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[ { "from": "human", "value": "hello doctor i had diagnostic laproscopy on june 13 2011 doc said it everything was normal i gor married on 2006 this is 5th year i trying to conceive D&C is also done but no positive result has yet please help my name is roopa mangaloremath i am from pune" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Get serum TSH and serum prolactin tests done. Then do husband semen analysis. Go for follicular study along with clomiphene to know the exact time of ovulation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "hello doctor, since 6 yrs i am taking different types of medicines for pcod,now i have been prescribed for rejumet as i am now overweight even i am trying to get conceive for the past 4yrs but i am failure.is there any way to overcome with all this problem?" }, { "from": "gpt", "value": "Hi,PCOD is very complex disease and sometime difficult to manage. Treatment response is variable. Treatment should be taken under experienced gynecologist after USG scan, ovarian follicle study and reproductive hormone analysis. If your period will not regular then drugs like Krimson 35 will help you to regularize period. One your period will become regular then you use following treatment to attain pregnancy: - Continue Rejumet: It will induce ovulation, and reduce insulin resistance. - Clomiphene citrate: increase maturation of ovarian follicle and ovulation. If ovarian follicle will not rupture under ovarian follicle study then HCG injection can be use along with Clomiphene for 4-6 cycle. - Progesterone pill: in luteal phase to support implantation and pregnancy. Tablet Ovacare also increase chance of pregnancy. If medicine will not responds then go for ovarian drilling procedure. At last problem persists then IVF, IUI is the last option. Avoid stress, take healthy diet in small frequent meal, take more fresh fruits and green leafy vegetables, drink plenty of water, do regular exercise and reduce weight.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I am CD 32 today....my average cycle varies between 31-35... But for the last 10 days I have been expediency ovulation type of discharge 2 to 3 times in a day. My husband and I are trying to conceive. This morning I took a cipla home pregnancy test and it came negative. Can u still be pregnant." }, { "from": "gpt", "value": "Hi,White discharge could be symptoms of pregnancy. You did pregnancy test very early and it can not detect pregnancy at this time.You have 31-35 days cycle. I would suggest to go for urine pregnancy test once your period will delay by 7 days. So go for pregnancy test after 7 days. But at present you can go for blood HCG test.It is accurate test and detect pregnancy just 10 days after delayed period. It is more helpful to detect pregnancy as you have irregular period. Meanwhile avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hello doctor,My problem is pcos and doctor advised me to take benforce-m and ferpill kit (from 3rd day of mensus)and go for scan from 10th day on 13th day report was given as follicle ruptured and follicle size is 17mm now can i meet with my husband for fertilization" }, { "from": "gpt", "value": "Hi,Benforce M will help to reduce insulin resistance and induce ovulation. Ferpill contain Clomiphene. It increase FSH and LH, cause induction ovulation and increase fertility. You have follicle rupture and it was 17 mm size. So it is adequate follicle size that cause pregnancy.Life of egg after rupture is around 24 hours.I would suggest unprotected sex for next 1-3 days to become pregnant. You can also ask doctor for Progesterone pill to support implantation and pregnancy. Avoid stress, take healthy diet, drink plenty of water, and maintain proper pelvic hygiene. Hope this may help you. Contact further of follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi, I am 30 yrs old, took siphene 50 mg last month on the 3rd day of period got the follicles study done followed by hcg 5000 injection and then took susten 200 for 12 days. Now i have my periods 3 days early first 2 days normal bleeding (not heavy like i used to have) and 3rd day spotting. I am worried what to expect as i am suppose to start taking siphene 50mg from 3rd day onwards." }, { "from": "gpt", "value": "Hi,Siphene contain clomiphene citrate. It cause increase in LH and FSH hormone, Results in ovarian follicle maturation, followed by the pre-ovulatory LH surge, ovulation, and the subsequent development of the corpus luteum. So after taking Siphene, there is maturation of ovarian follicle and rupture of follicle (ovulation). It should be monitored by USG scan/ovarian follicle study. But some time ovulation may occur but the ovum may not release. If the size is more than 2×2 cms, you should go for HCG injection with your doctor's advice to rupture follicle. So you can use Siphene for 4 to 6 cycle. Avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi.i am jknkjn mkl,33 years old.i have a son who is 7 years old.after him i didnt conceive.last year in june i had a surgery to remove endometriosis.after which i was given 3 zoladex injections.i am using prolifen for the last 4 months but still the same.n my periods are as painful as they were before my surgery.plus it makes me despondent too as my son often demands siblings." }, { "from": "gpt", "value": "Hi,I guess your concern about for painful menses plus conceiving for the next baby. Treatment information given by you seems correct. Endometriosis is a health problem in which pt will have painful menses and difficultly in conceiving. The surgery and medicines (Zoladex, Prolifen as told by you) is usually given for endometriosis treatment. But, when the surgery was done and when the medicines were started, this information is not shared by you. The dosing of medicines is also not told by u.so i cant comment on the medicines. Dont worry, once the problem of endometriosis is solved you can conceive for next baby. My suggestions:1. Usually it takes some time for the medicines to have their effect. Sometimes the medicines start working early and sometimes it takes little extra time. 2. So have patience. Wait for few more days. if still their is no improvement in painful menses, revisiting your treating doctor. Your other concern is to conceive for next baby. Endometriosis is one of the cause of infertility (infertility in medical term means unable to conceive). So a patient on treatment for endometriosis is usually having difficulty in conceiving till successful treatment of the problem.My advice:1. Revisit your treating doctor, to discuss about conceiving for the next baby and presence of painful menses inspite of taking medicines.2. You may also consult a nearby infertility specialist.I hope the information is useful, informative and helpful. I wish and pray almighty that your son will be getting a cute sibling as soon as possible. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sudha Rani Panagar" } ]
[ { "from": "human", "value": "hello I am a 24 year old female I got tubes tied 2 years ago and am I wondering what is the procedure or necessary steps when a cycle is late or missed. I am terrified of being pregnant again or having a ectopic pregnancy. If someone could assist I would appreciate. I have reached out to my doctors office but haven t yet received a response back." }, { "from": "gpt", "value": "Hi,I guess your concern is missed menses thereby ectopic pregnancy. Sometimes there will be menses irregularity after tubal ligation. This happens because the blood supply to the ovaries will be altered due to tube ligation. So the ovaries which are getting altered blood supply do altered/ irregular menses. The normal pattern of menses will resume slowly. So, don't worry. But there are the chances of ectopic pregnancy after tubal ligation. However, the chances depends on the type of surgery done for tubal ligation. As the type of surgery is not known, I can't comment on the chances of getting pregnancy or ectopic pregnancy.My advice:1. Wait for 4 to 5 days for menses to happen, if u still don't get menses go for a urinary pregnancy test. If it is negative we can wait for 5 to 6 days, if still no menses you have to revisit your treating doctor.2. If the urinary pregnancy test is positive, immediately visit your treating doctor. Usually a scan (ultrasound of abdomen and pelvis) to cross check and confirm the ectopic pregnancy is done. If it is confirm, your treating doctor will help you further.I hope this information is useful, informative and helpful.Regards,Dr. Sudha Rani Panagar" } ]
[ { "from": "human", "value": "Hi doctor, i have PCOS problem and i am planning for pregnancy, right now i am using APCOD and simultaneously planning for children and recently i had follicular study after menses which states that Retroverted. Uterus measures 5.7 x 3.0 x 3.7 cm, Normal size and shows multiple nobothian cysts seen in cervix. Endometrial echo thickness is measures 4.9mm. Ovaries: Right ovary: 3.4 x 2.1 x 2.0 cm (Volume 8cc)Left ovary: 3.6 x 2.4 x 1.6 cm (Volume 7cc)Multiple small follicles seen in both ovaries.No evidence of free fluid noted in pouch of douglas.10 th day Right ovary follicle : 11 x 7 mm , Left ovary follicle 11 x 6 mm and Endometrial 4.9 mm12 th day Right ovary follicle : 11 x 7 mm, Left ovary follicle 11 x 6 mm and Endometrial 5.4 mmI request you to please suggest as doctor suggested to take injection.Is there any development in my folicullar study. I request you to please suggest to conceive.Thanks you and waiting for you reply" }, { "from": "gpt", "value": "Hi,I guess you concern is about follicular development and about the injection. Usually a scan to assess follicular size is done from the 10th day of menstrual cycle. This scan is done consecutively for 4 to 5 days. It is difficult to comment on the follicular size based on 2 days scanning. So it is difficult for me to comment on your follicular size query. Still, 11.7 mm on two different scan days may tell inadequate follicular development. However, your follicle may increase in size in next few days and in the scan report it may show that your follicles are developing. So it is difficult to comment on this two scan findings. Your next concern about the injection. Usually the standard protocol is to give injection 16-20 mm sized follicle to rupture. Though, based on the treating doctor practical experience, he may decide the timing of injection.My advice:1. Get consecutive 4 to 5 days scan done to comment on the follicular development.2. Request your treating doctor to discuss freely about the timing of injection.I hope this information is useful, informative and helpful. Let me know if I can assist you further.Regards,Dr. Sudha Rani Panagar" } ]
[ { "from": "human", "value": "dr. im 42 years old, my first baby expired before four years who was 10months.my and my hsbnd reports are fine.why i cnt concieve again .he dnt want I.V.F.how i can concieve natarully.wht is my healyh problem.i want to concieve naturully as soon as possible not by i.v.f.can m2 tone help for it." }, { "from": "gpt", "value": "Hi,I guess your concern is about getting pregnant, naturally without IVF, at the age of 42 years. You have mentioned that you are taking medicine - M2 tone for regularization of menses. The dose, and since when you have started taking the medicine is not shared by you. After taking the medicines whether the menses have become regular or not, it is also not shared by you. It is nature's rule, as we get older the functions of our body will be decreased quantitatively and qualitatively. The ovaries also decrease in its function as women become old. The reproductive age group, that is maximum chances of conceiving is more usually at 20 to 40 years. Around the age of 50 to 52 years, women stop her menses. This indicates she can't conceive anymore. The age 45-48 years is a transition zone from highly reproductive age group to the age group where menses stop. And here the chances of getting pregnant are not as high as reproductive age group and not low as 50- 52 yrs of age. But still there is a chances of getting pregnant in this transition age, and you are at 42, so there is a hope of getting pregnant. Be positive and don't lose hope.However, irregular menses at this age decreases the chances of pregnancy. But, as you are on medicine for irregular menses, once the menses becomes regular, the chances of getting pregnancy increases. So there is double positive hope for you. Some people though they are in reproductive age group, because of problem, either in husband and wife, chances of getting pregnancy decreases. You have told that 'MY AND MY HUSBAND REPORTS ARE FINE'. So there is triple positive hope. As you have lost your first child and you are at the transition zone, its better to go for a accelerated method of pregnancy.The accelerated methods are-IVF, GIFT, ZIFT, ICSI. The advantage of accelerated methods is getting twins of triplets is also there. My suggestions:1. Have patience. Wait till the menses becomes regular. Then pray to God for natural method of getting pregnant.2. At the age of 42, transition zone I would recommend u for accelerated methods - assisted reproductive techniques (ART) - IVF, ZIFT, GIFT, ICSI and to visit nearby infertility specialist to know pros n cons of each. I pray God to give strength to your family about the loss of first child and bless you with a cute and healthy baby as soon as possible.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sudha Rani Panagar" } ]
[ { "from": "human", "value": "hi m ity wife is going to take ovamet to trying to get pregnant but a doctor say starting take on 5th day of the cykel but her friend had used it on the 1 day of the cykel and she say start take it on the 1 th day of cykel whats the right ting to do? chris" }, { "from": "gpt", "value": "Hi,Ovamet contain Clomiphene CitrateIt help to increase FSH and LH, induce ovulation and increase chance of pregnancy. There are several documented regimens regarding Ovamet. The most common regimen is to take the Clomiphene (Clomid) starting on day 5 after the start of menses for 5 days ending on day 9.Another regimen is to start on day 4 through 8 and a recent publication indicates the Clomid can be taken on day 1 through day 5 with a very successful pregnancy rate. So regimen varies form doctor to doctor. You can follow your doctor's advise and go for USG scan/ovarian follicle study for monitoring after taking it. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi Doctor, I am 26 year old. From last 1 year we are trying for child but I am not able to conceive. Finally we visited to doctor in last month. He advised me to take clofert 50 from 2nd of period for 5 days. However there is no positive result. .I got period in this month. This time doctor again advised me for clofert 50 only. Kindly help and please let me know what are steps for to get pregnant and how much time it will take?" }, { "from": "gpt", "value": "Hi,You and partner require infertility specialist consultation. I would suggest to go for reproductive hormone analysis, USG scan and ovarian follicle study for you, and semen analysis for your partner for better management. Specific treatment will depend on tests results. Clodert will use to induce ovulation. It should be used for 4-6 cycle and regular ovarian follicle study will require to monitor ovarian follicle growth.If there is no maturation of follicle and ovulation after taking it then HCG shot shot should be taken. You can also ask for progesterone pill in second half of period and ovacare to support pregnancy. Avoid stress, take healthy diet, drink plenty of water and do regualr exercise.Hope this may help you, Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi. iam 29yrs old.....trying to conceive for at least 5yrs now......my husband and i had full check up but it came out normal. the only issue with me is i have low platelets and low iron level....just curious if platelets level low has anything to do with my problems in conceiving" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You can conceive. How much is the platelet? Any recent history of fever or joint pain. For iron, you can start taking tablets from 4th month.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Hi I had unprotected sex with my husband on Saturday he went in me , since then I have been discharging clear / sticky stuff it doesn t stink or smell at all But it does scare me it s too early to take a pregnancy test it only been 4 days ago, my last period was the beginnings of April and it s irregular so I don t know when it s supposed to come or when I m ovulating like I said I had unprotected sex on Saturday May 10th can I be pregnant? ?" }, { "from": "gpt", "value": "Hi,I understand your concern. Your last period was on beginning of April. And you had sex on may 10th. I think it is safe period of cycle so chance of pregnancy is less. I would suggest to go for blood HCG test 10 days after sex to confirm pregnancy id period will not come. Blood HCG test is more accurate compare to urine pregnancy test as you have irregular period. Clear discharge could be a cervical mucus, cervix irritation.If it will continue then consult gynecologist. Avoid stress, take healthy diet, drink plenty of water, wash vagina with warm water 2 to 3 times per day and wear pure cotton loose inner.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi, I am 32yrs and need some urgent help to understand my semen report. After confirming that my wife has PCOD, her gynaec also suggested my tests.Please let me know if this is a problem? Is it curable? Will it impact conception as we are eagerly planning a baby? SEMEN ANALYSISMacroscopicVolume:2.0 mlColour: Pearly WhiteReaction / pH: AlkalineViscocity: NormalLiquefaction time: 30 MinutesMicroscopic Sperm Count: 70 Millions/mlMotility *Active: 60%Slugglish: 10%Non motile: 30%MorphologyNormal forms: 80%Abnormal forms: 20%Other FindingsPus Cells: 6-8/HPFRBC: 1-2/HPFImpression: NORMOSPERMIA------SEMEN CULTURE AND SENSITIVITY (VITEK)IDENTIFICATION INFORMATIONSelected Organism: Enterococcus faecalis (Plenty growth)Benzylpenicillin: SENSITIVE (4)Ampicillin: SENSITIVE (Gentamicin: SENSITIVE (SYN-S)Ciprofloxacin: RESISTANT (>=8)Levofloxacin: RESISTANT (>=8)Erythromycin: INTERMEDIATE (4)Nitrofurantoin: SENSITIVE (Tetracycline: RESISTANT (>=16)Tigecycline: SENSITIVE (Vancomycin: SENSITIVE (1)Linezolid: SENSITIVE (2)Quinupristin/Dalfopristin: RESISTANT (8)Please let me know how serious is this problem of mine? Thanks." }, { "from": "gpt", "value": "Hi,I will suggest you the best possible treatment options. I have gone through your semen analysis report, it shows normal sperms count. But presence of pus cells is a matter of concern. Please seek prescription support from your treating doctor for suitable antibiotics to get rid of the infection. For your wife, I will suggest that she should opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. 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. Let me know if I can assist you further.Thanks,Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "hi... Nisha.TRying to conceive from last 4 months.. so the last i had periods on 8 May.. my gynee suggest that i had folidullar test.. i took test on 17 may which is ends on 23 May... egg raptured on 23 may.. got intercoursed on 24 may and 25 may... how much percentage of getting pregnant" }, { "from": "gpt", "value": "Hi,I will suggest you the best possible treatment options. First of all do not panic. In a couple with normal semen analysis of the partner, a patent fallopian tubes, if intercourse happens on and around the days of ovulation, the chances of getting pregnant are almost 16 % . Meaning 1 in 6 times. Please follow your gynecologist treatment advice. Let your partner be on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan to get pregnant. Be happy. Eat healthy food and have regular exercise. All things will be fine. May God bless you with a bundle of joy. I hope this answer helps you. Let me know if I can assist you further.Thanks,Dr. Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "Hi, my husband & I had unprotected sex but use the \"pull out method\" i have cramps on the right pelvis, light dizziness, light nauseated feeling in my tummy. My period should be due really soon. Not sure when.. Could i be pregnant? Or just early pms symptoms? Never felt dizzy or nauseated before from pms. Took a test..it wad negative" }, { "from": "gpt", "value": "Hi,Yes there is chance of pregnancy. You can get serum beta HCG test for conformation of pregnancy.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Soumya" } ]
[ { "from": "human", "value": "hello doctor,i m 35yrs old ,hight 5.2 ft,weight 50 kg I m mom of 7 yrs old child ,nw planning for next 1,bt unable to conceive.my hsg s normal,ultrasound report of 10th day s rt.ov-23mm,21mm,16mm, lt .ov-16mm,endometrium-7.2mm... s that normal or not? am I able to conceive?" }, { "from": "gpt", "value": "Hi,As age advances chance of conception becomes low because eggs start decreasing in number. Please get serum AMH to know your egg reserve. You may need some ovarian stimulation. Visit gynecologist.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Soumya" } ]
[ { "from": "human", "value": "I recently took Clomid to try to get pregnant. I went in for a follicle scan and my dr said I had one good follicle but it was still too small (15mm) So he had me come back three days later. After two days I did an OPK and it read positive. I went in for a follicle scan today and he said that my follicle must have ruptured on its own. My husband and I had intercourse last night. If my follicle ruptured yesterday, do I still have a chance of getting pregnant? My doctor told me to have intercourse tonight and tomorrow night also? Is that correct?" }, { "from": "gpt", "value": "Hi,Follicle size of 18-21 mm release best quality egg and high chance of pregnancy. Egg will live for 24 hours after rupturing. So you have to do sex before 24 hours and 24 to 72 hours after rupture of follicle. Your follicle has been ruptured and you had sex yesterday, so there is chance of pregnancy. Continue to do sex next 1-3 days. You can also take progesterone pill after ovulation. It will make uterine environment favorable for implantation and support pregnancy.You can also use ovacre to support pregnancy. Avoid stress, take healthy diet, and drink plenty of water.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "We had an unprotective sex, the penis penetrated deep inside,the time he was about to ejaculate he immediately took out and removed the penis and ejaculated outside ,just a few drops came on my vagina while he was taking out. I rushed to the washroom,washed myself and passed urine, my periods were over just 2days before this incident. Are there any chances to get pregnant" }, { "from": "gpt", "value": "Hi,No, the couple of days after your period there are no ovulation so you cant get pregnant in them but just to make sure you can take the morning after pill in the following day.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "Hi Doctor, I got married on june 15th. I was on contraceptive pills (yasmin) till june 15th. I had unprotected sex on june 16th to 18th.After my periods from 18th.I started with the pill from 26th June. I got my periods on 20th of July. And in july on my 6th day of my period i had unprotected sex. Are there chances of pregnancy? Please suggest. Thanks, Rina" }, { "from": "gpt", "value": "Hi,Yes there is a chance of getting pregnant as ovulation can occur early in some cycles and you could be ovulating at that time.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "Dr,yesterday I went for follicular studies on my 17th day doctor said that both sides got ruptured and suggested me to take gestone200mg endomet is 13.3 is this reading is possible to get pregnant and I want to know the meaning of ruptured pls do answer my question" }, { "from": "gpt", "value": "Hi,Your follicular study suggest rupture of ovarian follicle/ovulation. It suggests ovulation has been occur. You have to do unprotected sexual intercourse with in next 24 hours to 2-3 days to become pregnant. Thickness of endometrium is enough for implantation. You can take gestone: it will make uterine environment favorable for implantation and support pregnancy. You can also take ovacare to support pregnancy. Avoid stress, take healthy diet, drink plenty of water, maintain proper pelvic hygiene and take proper rest.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi doc, my doc have out of fociluar study and yest I was given hcg 10000 injection in evening at 7pm. What are my chances of pregnancy this time. When should I have relationship with my husband. Please help. I m 32 yrs married since 3 yrs eager to conceive." }, { "from": "gpt", "value": "Hi,The Hcg injection will make your ovary ovulate after 36 hours from taking it. You should have intercourse after 36 hours of the injection. This is the time where you have the highest chance to concieve.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "Hello, I am 27 years old, married for 2 years and planning to conceive. I missed my periods for almost one and half months now. I went for an ultrasound scanning of pelvis, Urine tests are negative and the doctor stated that I have a cyst 48*43 mm (size) in the right Ovary. Can I get pregnant? How do I plan it?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yes you can get pregnant. First your cyst should decrease in size. Take Regestrone which stops getting withdrawal bleeding. Start taking OCP from the fifth day in case cyst has not decreased in size. If cyst has decreased in size then can go for follicular study with clomiphene.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "I am not mentioning my name but still need kindly suggestion from you regarding the ivf procedure. In 11 th day of my cycle, the follicular size is 15 mm and blood flow is 3/4 but the endometrium thickness is still 6 mm after taking one round of injection called HMG 75 iu. in these situations, i am bit confused whether to transfer embryos or to not to go for it." }, { "from": "gpt", "value": "Hi,The endometrium thickness of 6 mm is thin and will decrease the chance that you get pregnant. It is better that you vitrify the embryos (freeze them) in the IVF lab and transfer them when your endometrium is more appropriate.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "Hi I had a day 12 scan & the doctor said that on my right side I have a 17x17mm & on the left size a 14x14mm follicles & gave an injection to release it. I was injected on Monday around 9.30 a.m. & I had intercourse on Tuesday night & Wednesday night . What I need to know is whether I have a positive chance getting pregnant." }, { "from": "gpt", "value": "Hi,Yes you have a chance of getting pregnant as the injection induces ovulation after 36 hours which means that ovulation occurred Tuesday evening.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "hi, this is Pavithra I miss my periods from past 4 days. I am taken BHCG it shows result like 145.20, but doctor told me like u have an chemical mix pregnancy u have take another time BHCG test after 4 days. Plz tell doctor me it is abnormal pregnancy (28 days cycle)" }, { "from": "gpt", "value": "Hi,No this is not a sign of abnormal pregnancy. The sac of the fetus appears after 2 weeks from the missed period and until then any pregnancy is termed chemical pregnancy until the sac appears.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "Me and my gf having sex on 25 th april we use condom but we noticed that condom was lickeage my gf has take ipill within 9 hrs .I want to know there is any chances to get pregnancy ? After taking ipill next day she had lower abdominal pain and little headache. For taking ipill is there is any sife effects for delay of periods ." }, { "from": "gpt", "value": "Hi,I-pill has a success rate of 94-98% which means there is a 2-6% of getting pregnant while using it. To increase the success rate she should take another i-pill in the following day.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "My husband semen test shows result as follow total sperm count 76.8, total progressive motility 80.0, predominant motality grade ll ,longevity 65.0, normal morphology 80.0,motile sperm concentration 61.4, total functional sperm conc 49.2 is this report normal I am all ready having an daughter can I have boy with this report not able to conceive last 2 years all of my report (female) are normal" }, { "from": "gpt", "value": "Hi,This semen report is completely normal but regular semen analysis does not show whether sperms carry X chromosome (conceive a girl) or Y chromosome (conceive a boy).Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "Hi, i am ambika n i am 28 yrs and i am married since 7 yrs but no issues yet... Me n my husband are trying for child since 3 yrs by natural method but no pregnancy occured and so i am taking treatment from last 3 months and this month my gyne has adviced me to take ecosprin 75 mg once daily for 10 days... How will this drug help me in conception ?? Please answer my query as i am tensed alot. Thank u" }, { "from": "gpt", "value": "Hi,Ecosprin will help to prevent miscarriage due to coagulation/vascular defect. Ecosprin prevents clotting of blood vessels and thus increases blood supply to the baby. It should be started as soon as the cardiac activity appears. I would suggest to go for APLA screening, PT, APTT and ICT Beta-2 microglobulin antibodies, thrombophilia profile to rule out any coagulation defect. So it should be taken under evaluation to maintain pregnancy in history of repeated miscarriage due to coagulation defect. So you can ask about coagulation defect. If above test will come normal then no need to take it. But it should be started once cardiac activity of baby appear in USG. This drugs will not help to conceive. I would suggest to consult (both partner) infertility specialist and undergo work up.For you: reproductive hormone analysis, USG scan, ovarian follicle study. For partner: semen analysis, testosterone. Specific treatment will depend on cause: Drugs like clomiphene, progesterone, HCG injection will help you to become pregnant.Avoid stress, take healthy diet, drink plenty of water, do regular exercise. Avoid alcohol and smoking.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi Dr. Mia, I had abortion in May, 12 and not getting period after that. Now my gyne prescribed me for DUB-5, and once period will come, she advised to take Novelon (for 21 days), but I want baby now, so can I switch for Metformin instead of Novelon as I also have PCOD problem in past. I think Metformin will help me to induce ovulation." }, { "from": "gpt", "value": "Hi,You have PCOD. So main aim is to regularize period. DUB 5 will help you to induce period and Novelon will help you to regularize period by correcting hormonal imbalance. You can also use Metformin to induce ovulaltion under advise of gynecologist once your period will become regular.You can also ask for progesterone pill from day 15th to 25th: it will help in implantation and support pregnancy. Other drug like Clomipehe can be used to induce ovulation and maintain fertility. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and reduce 10-12% body weight if you are obese.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "GREETIS DOCTOR. IM ON ORALCON FOR 3DAYS. THE THING IS I WANT TO GT PREGNANT AND I WAS ON INJECTION SO IM NT FALIN PREGNANT. I HAV MY PERIOD REGULAR BUT NOTHIN HAPENIN. NURSE TOLD ME TO TAKE ORALCON FOR 3MTHS DURIN WHICH I MUST HAVE INTERCOURSE N MISS THE PILL ON THE DAY I HAV INTERCOURSE. WILL I GT PREGNANT" }, { "from": "gpt", "value": "Hi,You have to stop Oralcon as it is oral contraceptive pill and prevent pregnancy. Your period is regular. I would suggest to consult gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management. Following treatment will help you to become pregnant. Progestrone pill in second half of period: it make uterine environment favorable for implantation and support pregnancy. Tablet Ovacare will also help to become pregnant. Other drugs like Clomiphene, Metformin, HCG infection should be given after complete evaluation.Also go for Semen analysis of your partner to confirm no any issue in male reproductive system. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I want children.. I have none, I ve suffered a stillborn and one miscarriage. Ever since my still born, my menstrual cramps are severe to the point I m crying in pain then exhausted falling asleep also, the pain is only on my right side. My gyno for my miscarriage did not take into consideration my questions and worries. They said my ultra sound looked healthy. I m trying to get pregnant still new at it but have no idea if there is something wrong I just need advice, even what to ask my gyno next time." }, { "from": "gpt", "value": "Hello,I can understand your concern. First let me ask you some question are you consciously married? How was your ultrasound of your stillborn (how many months baby) did it show any abnormalities?. It's better for you to go for genetic counselling. That might help you to detect any chromosomal abnormalities. It can be done by a blood test of you and your husband. If its normal then no need to worry otherwise try to avoid travel. Eat healthy stay healthy and also do a blood test to rule out viral infection." } ]
[ { "from": "human", "value": "Hi Doctor, Me and my husband are planning to have a baby soon.So i have some questions to be answered. 1.will there be a problem for the baby if we both have same blood group(i.e B+)? 2.At what time of ovulation is perfect to conceive? 3.Can i travel on plane in 3,4 and 5 th months?If not when can i travel? 4.Are there any particular positions to conceive a baby boy? 5.Do i need to take any pre natal supplements before conceiving?if yes can you suggest me the name. That s all for now...I feel happy if anyone answers my questions... Thank you!!!!" }, { "from": "gpt", "value": "Hi,Being of same blood group with positives will not be a issue only if both of you are of different rh, for example if you are negative and your husband is positive it will be a problem. And since your trying to get pregnant don't stress yourself with so many questions. Travel during first trimester should be avoided to be on safer side. Second trimester you should ask your gynae and take opinion before travelling as they know about your health condition.I wish you all the best for you. just relax and go ahead." } ]
[ { "from": "human", "value": "If I take a pack of Minigynon before my menstrual cycle which is due on the 4th of May,when should I stop taking it so that i can get pregnant at the end or beginning of May and June respectively (i.e. ovulate around the 27th of Mya). is this good for child-bearing?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Minigynon is a birth control pill. Your period is due on 4th of May than from 3rd of May stop taking the pill. From next cycle, you can try to conceive.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Im 44 years old, the first day of my last period was 5/9/14 it was a 25 day cycle lasting for about 5 days. I have not had a period yet. My breast has been sensitive to touch for about a week. I have noticed a slight weight gain. At 44 am I to old to get pregnant?" }, { "from": "gpt", "value": "Hi,If you feel that you might be pregnant you go ahead with home pregnancy test or do a blood test for pregnancy to conform. If the test shows negative do a blood test for Haemoglobin and also a thyroid functional test. Stay healthy." } ]
[ { "from": "human", "value": "i have PCOD and planning for baby.currently my doctor prescribed fertyl 150 mg and dhuphaston .After Ovulation i am getting injection for egg release.this is the fourth cycle of fertyl. first 2 months with 50 mg, and 3rd cycle with 100mg and fourth is 150 mg.what are the chances with fertyl and is there any side effects.my age is 27 and weight 58" }, { "from": "gpt", "value": "Hi,Fertyl contain clomiphene. It causes following side effects:- abnormal vaginal/uterine bleeding, breast tenderness or - discomfort, headache, nausea, vomiting, diarrhea, flushing, blurred vision or other visual disturbances, or - ovarian enlargement: presenting as abdominal or pelvic pain, tenderness, pressure, or swelling. Twins in 8-10% cases, ovarian hyperstimulation syndrome.But all these symptoms does not occur in all cases. Do not use more than 6 cycle and take it under advise of gynecologist. Contact your doctor immediately if you have shortness of breath, seizures, stroke, chest pain, and decreased urination. It will increase chance of ovulation by 80% and increase fertility in 45-50% cases. Along with Clomiphene you can also use HCG injection for release mature egg from follicle. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed. Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi doctor im trying to get pregnant my doctor gave me FERTAB- 50 to take second day of period, and to go back to her day 12 of my period and she will give me a shot, what is this injection for? And she said that i have to stop sex till day 12 also, just want to know the reason behind it, ?? Thanx" }, { "from": "gpt", "value": "Hi,You are on Fertab which cause increase in FSH and LH. It cause ovarian follicle maturation, followed by the preovulatory LH surge, ovulation, and the subsequent development of the corpus luteum. Doctor gave you shot at the 12th day of period. Most commonly it was HCG shot. It will be given after confirming ovarian follicle size to induce ovulation (to release egg form the mature follicle). It's effect will seen after 24 hours only. So you have to do sex after giving HCG shot to become pregnant. So do sex for 4 to 5 days after HCG shot.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi i'm elakkiya i'm 25 years old i check my ovary in foliculary study test after 12th my both right and left side ovary developed then me and husband contact on the next day again i take scan in that scan the result is ruptured. my question is after rupture is it any possible to get an pregnancy" }, { "from": "gpt", "value": "Hi,Yes pregnancy is possible after rupture of the follicle. In fact pregnancy is possible only after rupture of the follicle. Now let me explain you this.A follicle ruptures to release egg. Usually the eggs released from the follicles of size between 18 mm and 21 mm are the healthiest eggs having maximum possibility of successful pregnancy. An egg has a life of 24 hours while the sperms are active for 3 days. Hence, sexual intercourse even 3 days before the rupture of a follicle (or release of an egg) can cause pregnancy. Since the egg has a life of 24 hours, sexual intercourse within 24 hours of the rupture of follicle can result into pregnancy. I am sure that now you are convinced that unless the follicle is ruptured, egg cannot be released and thus pregnancy is not possible. The pregnancy is possible only after rupture of a follicle. From your history, it appears that you had sexual relations on the day of the follicular rupture, so you have maximum chances of pregnancy. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, i m having PCOD and i m overweight.. I m having irregular periods. I consulted Dr. she told me to take Deviry for 5 days and i have completed the course but still dint got my peroids is there any chance of pregency while i have skip my periods after taking deviry." }, { "from": "gpt", "value": "Hi,Deviry is a progestational medicine. In cases of delayed menses, this medicine is prescribed for 5 days. After discontinuation of the tablets, usually within 4 to 7 days, withdrawal bleeding is observed. So do not be impatient. Wait for few days and you will get menses. However, Deviry alone is not prescribed to achieve pregnancy. Since you are having Polycystic Ovarian Syndrome (PCOS), you will have to take medicines for inducing the ovulation (egg release). PCOS is a condition which is characterised by failure to release eggs. The medicines used for induction of ovulation are Clomiphene citrate or HMG/hCG combination. You will have to undergo a battery of investigations like blood levels of FSH, LH, Oestrogen, Progesterone, Prolactin, and AMH.Based on the results of the investigations, medicine(s) for induction of ovulation will be chosen. The medicines for induction of ovulation are given only after inducing the menses to prevent their use in undiagnosed pregnancy. You have to work actively to reduce your weight. Please maintain your BMI between 18 and 23.9. Please report to your Gynecologist after you get withdrawal bleeding so that you can be given medicines for induction of ovulation. I hope along with resolving your dilemm.I have provided you some preliminary guidance. Hope this will be helpful. Let me know if you require further advice. For more detailed advice, you may ask me direct question on this forum. Regards,Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello. I been taking the hcg activator capsules for 11 days. (2 in the morning and 2 around lunch). My period has been late this month for 7 days. I just took a pregnancy test and it came out positive.... Can it be due to the capsules? And also at this point if I were pregnant could those capsules have harmed the baby? Thank you." }, { "from": "gpt", "value": "Hi,HCG activator capsule dose not cause positive pregnancy test. Your delayed period by 7 days and positive pregnancy test suggest pregnancy. These tablet does not affect the baby. I would suggest go for blood HCG test to confirm pregnancy as it is more sensitive and specific than urine pregnancy test. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Two weeks after my abortion, I had unprotected sex but my boyfriend didn't finish inside, I took plan B 30 hours later! the first time I got pregnant I took the pill 72 hours after having unprotected sex, plan B didn't work.I am super scared. I know I shouldnt have done that plz dont judge" }, { "from": "gpt", "value": "Hi,You took plan B pill 30 hours after unprotected sex. It will effective upto 72 hours after sex. It will not prevent against pregnancy if pill was taken after 72 hours of sex. In present scenario, Plan B pill 80-85% effective in preventing pregnancy. But it cause hormonal imbalance, delayed period by 1-2 week, earlier period and excessive bleeding can occur.So do not worry if period will delay by more than 1 to 2 week. Meanwhile avoid stress, take healthy diet, drink plenty of water, do regular exercise. If period will be delayed by more than 2 weeks then consult gynecologist.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I had two children. My husband want to have another baby. I am 35 years old. I had given birth earlier by cesarean. I had undergone family planning operaion ( cesarean)too during the birth of my second boy baby. Is it possible for me to get pregnant again.? What treatment i had to take for getting pregnant after family planning operation?" }, { "from": "gpt", "value": "Hi,I understand your concern. You have undergone planning operation. If tube is clamped then after recanalization surgery conception is possible. Success of this operation depends on length of healthy tubes left behind after sterilization. If recanalization is not possible then in vitro fertilization is the only option. So consult your gynecologist and take proper advises.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I have PCOD and have irregular periods.Done follicular study as per doctor advice.My follicle ruptured at 18th day with the size 1.4*1.4 cm.will it able to produce fertile egg to develpe a baby,or is there any specific size for the follicle to produce a fertile egg.Please clarify my doubt." }, { "from": "gpt", "value": "Hi,Size of folicle is 1.4 * 1.4 cm. The size of a mature follicle that is ready to ovulate is about 1.8 to 2.8 cm in diameter. Best quality if egg will be released by 1.8-2.1 mm cm follicle. So you have less size of follicle. So chance of pregnancy is extremely rare. You can use Clomiphene citrate, Metformin and HCG infection and Progesterone pill to become pregnant. Avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi doctor, I have PCOD and i have no babies but i pregnant in 4 times but aborted. now i am taking glyciphage 500, ovares 3 times. today my periods start my do prescribed to take sephene 100 from d3 -d7. I want to became pregnent can you give any sugestion" }, { "from": "gpt", "value": "Hi,Take progesterone derivative during pregnancy. Since you have pcod you may have to start Metformin to lessen its side effects. Also get USG done to see if have any structural issues.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ankit" } ]
[ { "from": "human", "value": "Hello Doc,I am 26 years old and have thyroid & PCOD. I am trying for pregnancy. I have missed my periods. The periods date was 2nd of july, but i am getting shooting pain in my stomach. I did a home pregnancy test today, the result came out negative. Please help me, am I pregnant?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Get serum TSH, free T3, and free T4 tests done. Then do serum prolactin test. On day 2 of the periods go for TVS and clomiphene and then follicular study.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "hi ,today me and my fiance were together. i had sucked his penis a lot and it was totally wet with my saliva. after that he laid on the floor and i put my legs around him( me on top) and while kissing his lips, i gently rubbed my clitoris on the head of his penis. is there any chance i would get pregnant??" }, { "from": "gpt", "value": "Hi,There is always a chance of pregnancy in unprotected sex. If penis may touched the vaginal opening and precum may enter into vagina. Precum may contain sufficient sperm concentration that cause pregnancy. But pregnancy is possible if you had sex in fertile phase of period.I would suggest to take I pill with in 72 hour of sex to prevent unwanted pregnancy if you had sex during fertile phase of period. If you had regular cycle of 28 to 30 days, then fertile phase will be 10th to 18th day of cycle. Avoid stress, take healthy diet, drink plenty of water and do regular exercise. Use condom in future to prevent unwanted pregnancy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hello Doctor, I have not got my menses for the past 8 months. It has been very irregular for past 6 years. I went to consult a gynaecologist and she gave me the tablets those stimulate periods after eating for 6 days. I underwent follicular study and was diagnosed that my follicles are very very small around 6-8 mm only. Im trying to get pregnant and it is very frustrating. Kindly advice" }, { "from": "gpt", "value": "Hi,Your irregular period could be due to hormonal imbalance, ovarian dysfunction/PCOD and thyroid dysfunction. I would suggest to take proper treatment under advise of gynecologist. You have small follicle. Following drugs will help you to become pregnant: Clomiphene citrate: form 3rd to 7th day of cycle. It cause induction in ovulation. Metformin along with Clomipehe can be useful. After taking it, go for follicle study. If ovarian follicle will still be smaller then HCG injection will help you to induce ovulation. Avoid stress, take healthy diet, reduce 10 to 12% body weight by regular exercise, and avoid excessive diet.Hope this may help you. Let me know if I can assist you further.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi, i am 30 years old. I have been planning for child since last 1.5 years but yet could not succeeded. My wife has gone through all tests like HSG etc. My semen analysis shows 34 million count, 40% motility. My Doctor have recommended for me Ubiphene for 3 months, Fertisure D. Kindly advice me for good result." }, { "from": "gpt", "value": "Hi,I would suggest to consult infertility specialist and undergo reproductive hormone analysis, USG scan, ovarian follicle study and HSG test for your wife. If it will come normal then nothing to worry. Otherwise specific treatment will depend on cause. Now coming to your report. You mention the sperm count of 34 million. It is total sperm count then it is slight less, but if it is per ml then it is considered as normal. Total motility should be greater than 40%. So your count and motility is just below normal. You can take Ubiphene for 3 months and it will give good result. If problem persist, then undergo USG scan, serum testosterone, semen culture to find any other pathology. You can also take take tablet like Gonadil F, tablet CoQ. Avoid stress, take healthy diet with lots of fruits and green leafy vegetables, drink plenty of water, do regular exercise, avoid excessive alcohol and smoking.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I don t keep up with my menstrual cycle because it s irregular but I thinks it s about 30 days. My last period started on September 12 and lasted 4-5 days. I had sex for the first time on October 4, unprotected but he didn t finish. Could I be pregnant?" }, { "from": "gpt", "value": "Hi,Precum may enter into vagina unknowingly before ejaculation and it contain sufficient sperm concentration that cause pregnancy if sex was done in fertile phase of period. You got last period on 12th September, did sex on 4th October. So you did sex in the safe period of cycle if we consider 30 day of cycle. Ovulation will occur at 27th or 28th September and it will live only for 12 to 24 hours. But you did sex after ovulation so no chance of pregnancy. But you told you have irregular cycle. So if it has sometime long period like 35 days or more than pregnancy is possible. In this case you can take I pill with in 72 hours of pill to prevent unwanted pregnancy. Avoid stress, take healthy diet and drink plenty of water. Use safe sex practice like condom in future to prevent unwanted pregnancy. Hope this may help you. Contact further if follow up needed. Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi doctor ,i am 24 year old from south kerela now in dubai with my husband. over the past 7years I am suffering from pco diseases. is there any difficulty to getting pergnant for me. iam not using any medicine for this till now. doctor can u help me? what should i do?" }, { "from": "gpt", "value": "HiYes, PCOD cause problem in getting pregnant. It causes hormonal imbalance, ovarian dysfunction, menstrual irregularity, weight gain and insulin resistance. I would suggest to consult a gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management.You should take following treatment:- Progesterone pill in second half of period: to correct hormonal imbalance and regularize period- Metformin: it decrease insulin resistance and induce ovulation. Clomiphene citrate and ova care will help you to maintain fertility. HCG and FSH shot can be used if above not responds. Avoid stress, take healthy diet, avoid excessive sweet in diet. Do regular exercise and reduce 10-12% body weight if you are obese.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hello doctor , I and my gf had sex but I hardly Had any precum n she just wanted to feel me once , I din cum inside her n I was just in for 5 seconds , r there any chances of she being pregnant ? She wants to hav an I ipill but I don wan her to have any side effects" }, { "from": "gpt", "value": "Hi,There always chance of pregnancy in unprotected sex if you had sex during unsafe period of cycle (10th to 20th day of cycle considered unsafe if period is regular of 28 to 30 days). There is chance of pregnancy because precum may enter into vagina unknowingly and contain sufficient sperm concentration.So if you had sex in fertile phase of period then take I pill to prevent pregnancy. I pill cause tolerable side effect and no serious side effect will occur. It cause sometime bloating, delayed period by 1 to 2 week, earlier period, excessive bleeding, nausea, headache. Avoid stress, take healthy diet, drink plenty of water and do regular exercise. Use condoms in future to prevent unwanted pregnancy.Hope this may help you. Contact further if follow up needed. Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi Dr. My gynec asked me to take duphaston 10mg for 10 days from 7th aug to 16th aug.I am trying for my sec baby.I have pcos.My gynec said i lost 3 kg last time which means my cycst is going.I am getting 10 days delay in my periods from past 3 months.Because of this event dont know my ovulation time.Kindly let me know on this as well as how duphaston will support me for carrying. Thanks, Gmklmla" }, { "from": "gpt", "value": "Hi,I understand your concern. Duphaston contain progesterone and it will help to become pregnant. It cause correction of hormonal imbalance, regularize period, make uterine environment favorable for implantation and support pregnancy. You can take Dupatson under advise of gynecologist and monitoring was done by USG scan and ovarian follicle study. You can also use birth control pill to regularize period. Once period become regular then drugs like Metformin, Cloniphene Citrate and HCG injection will help you to become pregnant.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "HI,DR. SAMUEL,i am a 26 year old lady and i have been married for almost 2years now but am not getting pregnant.anytime we have sex and i get up the sperm just comes out .what is preventing it from entering my womb.is it because my husdands sperm is not strong or i have a problem. thank you" }, { "from": "gpt", "value": "Hi,After sex avoid getting up and keep lying down with your legs to your chest for 10 minutes. This will help in getting pregnant and will help the semen not get out.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "hi ! just wanted to check. I am 29 years . i have pcod. i have a 3.5 year old son. i had taken medication to conceive the first time. myperiods are more or less regular now. it comes within 30- 33 days time. I have just started trying for the second child..Just wanted to check do i need to take medication for my second child aswell or should i just try naturally?" }, { "from": "gpt", "value": "Hi,No just try naturally. If you are unable to conceive for 6 successive months, then try to take the medication.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "I had an ectopic pregnancy in 2007 due to my tubes being tied. while removing, my doctor also removed 3.6 tube on the left and 2.6 on the right. I am considering have another child if possible. would reversable surgery work for me, with this amount taking." }, { "from": "gpt", "value": "Hi,Reversible surgery doesn't actually help much. It's success rate is not encouraging. I suggest IVF treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "on jauary 26th 2010 i had my falopian left tube removed due to having a tuble pregnancy. i have been trying to get pregnant for 6 months now and nothing is there any thing i can do to makr it happen. and what are my chances of not getting pregnent because i onlt have one tube" }, { "from": "gpt", "value": "u can get pregnant if other things r normal...In my opinion go fr serum tsh and serum prolactin den do hsg on day 8th to check other tube patency...den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui fr early results" } ]
[ { "from": "human", "value": "I masturbated, then right afterwards I touched the lips of my girlfriend's vagina with the hand I used.We realized this was a bad idea, then I went and washed my hands with warm water before continuing.Could she be pregnant? No visible cum was on my hand prior to touching her vagina." }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Sperm transfers in liquid media. It has to go through a liquid to cervix and vagina to make her pregnant. In your case it is unlikely.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "hi,last month i had my periods on 29th. i had intercourse on 18th of this month which according to me was not a fertile period and it was not full intercourse. i am still a virgin. my periods is 3 days extra now. i have lot of confusion running inside my mind. are my chances of getting pregnant high or not?" }, { "from": "gpt", "value": "Hi,There are low chances of getting pregnant. Wait for 3 more days and take a pregnancy test if still you do not get your period.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "iam using duphaston 10mg for 10 days from 15 day of my period and metformin 500mg daily since two month my cycle started 4th day after stopping duphaston will it be same this month also or are their chances of pregnancy if its delayed ....iam trying to get pregnant" }, { "from": "gpt", "value": "Hi,There may be chance of pregnancy if you have dis sex in fertile period of cycle and you have normal ovulatory function and correct hormonal balance. Dupahston contain progesterone. It make uterine environment favorable for implantation and support pregnancy. Metformin will help to induce period and decrease insulin resistance. So hope you become pregnant.If it will not respond then you can ask a gynecologist for Clomiphene citrate and HCG injection for effective conceiving. All these medicine should be taken under advise of gynecologist after detail evaluation and monitored regularly by USG scan and ovarian follicle study. Avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I had a misscariage 2 weeks ago, I have been sexually active after that, I have light cramps this morning I feel bloated and I have been feeling tired and my boobs have been sensitive. I was only 5 wks pregnant when I had the 1st miscarriage. could I be pregnant?" }, { "from": "gpt", "value": "Hi,Its unlikely that you get pregnant after 2 weeks if miscarriage these symptoms maybe due to ovulation.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Salah Saad Shoman" } ]
[ { "from": "human", "value": "HI dr. Mia i want to get pregnant again after giving birth to my eldest 3years ago..but my menstruation is not irregular since i gave birth to my eldest..i will not menstruate monthly if i will not take provera which ,my ob prescribe..what i should take to get pregnant again? thanks" }, { "from": "gpt", "value": "Hi,Your irregular period could be due to hormonal imbalance, PCOD, thyroid dysfunction, and endometriosis. I would suggest you to consult a gynecologist and undergo reproductive and thyroid hormone analysis, USG scan, ovarian follicle study for better management. You can use provera for 5 to 6 months in second half of period to regularise period. Metformin can be useful for ovarian dysfunction. Drugs like Clomiphene citrate and ova care can be used to increase fertility. Take theses medication under advise of a gynecologist. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and reduce your weight if you are obese.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi, Im really worried about the risk of pregnancy, as I am not ready. Me and my boyfriend had sex 2 weeks ago, he used a condom (he checked and said it didn t break) and he also pulled out before he came. He also took the condom off away from me. I haven t necessarily missed my period yet - I m expecting it tomorrow or In a few days. But I ve had some pretty mild - bad cramping for the past 4 days. I know this could be PMS, but I ve been stressing and had anxiety to the point of nausea. Me and my boyfriend do think it s fine, but I m gonna take some pregnancy tests later this week. I would just like some opinions or reassurances please.. I m sorry if this is see as foolish, but I m just very anxious." }, { "from": "gpt", "value": "Hi,Don't worry if you are sure that condom did not break. Then you will not get pregnant. Cramping and nausea is your pre-menstrual symptoms. Even nausea could happen because of your stress also, so don't worry." } ]
[ { "from": "human", "value": "pregnancyI have always wanted to have a family but it seems like I cant get pregnant , my period is irregular so I don't know if I missed a period can I be pregnant or what I been on birth control but I don't want that bc I want a baby what do I need to do ???? please help me" }, { "from": "gpt", "value": "Hi,Irregular period could be due to hormonal imbalance, ovarian dysfunction/PCOD, endometriosis, adenomyosis, thyroid dysfunction. I would suggest to consult a gynecologist and undergo examination, reproductive and thyroid hormone analysis, USG scan and ovarian follicle study to find the cause.Specific treatment will depend on cause. Following drugs will help you:1. Progesterone pill in second half of period: to correct hormonal imbalance in luteal phase and regularize period.2) Metfoemin in ovulatory dysfunction/PCOD: to induce ovulation. Once period becomes regular then Clomiphene Citrate will be used to increase fertility. All these drugs should be used under advise of gynecologist with regular monitoring by USG scan and ovarian follicle study. Avoid stress, take healthy diet, take small frequent meal rather than large meal, avoid excessive sweet in diet, drink plenty of water and do regular exercise to maintain weight according to BMI.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi am trying to get pregnant since 2 months. I got my last period on 30th Oct .I has sexual intercourse from 10th-16th day from the 30th oct. Am usually regular with my periods and have a 25-30 day cycle. I still havent got my period. I was hoping I would be pregnant. I tested and disappointingly it came negative. also to note I tested after dinner . I had 2 glasses of water , so pee was dilute . is early morning pee only accurate . please help" }, { "from": "gpt", "value": "Hi,Yours delayed period could be due to pregnancy and hormonal imbalance. Urine pregnancy test will give positive results once your period will delay by more than 7 days. It should be done with overnight early morning urine concentrated sample. It may give false negative result with diluted urine sample.You can also go for blood HCG test to confirm pregnancy. It is more accurate and detect pregnancy earlier than urine pregnancy test. In absence of pregnancy, delayed period could be due to hormonal imbalance. Avoid stress, take healthy diet and drink plenty of water.Hope I have answered your query. Let me know if I can assist you further.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I missed my period entirely and the only other time I did that was when I got pregnant before. I took a test an it came out positive....after a week or so I didn t feel as much ....like i was pregnant and felt more normal. I decided to take another pregnancy test and I did and it was negative. I took another one early in the morning and it was negative too. Does this happen often? I read that protein can cause a negative pregnancy...I eat alot of protein and work out ..so just wondered if that might affect it? I haven t started bleeding at all and i m having the symptoms related to being pregnant..but not sure if I am anymore.... what do you think?" }, { "from": "gpt", "value": "Hi,Proteins in your diet should not affect the pregnancy test. Since all the three pregnancy tests you performed week after a week of missed period, you cannot be pregnant. After a week of missed period, the results of these tests are reliable. Still if you are suspicious and want to confirm the pregnancy status, you may perform Beta hCG test on your blood. Values more than 25 mIU/ml are diagnostic of pregnancy while in non-pregnant state, the values remain under 5 mIU/ml.To get the menses after missed period in non-pregnant state, you may take some Progestational product like Deviry (with an advice from your Gynaecologist), then within 4 to 7 days, you would get withdrawal bleeding. Occasionally, periods may get delayed even without pregnancy - due to transient hormonal disturbance or physical or mental stress. If such irregularity persists, please report to your gynecologist.I hope this resolves your issue. Let me know if I can assist you further. Regards,Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i am marrige girl. 8 month ago i am marrige, me and my husband had a child. augest 5 my period over. then period over after 7 days we are continui sex. augest 31 my period is continiou back. my question why not i am pregnent? any problem my pregnancy? pls help me." }, { "from": "gpt", "value": "Hi,If you are having your menses regularly, plan your sexual relations at and around the day of egg release (ovulation). The egg is released 14 days prior to the next expected menses. The egg has a life of 24 hours while the sperms are active for 3 days. Keeping this calculation in mind, you may plan your intercourses. Alternatively, you may go for ultrasonography ovulation monitoring. It will locate the day of your ovulation. Accordingly, you can plan your intercourse. If there is any problem is egg release, you will have to take medicines for induction of ovulation. If you are ovulating normally and regularly, and still fail to conceive even after fair due trial, you will have to look for the other two factors : tubal patency and semen quality. Hysterosalpingography and Laparoscopy can find out any tubal block and even the intrauterine factors also. Semen examination of husband will inform you about the quality and normalcy of the semen. If within 6 months of fair trial you fail to conceive, please report to the gynaecologist or infertility consultant. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I'm 44. 5'3\" and 115lbs. I have always had regular periods but have now missed the last two. I have slight pain on left side-more like a twinge than a pain. I did a pregnancy test a week ago and one two weeks ago. Both negative. Could I be pregnant or in pre-menopause?" }, { "from": "gpt", "value": "Hi,Considering your age and two negative pregnancy tests, you are most unlikely to be pregnant. Delay in your menses seems to be due to menopause, may be you are in a premenopausal phase of your life. In this phase, the menses start becoming irregular and are delayed. The period of delay goes on increasing and subsequently the periods stop permanently. When there are no periods for continuous six months, we label such women as menopausal woman. If you indeed keen to know the status of your menopause, you may get FSH and Estradiol levels done. They will be very low after menopause. However, I feel it would be unnecessary investigation in the absence of any symptoms. I hope this provides you clarification of your doubts. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Im 30 years and married last 5 years but could not conceive.We both undergone many medical treatment but all our reports are normal.Last year we gone through ivf but could not get success and according to doctor my immunity is very low .Is this a problem that i m not getting pregnant." }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Get serum TSH and serum prolactin tests done. Then go for USG pelvis and HSG tests. If needed hysteroscopy, husband’s semen analysis and then follicular study to know the exact time of ovulation. You can build up your immunity by vitamin C rich foods.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Can you have your period And be pregnantI've been trying to get pregnant this last 2 Months This last past month I have started to spot about the last 2 days of August And then from there I have a regular period With very bad cramps so my question is can you still be pregnant and have a regular period" }, { "from": "gpt", "value": "Hi,Absence of menstruation or missing a period is the first cardinal symptom of pregnancy. However, few women do get some amount of bleeding during early pregnancy at or around the expected date of menstruation. This used to be known as placental sign in good old days. Your history of the spotting followed by menstrual bleeding does not seem to suggest the possibility of pregnancy. However, you may confirm the diagnosis by:1. Pregnancy test on overnight morning first urine sample about a week after the first day of your 'so called' menstruation; earlier these tests may report false negative results. 2. Alternatively you may opt for Beta hCG test on the blood 10 days after last unprotected intercourse. Values above 25 mIU/ml are diagnostic of pregnancy while in non-pregnant state, the values remain under 5 mIU/ml. I am sure, this should resolve your dilemma. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, I have PCOD and i tool medications and one HMG injection on my 5th day of the cycle. Today is my 11th day and i have 4 follicles in each ovary and all are ?20 in size. But egg is not ruptured yet.. How long should i wait and whats the maximum size of the egg to be ruptured???" }, { "from": "gpt", "value": "Hi,The follicles can rupture at any size. However, the follicles of size between 18 mm and 21 mm are supposed to release the healthiest eggs which have better chances of successful pregnancy. Now that your follicles are of 20 mm size, this is the most ideal time for egg release. If they are not rupturing naturally, you may request your gynecologist to give you an injection of hCG which will bring about ovulation within 24 hours. You may confirm the evidence of ovulation by ultrasonography. Utilize these days for your sexual relations. I hope this provides you some guidelines. Let me know if I can assist you further.Regards,Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "ok so i just came on my period yesterday on the 12th it was suppose to be on the 14th but my period comes when she wants. Anyways I usually am on for 7 days and I'm trying to get pregnant so when should I try to get pregnant. When will I be ovulating?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.When you have irregular menstrual cycles, it is difficult to pinpoint the time of ovulation each month.Ovulation generally occurs about 14 days before your period starts. So if you count 2 weeks backwards from the date that your period starts, you can figure out by looking a few months back what your typical window of time is typical for your ovulation.If you have intercourse every other day from two days before your typical ovulation time until you either feel PMS symptoms or your period comes, whichever comes first, there should be enough active sperm around when you typically ovulate for you to conceive.For more accurate estimation of your ovulation, there are kits called ovulation projectors that can be bought over-the-counter in a chemist or pharmacy. These kids have test strips for your urine that check for certain hormone that is released when you are about to ovulate. These test strips can also be useful if you do not have regular cycles when trying to conceive.If you and your partner try unsuccessfully for one year to get pregnant, there may be a medical reason involved in why you are not conceiving. At that point, you may want to consult with your gynecologist or fertility specialists.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 am 32 yrs old. Had gone under surgery for endometriosis on 18th Aug 2014. Had bleeding for few days. My gyneac said i will have to take lupride injection after 8 days of my surgery i.e on 25th Aug. I took the injection and the doc said i can have a normal pregnancy. Just 2 days back i visited my gyneac as i had my periods and she told me i will have to take two more dosage of lupride each month to reduce my bleeding. I don t understand why such complication even after removal of endometriosis. Please help as i and my husband are desperately TTc. How long will it take me to conceive and will it be normal pregnancy." }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Endometriosis is a chronic inflammatory disease of the pelvis that cannot be removed completely by surgery. The reason is is that endometriosis implants can be microscopic, which is why ultimately most women are treated with hormones to suppress their menstrual cycle for 3 to 6 months after endometriosis surgery. This helps to prevent recurrence of cysts and scarring within your pelvis which may increase your chance of conceiving.However, while you are on the Leuprolide (LUpron) injection, you will not menstruate regularly and is unlikely that you will become pregnant. Your greatest chance of pregnancy is in the first six months after stopping the medication. Because you only 32 years old, I would recommend doing a full six months of Lupron injections before trying to conceive again.So again to clarify, you do not need Lupron because you had any complications from your surgery, rather the issue is that Lupron reduces your risk of recurrence of endometriosis after surgery, which will help to maximize your chance of conceiving later.So there is no reason why you and your husband cannot have unprotected intercourse while you on the Lupron treatment, however the goal of the treatment is to reduce the inflammation your pelvis after the surgery to help you heal and also to reset your hormones so when you go off the Lupron you will be in the best shape to conceive.I hope that I was able to adequately answer your question today, and that I helped clarify the role Lupron has in the treatment of endometriosis.I wish you and your husband the best of luck in conceiving,Dr. Brown" } ]
[ { "from": "human", "value": "we were trying to conceive so i was testing for ovulation. i got a positive on the early morning of the 16th. the last time i tested was the night of the 13th and it was negative. was unable to tests on the 14th and 15th due to travel. the las time we had sex that resulted in ejaculation was the 11th. on the 26th and 27th i saw a faint line on the pregnancy test. wanted to know how could this be possible?" }, { "from": "gpt", "value": "Hi,First of all, sperm can live in the female genital tract for up to five days. So if you had sex on the 11th, there certainly could have been viable sperm still in your system to be there to fertilize your ovulation on the 16th. Furthermore, modern pregnancy tests are extremely sensitive, and can become positive even 10 days after conception.However, if the test is not performed correctly, or if the test is left out too long beyond the time recommended to read the test on the package, a faint line can appear.So at this time, I recommend waiting for your menstrual period, and if it does not arrive on time I would repeat the pregnancy test at that point. At this time this has should give you an easy to see, accurate answer. But it is certainly possible that you could have conceived this cycle.I hope I was able to adequately answer your question today, and I hope this information was helpful to you. Best of luck in conceiving.Regards,Dr. Brown" } ]
[ { "from": "human", "value": "so today i had sex and my boyfriend and he was wearing a condom but he came inside the condom what happened is after he let go the condom stayed inside me so i had to get the condom out but there was only a little bit of semen in the condom so i m worried that some of his semen is still inside me. He told me that in the morning he masturbated 2x and the semen that was left a little in the condom was light and watery can that get me pregnant ?" }, { "from": "gpt", "value": "Hi,There is always some chance of pregnancy in this type on sexual intercourse. Condom was stuck inside the vagina so there may be chance that some seminal fluid get enter into vagina. It may contain sufficient sperm that cause pregnancy. Again pregnancy will depend on the time of menstrual cycle.If you have did sex during fertile phase of cycle then high chance of pregnancy. If you have regular cycle of 28-30 days then 10th to 18th day of period counted as fertile phase. So if you had sex during fertile phase take I pill with in 72 hours of sex to prevent pregnancy. If 72 hours has been crossed then wait for period. If period will delay by more than 7 days then go for urine pregnancy test and or blood HCG to confirm pregnancy.If you will be pregnant then still you can terminate pregnancy by abortion pill under advise of the gynecologist. Meanwhile avoid stress, drink plenty of water, do regular exercise and maintain proper pelvic hygiene.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi, I ve undergone follicular study and the doctor said the eggs in the left ovary have ruptured on 4th june. So from next day morning onwards my doctor adviced me to take Naturogest 200mg for 10days., and i am even taking oviduct regularly. What is the use of these medicines? and do they help in the chances of me getting pregnant.." }, { "from": "gpt", "value": "Hi,I understand your concern. Both naturogest and oviduct Nc tablet will help you in conceiving. Naturogest contain progesterone. It will make uterine environment favorable for implantation and support pregnancy. Oviduct NC will help in ovulatory dysfunction. It induces ovulation, decrease insulin resistance. So it will help in maturation of ovarian follicle. So it may increase chance of pregnancy by 50%. Take this medicines under the advise of infertility specialist with monitoring by USG scan and ovarian follicle study. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi Doctor,I want to speak to a gynaecologist I had my last period on 24th May 2014, and lasted till 29th. Me and my husband had sex on 30th and every alternate day we do have sex.I felt like vomitting a week later. I was tired all day. So took a pregnancy test but it was negative.We are planning to have a child.We have tried for 2 months but the result is negative Please suggest" }, { "from": "gpt", "value": "Hi,You are unsuccessful in normal process of conceiving. Infertility is defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. So try to regular unprotected sex in fertile period of cycle. But be sure that you have normal menstrual period and completely healthy. If failed in future then both of you need to consult an infertility specialist and undergo reproductive and thyroid hormone analysis, USG scan, ovarian follicle study to find any cause. Semen analysis, USG pelvis, routine blood test and complete health check up for your husband. Meanwhile, avoid stress, take healthy diet rich in protein, green leafy vegetables and fresh fruits, do regular exercise, and drink plenty of water.Hope this may help you. Contact further if follow up needed. Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi...now i am 22...i get married at dec,13..then am getting period regularly..i am trying to get pregnancy....we consult the doctor she prescribed me to {Evion 400mg,Ebexid,M2 tone syrup}when i take this medicines i got 3 days later about my period...again we consult our doctor with my scan report......doctor says scan reports are very well..then she prescribed me to{Endogest 200 for 20 days,Lupi hcg 5000}now i get this tablet.its sure to give any positive results for us?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The fact that your doctor has commented that your scan reports are good means that you are ovulating regularly. Endogest is a natural micronized progesterone preparation. After fertilization, progesterone is required to stabilize the pregnancy. This progesterone is released by Corpus luteum. If corpus luteum is weak, the pregnancy may not continue due to shortage of progesterone. Therefore you are given these pills. Moreover, Inj. hCG helps strengthening of corpus luteum. So it will be useful when the fertilization has taken place. If you miss the period, perform your pregnancy test on the overnight morning first urine sample, earlier the test may report false negative results. Alternatively you may perform Beta hCG test on the blood 10 days after the last unprotected intercourse. Now that the other medicines like Evion, Ebexid, M2 are not continued now, we need not discuss on them. Moreover, if you are ovulating naturally, you do not need these medicines. I hope this explains you about your medicines. Hope I have answered your question. Let me know if I can assist you further.Regards,Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, Long story but to make it short, I had my period on June 14 through the 18th. Never on birth control; Had sex on the 27th. Boyfriend ejaculated in me three times. Pretty much unprotected sex. (The sperm might be very strong because my boyfriend hasn t been sexually active for about 2 weeks. ) Took Plan B on the 28th. After 24 hours..What are the chances of me being pregnant? No side effects yet but my vagina is a little itchy. Please HELP!" }, { "from": "gpt", "value": "Hi,I understand your concern. You have unprotected sex in fertile phase of period. You took plan B pill after 24 hours. It has up to 85% effective in preventing pregnancy. It has 0-15% failure rate in your case. But pill can cause earlier period, delay in period by 1 to 2 week and excessive bleeding can occur. I would suggest to wait for period. If period will delay by more than 2 weeks then go for urine pregnancy test and or blood HCG test to confirm pregnancy. If you will be pregnant then you can still terminate intrauterine pregnancy by abortion pill under advise of gynecologist. Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I have been on Lo Lestrin Fe 1mg for 2 months now. I was previously on the Nexplanon (implant in arm). I thought I was pregnant and turns out I was not, I had sex on the 7th of June and according to my period tracker that was my ovultion day, and than next day was my last fertile day. My husband ejaculated inside me and now I am hving brown discharge is it possible that it is implantion bleeding?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If you have Lo Loestrin Fe every day then it will prevent pregnancy. It is a contraceptive pill. Still if missed your period then you can go for the urine pregnancy test.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Hi.. I started my period on 13th July which was Sunday and I had unprotected sex using withdrawal method on the same day then later on I had sex at about 3am that night meaning Monday and this time there was no withdrawal at all. My boyfriend and I decided to just go ahead and finish up in full besides I just started my period. Then I took the pill at around 7pm Monday. I took both at once. Did I really reduce my chances of pregnancy or am still at a high risk? My period calender says am due for my next period on the 24th of next month and my fertile and ovulation dates are 5th - 11th of next month and am expected to finish my current period on 17th July. Should I be scared or rather prepared for anything?" }, { "from": "gpt", "value": "Hi,Do not worry. There is no chance of pregnancy because:1. You did sex in complete safe period of cycle. During this time there is no ovulation so no fertilization occurs2. You took I pill with in 24 hours and it also highly effective preventing the pregnancy. It has just 0-5% failure rate. But pill can cause earlier period, delay in period by 1-2 week, and excessive bleeding can occur. So do not worry if period will delay by 1-2 week. Avoid stress, take healthy diet, drink plenty of water and do regular exercise. Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "My husband and I have been trying to conceive for 3 months now and I just got my period on Thursday. I've been trying to track my fertile days and it just hasn't been working. Any tips? Oh, and my period this time around has large clumps of blood. Is this serious as it is not normal for me?" }, { "from": "gpt", "value": "Hi,Normally in period of 28-30 days cycle, ovulation will occur around at 14th to 16th day of cycle. You can count first day when bleeding is started. So if you have normal 28th to 30th day cycle then ovulation occurs at 14th to 16th day of cycle. Now sperm can live in female genital tract for 4-6 days and ovum can live around 12-24 hours after ovulation.So 10th to 20th day of cycle is fertile day of period. You can do sex daily or alternated day on fertile period of cycle. Do full penetrative sexual intercourse by putting pillow on back. Clumps of blood could be due to endometrial tissue that will shed and will come out during period. If you have normal period then nothing to worry about that. If you can not become in next few months then both you consult infertility specialist for detailed evaluation. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "my girlfriend and i had sex 7 times on 3rd & 4th oct. out of that 2 times we used condom. on 5th oct 5:00 am she took unwanted-72.....last time she had period on 4th sept....but now she is not having period yet...is there any chance she is pregnent..? its already oct 16th..!" }, { "from": "gpt", "value": "Hi,Normal period date is 4th September. You had sex on 3rd and 4th October. You did sex in completely safe period of cycle. During this time there is no release of ovum so no fertilization and chance of pregnancy. Unwanted 72 was taken on next day. It can cause hormonal imbalance as it contains high progesterone.It can cause delay in period by 1 to 3 week. I would suggest to wait for next 4 to 5 days for period. If period will not come then consult a gynecologist for examination. Meanwhile avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "hi doctor.I am 32 yrs.im having one child 6 yrs.we r trying for a second child.i had taken siphene 50 mg ofor 5 days from the 3 rd day of my last period.we had unprotected sex from 12 th to 15 th day.i m having a 28 day menstrual cycle.wat s the chance of preegnancy?We r anxious to know" }, { "from": "gpt", "value": "Hi,You took siphene. It is highly effective (80%) in inducing ovulation. It will increase 50% chance of pregnancy. So there may be chance of pregnancy. It should be given in ovulatory dysfunction after complete evaluation. After taking it, ovarian follicle study by USG scan is require to know the size of ovarian follicle.If size of ovarian follicles will be 18-21 mm then it have high chance of successful pregnancy. So you can consult gynecologist for that. You can also ask for medicine like progesterone pill, metformin and ovcare. All these will help you to become pregnant. But all these medicines should be taken under guidance of gynecologist. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and maintain weight according to body weight.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi Doctor , i had irregular periods which got corrected by taking Unkei Toh...a japanese herbal medicine for 3 months but now no ovulation for 2 months....trying to conceive...doctor advised clomid to take in the 5th day of the next cycle up to 9th day....what are the chances of becoming pregnant on clomid?" }, { "from": "gpt", "value": "Hi,You have irregular period. It is important to find out cause of irregular period. It could be due to PCOD, thyroid dysfunction, adenomyosis, endometriosis. I would suggest to consult gynecologist and undergo vaginal examination, reproductive hormone analysis, USG scan and ovarian follicle study to confirm cause.Specific treatment depend on cause. Clomid cause induction of ovulation in 80% case and it increase fertility in 50% cases. But it should be taken after proper evaluation. After taking it consult a gynecologist and undergo ovarian follicle study to know maturation of follicle. If ovarian follicle size will be 18-21 mm then it has high chance of pregnancy. You can also ask for progesterone pill in second half of period, metformin and oviduct NC. All will help you to become pregnant. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and maintain weight according to body weight.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar" } ]
[ { "from": "human", "value": "Hello dr.samuel,I would like to get pregnant and my gynicologist suggested me to take clomid for 5 days from day 2 to day 6 of my period.I am afraid to do so because I have heard that there is a big chance for twins while taking clomid.Is that right?are the chances so big?" }, { "from": "gpt", "value": "Hi,The chance of having twins while taking Clomid is only around 8-10 percent. So it does increase a woman's chances, but not that much. Less than 1 percent of Clomid pregnancies result in the births of triplets or higher order multiples.So there is no big chance of twin. You can take it for few cycle to increase fertility. After taking clomid ovarian follicle study should advisable.Follicle size of 18-21 mm release best quality egg and have high chance of pregnancy. You can also take progesterone pill in second half to support implantation and pregnancy. So take clomid under advise of gynecologist. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Let me know if I can assist you further.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I am on cerazzette pill but think i may be pregnant due to taking one of the pills late. I have three children so i am aware of some of the pregnancy symptoms. Two of my pregnancy tests said positive and the last two negative i am still on the pill could this affect the pregnancy result or baby?" }, { "from": "gpt", "value": "Hi,Cerzzette pill is birth control pill. It will not affect pregnancy result. But I would suggest to go for blood HCG test to confirm pregnancy. It is more sensitive and specific test to confirm the pregnancy. There is no evidence that birth control pill affect baby. But it should be properly evaluated and pregnancy could be identified in USG by gynecologist. Avoid stress, take healthy diet, drink plenty of water and maintain proper pelvic hygiene.Hope this may help you. Contact further if follow up needed. Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "i m trying to concieve since last 4 years,could not suceed,all tests are normal,doctor says we me and my husband both are alright for giving birth to child,this time i m taking duphaston since 16 days from LMP,will i be pregnant this time,when shud i expect my periods if not pregnant" }, { "from": "gpt", "value": "Hi,Duphaston contain progesterone and it will help you in become pregnant. It make uterine environment favorable for implantation and support pregnancy. You can ask for following medicine also:- clomiphene citrate: from 3rd to 8th day of cycle, it induce the ovulation and increase fertility- Ovacre tablet: it will again help to become pregnant by providing sufficient nutrient and mineral that require to become pregnant.Avoid stress, take healthy diet, drink plenty of water and do regular exercise. If pregnancy will not occur then consult infertility specialist for detailed examination. Investigation like reproductive hormone analysis, USG scan, ovarian follicle study, HSG, semen analysis will help you. Last option is in vitro fertilization, intrauterine insemination. Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Ok well im on the antibiotic keflex 500mg. I had unprotected sex today while i was taking the antibiotic...could i get pregnant?? Because im on birth control called micronor and i dont get my period because of it. So if i could het pregnant i wouldnt even no when to take a pregancy test" }, { "from": "gpt", "value": "Hi,There is no evidence that cephalexin will affect birth control pills. It is a common belief that all antibiotics interfere with the efficacy of birth control pills, though that is not always the case.Micronor is very effective in preventing pregnancy. It has just 0.5% failure rate if you have taken it regularly on specific time. So I think there is no chance of pregnancy. If you want to confirm, you can go blood HCG test 10 days after sexual intercourse or urine pregnancy test 3 week after your unprotected intercourse or 7 days after completing the micronor pack. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "iam planning for my second child , i will get my periods on 26th of everymonth, can i take regestron tablet to postpone my periods in same time we trying for the second child, is it safe no side effects, the tablet will protect my pregenancy or not?" }, { "from": "gpt", "value": "Hi,Regestron contain progesterone and it is similar to progesterone secrete in body. It is safe and no any serious side effect. It will protect your pregnancy. Inspite in case of hormonal imbalance it support implantation and pregnancy. You can take prescribed regesterone before the expected period date. Continue till date upto which you do not want period (maximum 2 weeks). Bleeding will occur 4-5 after stopping pill. Avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi I have been trying to conceive for yrs,recently following a gyno infertility doctor,She has been monitoring my eggs until they reached around 17.8mm big and prescribed me prygnyl injection and to start progyluton tablet. I am worried about the progyluton medication is it safe that am trying to conceive?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yes, it is safe. Progyluton (estradiol valerate) is used for preparing endometrium for implantation. You can also do TSH test, prolactin test, and husband semen analysis.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 m having pcod for the last 4 years. i have clear tubes and the problem is this my periods are iregular and this month the egg size is 20mm on 12th day and the same is ruputured on 14th day. my husband's semen report is good. is there chance to become pregnent this time. i have no issue and history of one miscarriage 4 years ago" }, { "from": "gpt", "value": "Hi,You have 20 mm ovarian follicle/egg size and it was rupture at 14th day. It suggests ovulation is occurred. Follicle size of 18-21 mm release best quality egg and it have high chance to become fertilize by sperm. So there is high chance of pregnancy in your case as semen report is good.You can ask gynecologist for progesterone pill as it will make uterine environment favorable for implantation and support pregnancy. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hi I had sex with my wife and i was using a condom but unfortunately after my sperm came out it got licked from bottom of the condom..is there any chance of pregnancy..i guess the sperm would flow down instead of passing through fallopian tube..please advise.." }, { "from": "gpt", "value": "Hello,I understand your concern. There is chance of pregnancy as condom was torn and semen leak from the bottom. Semen may get enter into vagina as it leak form bottom. So there is always some chance of pregnancy in this type of act.I would suggest to take I pill with in 72 hour of sex to prevent unwanted pregnancy. If 72 hours has been crossed then wait for period. If period will delay by more than 7 day then go for urine pregnancy test and or blood HCG test to confirm pregnancy. If you will be pregnant then you can still terminate it by abortion pill under the guidance of gynecologist. Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "I was out with boy friend he musterbsted I got huge amount if semen on my hands I wipe it off and after 45 I felt I need to go toilet, I went and I washed my Virginia and rubb it from out side . 1.is it possible to have semens under my nail and it didn t dry after 45 minutes? 2.So I can get pregnant? 3. Incase if it was under my nails is that amount enough for pregnancy? I was done from my period and I was on day 9 after period I got period on17 feb and this happened on 25 feb , is it possible ?" }, { "from": "gpt", "value": "Hi,I understand your concern. Do not worry. There is no chance of pregnancy.1. Semen will not remain under the nail. It will dry in 45 minutes. If it will be present still it can not pass in the vagina without seminal fluid. 2. You can not become pregnant.3. If it will remain in the nail still can not pass into vagina and quantity is not enough to become pregnant. Again you did this act 5 day after period and it is completely safe period of cycle. To become pregnant, penetrative sexual intercourse with or without ejaculation during fertile period of cycle is required. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Aug 1st was my Periods. June 15th is got my Laproscopy. trying to conceive.. i am now on miprogen. i am married for 9 years now and i have PCOD. i only had Cycsts and my doctor said she is drilled them during laproscpy can i conceive can i become pregnant" }, { "from": "gpt", "value": "Hi,I understand your concern. You have undergone laproscopy and ovarian cyst has been drilled. You also got the period means you have ovulated. So there is chance of pregnancy once your period become regular. You can try to conceive for next 4 to 6 cycle during the fertile phase of period. Take miprogen tablet from 15th day to 25th day of cycle. It makes the uterine environment favorable for implantation and support the pregnancy. You can also take ovacare plus. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar" } ]
[ { "from": "human", "value": "my first day of last period was 25 aug 2012, i had sex on the 5th sep and on the 9 th sept he didn t come inside but few yes on both times. 2 days after ovulaton i feel sore breast and also a bit nausea but no vomiting.... is it possible to get pregnant even though he didn t come inside me on both time (only few)" }, { "from": "gpt", "value": "Hi,Pregnancy is not possible if there is no entry of penis inside the vagina or near by vagina. If there is entry of penis without ejaculation, then there may be chance as precum may enter into vagina unknowingly. So if withdrawal method was used then there is chance of pregnancy. Without penetration, no chance of pregnancy. Also it is very early to tell about pregnancy. Sore breast, nausea 2 days after ovulation could be due to hormonal imbalance caused by pregnancy. If your next period will delay by more than 7 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy. Meanwhile avoid stress, take small frequent meal, do regular exercise and drink plenty of water. If nausea is not tolerable then take tablet domperidone.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar" } ]
[ { "from": "human", "value": "My friend taught me about the althea pills. Monday 12/16/13 i took the first tablet of it then a couple of minute my boyfriend and i had sex and he ejaculated his sperm inside me. The question is, would i got pregnant after taking the pill for a couple of minutes and had sex?" }, { "from": "gpt", "value": "Hi,Althea pill is contraceptive pill and should be start form the 1st day of period. If you have started pill from the first day of period, it means you have did sex on first day of period and it is completely safe period of cycle. During safe period, there is no release of ovum so no fertilization will occur. If sex was done on safe period then there is no chance of pregnancy. Just one pill of althea does not protect against the pregnancy if you had sex during fertile phase of period.To avoid pregnancy you have to take althea pill daily on specific times. Use safe sex practice (condom) in future to prevent unwanted pregnancy. Avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar" } ]
[ { "from": "human", "value": "hi doctor, I am sufferinf from PCOD and my gynic gave hcg injection on 10th day of my periods.She had told me that I have two helathy on both the ovaries. What are chances of my prgnancy. I am also observing white discharge and lower back pain. I am scrared that I will get periods.." }, { "from": "gpt", "value": "Hi,You have PCOD and it cause problem in ovarian follicle maturation and problem in conceiving. Generally HCG injection should given when follicle is sufficiently matured. Effect of HCG cause rupture of follicle and ovulation. Usually effect will seen with in 24 hours. When ovarian follicle will reach at 18 mm then you can go for HCG injection. You have to do sexual intercourse after receiving injection.Ovarian follicles between 18-21 mm have high chance of pregnancy. So there is chance of pregnancy. You can use HCG for 2-4 cycles. If it will not responds then ovarian drilling procedure. Along with you can take clomid, metformin, progesterone pill in second half of period. So there may chance of pregnancy. Avoid stress, take healthy diet, drink plenty of water, and do regular exercise.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar" } ]
[ { "from": "human", "value": "I want to know abt capsule folvite mb.. im married and I dnt have baby ...is this tablets helpfull for pregnrncy..wen shuld I can take.. I have p.c.o.d problems itseems .. shuld I take folvite capsules... during pieords o after pierods .please answer me" }, { "from": "gpt", "value": "Hi,You have PCOD problem. PCOD cause hormonal imbalance, ovarian dysfunction and menstrual irregularity. You should take proper treatment under advise of gynecologist after USG scan and ovarian follicle study. You can use folvit MB before trying to get pregnant. But its should be used once your period become regular and after correction of hormonal imbalance.You can also ask for Progesterone pill in second half of period: to support implantation, Clomiphene citrate: to induce ovulation USG and ovarian follicle study should be due after taking treatment. If ovarian follicle size between 18-21 mm then there is high chance of pregnancy. If there is problem in maturation of ovarian follicle then HCG injection should be useful. Avoid stress, take healthy diet, drink plenty of water, do regular exercise and maintain body weight according to BMI. Hope I have answered your query. Let me know if I can assist you further.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "is it possible that i will get pregnant? i have polycystic ovaries, anteverted uterus, missed period every 3-4months. i had checked up with my ob-gyne, she advised me to go on diet, take pruvera and metformin. my concern is, is it possible for me to get pregnant? what should i do?" }, { "from": "gpt", "value": "Hi,PCOS is very complex disease and cause menstrual irregularity. Following are aim of treatments: correct hormonal imbalance, regularize period, reduce weight, reduce insulin resistance.I would suggest to consult experienced gynecologist and take proper treatment under the supervision of gynecologist. Regular USG and ovarian follicle study will help to monitor the disease.You can take provera and metformin for 4 to 6 months. Once your period will become regular, chance of pregnancy will high. Provera support implantation and pregnancy.Metformin reduce insulin resistance and induce ovulation. You can also use clomiphene citrate to induce ovulation once your period will become regular. Avoid stress, take healthy diet with fresh fruits and green leafy vegetables, take small frequent meal rather than large meal, drink plenty of water, do regular exercise and maintain weight according to BMI.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar" } ]
[ { "from": "human", "value": "Hello doctor I am swapna i have irregular periods ,.now marriage finished 2 years ,once I became pregnant with clomid tablet but so sad that one aborted 10 weeks.after 6months of abortion I went to ob gynec doctor she said may be pcos she said to do hormonal profile and she advised to take duphastone 10mg tablet for 21 days ,can I conceive with this tablet ,because I cant track ovulation period,please give to me good advise" }, { "from": "gpt", "value": "Hello dearI understand your concernYou have PCOS. It cause hormonal imbalance, menstrual irregularity, insulin resistance and weight gain.I would suggest to consult experienced gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management.Duphastone for 21 days will help you to regularize period.Once your period will regularize you can take it in luteal phase of period.Other drugs like metformin and krimsom 35 can be usefulOther drugs that will help you to increase fertility after your period become regular:Clomiphene citrate: it will help to induce ovulation and increase 50% chance of pregnancy. Undergo ovarian follicle study for proper management.Avoid stress, take healthy diet, drink plenty of water, do regular exercise and maintain weight according to BMI.Hope this may help youContact further HCM if follow up neededBest regardsDr. Sagar" } ]