think this should not be a cause of concern for you while getting pregnant. Please start using Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery . I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "i got my first missed abortion in 2004 and letter i got pregnant again in 2004 and delivered a baby girl and after that i tried in 2010 i got missed abortion and in 2011 again i got missed abortion, ALL TOGETHER I HAD THREE MISSED ABORTION NOW IAM TRYING AGAIN, MY ALL THE REPORTS ARE NORMAL" }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. It is sad to hear about your previous pregnancy loss. 2 ) As such, there is 16 to 20% cases in which there is pregnancy loss. Most of the times, the reasons for it are not clearly understood. In majority of the cases , genetic problems or some congenital defects are the causes behind miscarriages up to 14 weeks of pregnancy. Genetic screening and chromosomal analysis can be done for both partners , but is not routinely advisable. 3 ) As you have mentioned that you have one full term pregnancy, please do not worry. I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Avoid deep fried foods, bakery products and refined sugars. Use of vitamin B 12, Folic acid and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "Me and my gf were fooling around i had gotten cum on my to stop from cuming in her after i pulled out. After i washed my hands with soap and water. About an our later we fooled around again. Could she get pregnant even after i washed the cum my hands?" }, { "from": "gpt", "value": "Hi thereI have understood your concern.If you had this unprotected sex act in the fertile period of her cycle then she should take emergency contraceptive pills within 72 hours of unprotected sex act.As you might be aware that pre ejacualtion fluid contains sperms enough to cause pregnancy. And it gets deposited without you noticing it. So even if you pull out before ejaculation , it is not a safe sex.It is not due to washed hands but due to pull out method , she stands chance to get pregnant.I hope this answer helps you.Thansk.Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "I am 29 year old. Married on May 2011. I took a CT scan and the result was \"Bulky left ovary showing well defined exophytic non enhancing cystic lesion extending to the pouch of douglas, measuring 3.9x2.4cm\". Doctor has asked me to take Krimson 35. is there any problem in becoming pregnant" }, { "from": "gpt", "value": "Hi there,I have understood your concern, I will suggest you best possible treatment options.Please do not panic.It looks like a functional ovarian cyst.Please fully trust in your treating doctor.Follow the Krimson 35 tablet course.Please repeat the USG after next menstrual cycle.Unless there is increase in the size or appearance of any symptoms, there is no need to operate on this size cyst.I hope this answer helps you.Thanks.Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "Hi mam .i have unprotected sex with my fiance .since 2 Months bt not regularly some times with protection nd some times without .Nd 2 times I used ipill .i was expected to get my period 25 Nd got,bt this month v had very less bt he never ejaculated .nd this month i dint get my period nd i have taken 4 Home pregnancy tests 3 Used in afternoon nd 4 th used in early morning 5.30 bt all were negative .nd i have pcod my periods always occur lately.bt i dint feel any said symptoms like breast sores.stomach cramps any thing like that.Nd how can i get confirmed that im not pregnent w/o consulting doctor nd my actually doubt is if i get period now still i b pregnany? Am i pregnant or not Nd i feel some thing very hard bw my lumbs" }, { "from": "gpt", "value": "Hi there,I have understood your concern, I will suggest you best possible treatment options.Please do not panic. If your urine tests are negative then you can assume that you are not pregnant.In case of doubt you can get blood beta HCg test or USG done to rule out pregnancy.Secondly, use of emergency contraceptive pills gives erratic withdrawal bleeding.It can be early or delayed, and scanty or heavy.Please get proper sex counselling done . Having safe and protected sex will prevent unwanted pregnancy and STDs.I hope this answer helps you.Thanks.Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "i would not display my name.i got married in 2010, i had one miscarriage, since then trying to conceive.Last month i visited gynaeacologist, she prescribed strone 200, evatone2, natvie, torchnil and fol123 , ubiphene tablets, i have done follicle study also, she had given me injection also, but still i got period yesterday." }, { "from": "gpt", "value": "Hi, I see you are anxious to conceive & also had a bad experience of an abortion. Pregnancy is product of huge permutations & combinations. Only the healthiest sperm meeting a healthy egg at right time & reaching a healthy uterus with normal hormonal status in body can give a healthy baby. Even a single wrong step here can cause failure. Only history you have given is married for 7 yrs. I expect Husband - Blood sugar/ Semen analysis at least 2 report > 4 weeks apart has been done & he has no sexual dysfunctions.Wife- Serum Thyroid profile/ Blood sugar Tubal patency tested by HSG( Xray with dye) or SSG ( Scan with dye) Laparoscopy Scan done to rule out any problems in uterus & ovariesInfections in both of you treated with good course of antibiotics (esp if you have excessive vaginal discharge, itching, pain during sex, repeated urinary infection.Don't worry even though it ended bad , you had a pregnancy. So you have a good chance to be pregnant again. As you married for so long , go for the next step based on the cause.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "I'd a miscarriage in August, one menstrual cycle completed in Sep after miscarriage, Later I didn't get periods in Oct, Pregnency test is positive now. Will there be any complications as I'm conceived immediately after miscarriage ? Do I need to take any extra care to protect my baby ?" }, { "from": "gpt", "value": "Hi , Conceiving after 2-3 mths of abortion is not a problem. I hope doctor had found a reason for that abortion, if not you should meet you doctor have an early scan to confirm health of the baby. You will also need extra hormonal support for this pregnancy & few investigations like blood Sugar, Serum Thyroid, Hb %, Urine routine & specific investigations based on previous results.Also do confirm if the pregnancy line in test is dark, hormones of previous pregnancy stay on for long & may give a positive result even without a pregnancy.All the best Dr.Balakrishnan" } ]
[ { "from": "human", "value": "hi i am 35 years old married woman and i have 1 son...after i deliver my son i used different contraceptives.iucd for 2.5 years ..pillls for around 3 monthes and injection for 5 monthes(2 month first and next 3 month).but just after 6 months after the last injection my cycle start to come regularly till now for almost one year...my problem is i can not get pregnant till now...i went to a doctor and he gave me clomiphen ...do you think ..this will be the solution ..i want to have my second baby badly." }, { "from": "gpt", "value": "Hi ,You definitely have a good chance to get pregnant, as you are in the correct age group & you already have a child. But don't waste time in small methods as you have reached 35yrs.Your ovulation is normal / regular cycles.But do confirm the patency of the tubes ( bridge between uterus & ovary where egg & sperms meet & form baby). Unfortunately you cannot see it on scan. Get HSG ( X-ray with dye) or SSG ( scan with dye ) or Laparoscopy .Hoping husband semen report is normal.Once all these are done you can try Ovulation induction with these tablets like Clomiphene , better with hormone injection. All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Yes, Hi i am very nervous and afraid i had sex may 29th protected but found out after intercourse the condom broke...i came on my period June 5th and i havent come on yet by my calculations if they are right i am 3 days late my question is would i be pregnant from the incident on the 29th even tho i came on my period or would this be a pregnancy occurring after June12 which is when i came off.. keep in mind i was having sex during my period during this week :-/" }, { "from": "gpt", "value": "Hello,Yes you can get pregnant if condom breaks during intercourse. But in your case, it's not around ovulation so you will not get pregnant. In a 28 days cycle if you keep relationship between 11 to 18 days, which is around ovulation then only you get pregnant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Hi Doctor. I having a bad white discharge with watery and sometime its dark yellow. Now im trying to concieve. its the discharge may cause any problem to pregnancy. because my 1st pregnancy my cervix open 4cm in 5 months plus. i had delivered my baby in 6 months plus and he past away later on. pls advice" }, { "from": "gpt", "value": "Hi , Your first problem is Cervical insufficiency- meaning uterus is not holding the baby back & giving away. That's the reason for opening up of cervix at 5th month. This problem can be treated only after you are pregnant. You will need a cervical encerclage or stitch in 4th mth.Second problem is Vaginal infection. Excessive white , especially yellow discharge signifies infection. You need to meet you gynecologist who will advise you & your husband a kit of antibiotics & antifugal medicines & follow up antibiotics, Husband will need local antibiotics & you will need vaginal antibiotic capsules. Try for pregnancy only after that. Both of you have to be treated because these infections are transmitted when you have sex. Don't have sex till you finish these medications. These infections can affect health of sperms & once pregnant can affect an already weak cervix.Don't worry these problems can be corrected & you will definitely have a healthy pregnancy.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "hi,,,im 25 y/o was diagnsed a while ago having bilateral polycystic ovaries,,,and retroverted uterus,,,with few fluid in the cul de sac,,,i was worried about it,,,my husband is working abroad,,,and he was about to come on end of nov this year,,,and we were planning to have a baby,,,hope so,,,do you think its possible to conceive having all of this???hope you can help me,,,thanks,,," }, { "from": "gpt", "value": "Hi.It is still possible to conceive, but do not take conception for granted and make sure you consult an obstetrician who will guide you through to conception and delivery.In my opinion, I am guessing you may require hormonal pills to help regularise your cycle before your husband comes, and then initiate fertility medication from there on. Please do speak to a doctor for proper guidance.Best wishes." } ]
[ { "from": "human", "value": "i'm 25 and im trying to concieve i love to masturbate im just worried that its keeping me from getting pregnant. also i was taking maca and it caused me to have my period for 2 weeks and i go to masturbate now and theres a small discharge i've stopped taking the maca and ive been off of it for about a month now. another question is: is there anything i can do to help me concieve easier im not one to have sex all the time" }, { "from": "gpt", "value": "Hi.You are sexually active and in a healthy manner which is why you enjoy masturbation, if you would put some more effort into communication with your partner, her can work towards providing the same kind of pleasure you receive through masturbation, if done right.There is no interference masturbation can cause in female fertility. It would although be better if you would go about a little more care during masturbation to make sure hygiene is taken care of.As for conception, sexual intercourse on a regular basis especially on the most fertile days of the month are advised, and there is no other way to it, unless you want to go about artificial insemination ma'am.Please do write to me using our premium service so we can have a one-on-one more private discussion.Best wishes." } ]
[ { "from": "human", "value": "hi there my name is s ,p and to cut it short am currently taking tramadol every day but me and my partner have been trying for a baby well second baby but its been more than a year and she just cannot concieve i wonder if tramadol has damaged my sperm and minimised the chances ., thank you" }, { "from": "gpt", "value": "Hi.There is no significant study or research to prove that tramadol has an effect on male fertility and if there is an issue, it could just be the more common ones like a hormonal cause, etc; request your wife to visit an obstetrician and gynaecologist who will find the issue and sort it out in no time.Best wishes." } ]
[ { "from": "human", "value": "hiii doctor m 24 yrs old, 3 yrs old married girl I was suffering from pcos n my doctor gave me 3 month course of elestra with y cyst m now my cycle is regular from last 2 months we are trying for conceive with diva hmg n hcg 1000 inj n my follicle ruptured in both past cycle but not conceived so doctor suggested me LEVO E this month.. my question is why he gave me contraceptive this month?" }, { "from": "gpt", "value": "Hi , Nice to hear that you had ovulation with those injections . When you are stimulated with hormones you get multiple follicles. Especially when you have PCOD, you may produce 5-10 follicles at a time. All these may not rupture, only biggest of these would have ruptured. The remaining un-ruptured follicles stay on for some time & keep producing hormones & it may affect your cycle & hence may affect follicular output of next cycle. By using contraceptive pills doctor is suppressing those unwanted hormones, suppressing those unruptured follicles & after this suppression next cycle when stimulation is done you will get better & healthier follicles. This is called Hormonal Down-regulation. All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "I am 40 since January I have two healthy boys aged 5 and 18th months old, I am trying to conceive for a few months but nothing is happening. My periods used to be regular and now vary from 26 to 29 days. I also suffer from endometriosis ,what are my changes getting pregnant." }, { "from": "gpt", "value": "Hi , After going through your history, you have few Plus & few Minus pointsPlus points - You have 2 children, your periods are regular ( 28 +/- 7 days are normalMinus points - Age of 40 rs , Endometriosis.But your overall chances for next pregnancy is very good. As your age is ticking , don't waste time with small steps, after 40 yrs pregnancy chances fall very steep.Kindly get tubal patency tested by HSG ( X--ray with dye) or SSG ( Scan with dye) or laparoscopy.Endometriosis & previous deliveries & even mild vaginal infections can block the openings of the tube . If blocked, no matter how healthy , egg & sperms will not meet. This cannot be seen on ultrasound scans.All the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hi, I am 31 yrs of age. I had 2 miscarriages in the past(Oct 20th 2013(6 weeks) and 15th June 2014(20weeks)). Thrombophilia report indicated Protein S deficiency. I am not yet pregnant but my doctor have started me on Ecosprin 75. Once I conceive what all medication or injections do I have to take considering Protein S deficinency? I am worried about miscarrying again." }, { "from": "gpt", "value": "Hi , Sorry about your bad previous history. But don.t panic, you are lucky to have a diagnosis & which can be treated.This condition is a family of disorders called Thombophilias. Blood has a tendency to clot / thicken, so indirectly reduce blood flow to baby. So baby will have reduced growth, reduced water around it , your Blood pressure may rise & suddenly baby heart beat stops.Before pregnancy any other member of that family of diseases has also to ruled out.You will need Folic acid through out pregnancy. Ecospirin has to be continued till 34 weeks. You will need Inj Low molecular weight Heparin Sub-cutaneous daily once baby heart beat seen on scan till 24 hrs before delivery & to be continued after delivery , based on evaluation , to avoid DVT after delivery.Hope I have addressed your concernAll the bestDr.Balakrishnan" } ]
[ { "from": "human", "value": "Hello sir.am using ovaashield tabs on prescription of doctor to conceive early. From 19 dt.pls may I know how many days I have to use this process and wen am going to conceive.and can I know after the mensus cycle wen I have to participate in sex for early pregnancy." }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options. First of all do not panic. If you have history of regular cycles then day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in this period, then You Stand chance to get pregnant. At least try to have sex at least on alternate days during this period I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Drink plenty of water in the day. Avoid deep fried foods , bakery products and refined sugars. Use of vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. Also , get husband's semen analysis done. You can get post menstrual HSG - hysterosalpingography done, to know bout tubal patency. .Plesse think positive. Meditate regularly. May God bless you with a bundle of joy. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... are you more likely to let pregnant from sperm that is from a 43 year old who has very very rare sex or a 28 year old who has sex every few days. from a 28 year old woman." }, { "from": "gpt", "value": "Hallow Dear, The woman is 28 years young; so very much in peak of the childbearing age. Now, the timing of intercourse is more important than the frequency of intercourse. The egg is released (ovulation) 14 days prior to the next expected menses; so it is easy to spot the day of ovulation in a woman who is having regular menstrual cycles. The egg has a life of 24 hours while the sperms are active for 3 days. Hence a period of about a week around the day of ovulation is fertile period. So more frequent intercourse during this fertile period is more likely to result in pregnancy. Intercourse on the day of ovulation is more likely to be successful in achieving pregnancy. If the semen quality and the sperm counts are within normal limits (as reported by semen examination), then a male of 43 years or of 28 yeas should not make any difference as far as the conception is concerned. The key factor is that the sperms should find live egg within 3 days of intercourse. I hope this clarifies your doubts. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, i am a 26 year old female and i ve been having painful pains on my waist, when i go to the doctors they are telling me that i have too many sores on my womb, do i still have a chance to get pregnat because i have been trying but no luck. what can i do?" }, { "from": "gpt", "value": "Hello,Thanks for writing to us. I will be able to comment further if you can upload any relevant reports. Erosion of the cervix and infection as such are not a hindrance to conception, and should be treated effectively. Infections, however, may delay the process. Polyps and fibroids can enlarge during pregnancy and can cause miscarriage. So, it depends on what you have and how treatable your condition is. Hope you find this information useful. Wish you good health." } ]
[ { "from": "human", "value": "Dear Doctor, My name is Mahesh and i have a wife. Our marriage done on August 2009. Till now we are in planning and now we changed our decision that we want a kid. My wife's menses period is starts in month end or start ( day may vary). Last period is started June 2. My question is that is this time is good for having sex to get pregnent. Can we make continuous sex every day.? I hope i will get a solution for this." }, { "from": "gpt", "value": "Hello,If cycle is regular like for example in a 28 days cycle if you have sex every day or alternatively between 10 to 18 days it's enough to get pregnant. As ovulation occurs around day 14.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "hello I had implanon implant in my arm after I hit my son in 2012 I just recently got it out in 2015 and March I didn t have it all the pregnancy symptoms sleeping en Noisia I even threw up a bunch of times I thought I was pregnant but just a little while ago I started to see blood could I be pregnant or was that just a sign that my period was coming over I do have a history of miscarriages I had 7 of them we don t know why and some of them was before 4 months and some of them were at 4 months could you please help me out" }, { "from": "gpt", "value": "Hallow Dear, With the history of repeated previous miscarriages, you have to keep possibility of miscarriage in consideration. You had nausea and vomiting along with a missed period. So the possibility of pregnancy is very high. In fact you could have gone for some pregnancy test earlier; particularly because you have a bad obstetric history. However, now you can submit yourself for ultrasonography. If you are aborting and the bleeding has not stooped, ultrasonography will clearly give you the evidence. If the pregnancy is disturbed and non-viable, you will require evacuation of uterus. However, if the pregnancy is still intact and not separated from the uterine wall, you stand a good chance to continuation of pregnancy. Your pregnancy test also then would be positive. In that case, please report to your Gynaecologist. Take complete bed rest. You may require some Progestational preparation like Susten or hCG injection to support and stabilize the pregnancy. I hope this provides you preliminary guidelines. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "am i pregnet?okay. so my breast are sore and enlarging in size. i have been having little cramping but not extreme. my period isnt suppose to start for another 6 days. i deside to take a pregnancy test today and it had a slight faint line. but visible to the eyes." }, { "from": "gpt", "value": "Hallow Dear, The first cardinal symptom of pregnancy is missing a period; all other cardinal symptoms of pregnancy like nausea and vomiting, frequent urination and breast symptoms start about a week after missing a period. So, your breast symptoms cannot be attributed to pregnancy so early. Cramps or any sort of pain in abdomen is not a symptom of pregnancy. The urine pregnancy test is reliably positive about a week after the missed period; however, Beta hCG pregnancy test on urine may show reliable results even few days before missing a period. Since it is done too early, it may show faint positive line. At this stage, Beta hCG test on blood will be more informative - values above 25 mIU/ml are diagnostic of pregnancy while in non-pregnant state, the values remain under 5 mIU/ml. I hope this should resolve your dilemma. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am 30 years, trying to concieve for the past 6 months, I am advised to take Glycomet SR 500, Folic acid and from today being 16th Day Duphston.I have been given HuCOG today and under folical monitoring. Wanted to check what are my chances of getting pregnant" }, { "from": "gpt", "value": "Hallow Dear, HuCOG is a hCG preparation which helps the release of the egg (ovulation) from a matured follicle. Glycomate with Clomiphene citrate helps the maturity of the follicles. Duphaston would work better if given after injection of hCG. In fact, when hCG is given, Duphaston becomes optional medicine. Folic acid helps the endometrium to grow and the follicle to be healthy. Please monitor the ovulation by ultrasonography. Mostly within 24 hours after the HuCOG injection, ovulation will take place. So have daily intercourse for next 48 hours. This will increase the possibility of pregnancy. I hope this clarifies your doubts. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "My medical insurance ran out about 2 months ago and that is when I stopped the generic YAZ birth control pill. I am almost 24 yrs old & I have been on different types of bc pills for 10 years and this is the 1st time I have not been on it. Now, I have not had a period for this entire time and am concerned. Took 2 at home preg test and both negative. Also, I have dropped about 20 lbs over this time too (was 145 now 125) and have been having very severe anxiety/depression... Over the past 10 yrs I have also experimented with all types of drug use. Is my body changing for good??" }, { "from": "gpt", "value": "Hallow Dear,Pregnancy test on urine is reliable after about a week of missed period; earlier these tests can report false negative results. However, since you have repeated the test twice, it is likely that later test was done after about a week of missed period. If not you may repeat the test on overnight early morning first urine sample after 4 more days. If this test also reports negative, you are not pregnant. There are multiple causes apart from pregnancy for missing a period. However, from your history, it appears that you are under tremendous depression and anxiety. Your feeling for permanent change in the body also seems to be out of anxious feeling. This is one of the very important and common causes of missing a period; and then irregular menses subsequently. Please report to some counsellor/psychiatrist with your anxiety/depression issue for effective management. Hormonal imbalance also can cause irregularity in the menses. Please report to your Gynaecologist for thorough investigations and management.Meanwhile you may take some progestational preparation like Deviry for 5 days and then hope for the withdrawal bleeding with 4-7 days after that, if you are not pregnant. This medicine should be taken with a Gynaecologist's advice only. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i had a missed abortion on august.on 10th month pregnency.bcoz baby's foetal pole is not seen.after 3month we are trying for pregnency.i want to know after happening that is it possible,same thing will be happen again with me?what is the reason that foetal pole is not seen in baby?" }, { "from": "gpt", "value": "Hallow Dear, When gestational sac is present without foetal pole, it is called as Blighted ovum. You seem to have such pregnancy in the past. Most of the time, such pregnancy is due to unhealthy ovum. The possibility of recurrence of such pregnancy is about 10%. Normal healthy pregnancies are noted after Blighted ovum. You may report to a Foetal Medicine consultant for evaluating both of you for any chromosomal issues. This might help you in planning a healthy pregnancy. Please start consuming Folic acid daily much before you are attempting the pregnancy. This will increase the possibilities of healthy pregnancy. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi.. I'm trying to get pregnant. Took clomid from 5th to 9th day. Started with duphaston on 16th day. But I have not ovulated yet.. It's been 2 days since I started duphaston.. So wil this be a problem for ovulating? If so, can I stop the medicine now.. I'm afraid it'll cause withdrawal bleeding now.. Pls clarify" }, { "from": "gpt", "value": "Hallow Dear, Clomid is Clomiphene citrate which helps release of the eggs in patients who fail to ovulate. My advice to you would be: 1. Start Clomid pills from day 2 onwards for 5 days. Do not carry on with these pills for more than 6 cycles. If you fail to conceive even after 6 cycles of Clomiphene trial, switch over to some other medicines like HMC/hCG combination for induction of ovulation. 2. From day 9 onwards, submit yourself for ovulation monitoring. The follicles between 18 mm and 21 mm in size release healthiest eggs. So when the follicle is of 18 mm size, Inj. hCG may be given for inducing the ovulation. After that, you should have at least alternate day intercourse for next 3 days. 3. The Endometrium (uterine lining) should be between 9 mm and 14 mm in thickness at the time of ovulation. 4. Duphaston may be taken after the ovulation has effected and confirmed; taken before ovulation may interfere the egg release. 5. Please get your tubal patency and uterine cavity evaluated by Hysterosalpingography and Laparoscopy. 6. Husband's sperms should be evaluated for quantity and quality by semen examination after 4 days of sexual abstinence. I hope this provides you preliminary guidelines. For more detailed consultation, you may ask me Direct question on this forum. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "HI, I am 30 years old and my husband is the same age. We have been trying to conceive for almost two years. I had a missed miscarriage last year in September and had a septum removal (disovered during the D&C) in February. Since March we are trying to conceive but nothing happens. I also take low dose aspirin every day prescribed by a doctor as they have discovered that my blood clots a bit more than usual. My husband is alergic to aspirin and now I am worried that maybe that might stop us from conceiving. I also have very irregular periods, but the doctors keep telling me that since I have conceived once it will happen again. So what test should I do to get pregnant faster and should I continue taking the aspirin. Thank You" }, { "from": "gpt", "value": "Hallow Dear, Low dose aspirin will not cause infertility. You are having irregular menses; so it is most likely that you may not be ovulating regularly or at all. Please submit yourself for ultrasonography for ovulation monitoring. If you are not ovulating, you may need some treatment for ovulation induction. If you are ovulating, then try to plan your sexual relations on and around the day of ovulation. Also get your tubal patency and uterine cavity tested by Hysterosalpingography and Laparoscopy. Any block and/or adhesions may require surgical intervention. Husband's sperm quantity and quality should be assessed by semen examination. Please report to an infertility consultant. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi Doctor, I am 29 years old, I am trying to get pregnant and have a PCOS. I took some hormonal injections in order to increase my ova to become to normal size. I got only one within normal range is 18 and my doctor gave me HCG injection.Since 10 days and till now I have been taking taking duphaston. Yesterday and today I started feeling dryness in my mouth. Please can you tell me what this means? Am I pregnant or sick? Can you help please. Many thanks" }, { "from": "gpt", "value": "Hallow Dear, So long as you are taking Duphaston pills, you will not get menses as these are progesterone pills. If it is 10 days after the last unprotected intercourse after the injection of hCG; please get Beta hCG test done. Values above 25 mIU/ml are diagnostic of pregnancy. Your follicle size of 18 mm was an ideal size for healthy egg. So pregnancy possibility is very high. If the test indicates that you are pregnant, you may continue Duphaston further with the advice of your Gynaecologist. In non-pregnant state, the levels are under 5 mIU/ml. If the levels indicate that you are not pregnant, you may discontinue Duphaston and you will get withdrawal bleeding within 4-7 days. Do not go on the symptoms like dry mouth. Morning sickness starts appearing about a week after the missed period. I hope this resolves your dilemma. Dr. Nishikant Shrotri" } ]

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