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[ { "from": "human", "value": "hi doctor i am 43 yrs old .married since last 17 yrs. but not yet conceived .all and my husdands reports were clear . that time i hv undergone IOI so many times .my monthly cycle results were very good in my both ovaries there used to be eggs in multiple. and my husband's siemens reports were also good. but we never found positive result..in last dec'10 i had removed fibriods . my doctor who has done the opertion is very well known doctor in Ghatkopar. he assured that i can conceive now also .but accoring to him at my this age my eggs will not be that good so he said we will take it from the donor and then with my husband's seimens it will be directly inserted to my uterus . i don;t know this procedure. is there any medicines which help me to give a good result i can have my owe child." }, { "from": "gpt", "value": "Hello,Check your AMH level and ask your gynecologist to send your follicles to count on day two. If both are good. You can try for conception with your follicle, but at this age, there is a high risk of an abnormal baby.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Hi i m 22 ,me nd my partner hd protected sex fr 2 days continously on 13 nd 14th sept....i guess 9 tyms ..aug 23rd i hd ma period....i usually hve 26 or 27 days cycle....nw its already sept 23....i didnt get ma period...any chances of pergnancy...? Pls help" }, { "from": "gpt", "value": "Hello dearI understand your concernIf you are sure about the protected sex then pregnancy is not possible.In protected sex, sperm can not enter in to the vagina so no fertilization will occur.To become pregnant, unprotected penetrative sexual intercourse in the unsafe period of cycle is required. Pregnancy depend on also which method of contraception you have used.Each contraception has some failure rate.So I would suggest to wait for the period to come.If period will not come in next 7-8 days then go for urine pregnancy test to confirm the pregnancy.Period can be delayed by hormonal imbalance, change in life style and dietary habit.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "My wife age is 28 yes we got married before 2 yeras still now she didn t get pregnant. She doesn t have any problem. Her right side ovary have 3-4 cysts and one of the cysts is about 3.1 cm. Will she become pregnant r does she has problem in conceive." }, { "from": "gpt", "value": "Hello dearI understand your concernSimple Ovarian cyst should be differentiated from the poly cystic ovarian disease by reproductive hormone analysis.Once hormonal imbalance is corrected and period will become regular, there is high chance of the pregnancy.Ovarian cyst can be treated by birth control piill /progesterone pill, clomiphene citrate and metformin.So consult the gynaecologist and take proper advise.Avoid stress, take healthy diet, do regular exercise and reduce the weight if you are obeseHope this may help youBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "Hello Doctor, I am 35year old and suffering with hypothyroid... i am regular monitoring my thyroid and it is under control.. doctor asked me to do Anti bodies and that report is also ok. Next report they asked me for Tourch where my lgG is very high; Rubella lgG @ 24.10 Cytomegalovirus, lgG @ 129.00 Herpes Simplex virus 1+2, lgG @ 24.10 i want to concieve... kindly advise on this... i am worried Regards,Preeti" }, { "from": "gpt", "value": "Hello dearI understand your concernDo not worry.Your Ig G is high but it does not suggest active infection.High Ig G suggest you have develop antibody against the rubella, cytomegalo and herpes virus infection.It does not cause any damage to baby and does not interfere with conceiving.Take proper treatment of the thyroid and kept your thyroid hormone level in the normal range.Do alternated day sex in the fertile phase of the period.Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help youBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "Sir am irrugular periods .my Dr. Give tablets R.B.Tone,Evion,folic acid take 3months after regular periods. This month postponed days last LMP June 6th . Am pregnant or not confused but one week before lightly bleeding , back pain, very tired, head ache symptoms erruku . Am continued medicine . How many days after take pregancy test pls help me" }, { "from": "gpt", "value": "Hello dearI understand your concernYour light bleeding could be due to implantation bleeding.If your period will delay by the 8-10 days form the expected date, then go for urine pregnancy test and or blood HCG to confirm the pregnancy.Blood HCG is very accurate test to confirm the pregnancy. It will give positive result even in the first 7 days of the delayed period.You continue your tablets R.B.Tone,Evion,folic acid and it does not harm the pregnancy.Avoid stress, take healthy diet, do regular exercise, drink plenty of waterHope this may help youBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "dr i am 34 year old i have one child 7 y old now i planned to concieve but i am not able i waited till six month then i consulted the doctor she took scan and she said no probelm there is an egg size is small and she gave siphinetablet for 2 month i took for 2 month( 2 to 5 days) but no result i have regular period when i will get pregnant again in my first child i concieved very early without any problem" }, { "from": "gpt", "value": "Hi there,After going through your question, I am of the opinion that:1) Infertility is not a simple thing. There are several reasons for a person to not conceive. Few reasons for infertility are tubal blockage, hormonal imbalance, PCOS, decreased follicles, cervical factors etc.2) All these things cannot be detected by a pelvic ultrasound. Since you have small eggs, chances are high of you having hormonal imbalance. That has to be evaluated. You need to get your blood tests done like FSH, LH, AMH, testosterone, oestradiol, TSH, insulin etc.3) You might also need to get a tubal patency test like HSG done.4) If everything is normal, you might be asked to increase the dose of siphene or add injections.5) Do not lose hope, you will conceive with proper treatment.I hope this was helpful and I wish you best of luck.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "May 2-3 bleeding due to early miscarriage,, yhen we had sex right after bleeding stop,, and had period on may 28-30 but watery,,,and then the following month o june had period but not heavy as normal,after 1 week i had a small amount of spotting brown and pinkish but and then this july i don get myvperiod only brownish and pinkish spotting,,and i had dull lower abdominalnpain,, am i pregnant or something is wrong,, hope to et reply,thanks,,," }, { "from": "gpt", "value": "Hi there, After going through your question, I am of the opinion that:1) Sometimes, brown spotting could be due to retained products of conception. Also, after a miscarriage, sometimes there could be chances of a molar pregnancy too. There are chances of you having a normal pregnancy too if there is history of unprotected sexual intercourse.2) My suggestion is that you get a pelvic ultrasound done just to rule out any pathology in the uterus.3) If you cannot go for it right now, you can get a urine pregnancy test or a blood test called serum beta HCG. 4) It is better to get the blood test done as it could help in further managemet too.I hope this was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "i am 42 years old and only have a daughter who is currently eight years old. I have been tryin hard in vain to conceive. According to various doctors reports i have multiple fibroids inside my uterus . But despite this I managed to get pregnant even with fibroids and gave birth to my daughter through a normal delivery. I am desperate to have a baby or babies. Three days ago i was advised to use fertility pills which i should finish by saturday, and then proceed to using ovacare, kindly advice." }, { "from": "gpt", "value": "Hi there,After going through your question, I am of the opinion that:1) Fibroids do cause infertility, especially as age increases as well as size of fibroids increases.2) The reason that fibroids cause infertility are: a) They distort the uterine cavity and prevent implantation. b) Hormonal changes are caused which can prevent ovulation. c) Sometimes, they obstruct sperm transport and fertilisation. d) They can cause miscarriages due to poor placentation.3) My suggestion is that you keep trying to conceive, but in case the pills do not work, you might need to get your fibroids removed by myomectomy and then plan for pregnancy.4) As it is, your age is also a factor in reduced fertility. As we grow older, our follicles reduce and there are a lot of hormonal changes too. A woman of 34 and of 42 are completely different. you should get evaluated for your hormonal profile too with tests like FSH, LH, AMH, sr. testosterone and oestradiol, TSH, T3, T4 and blood sugar and sr. insulin.I wish you all the best.Regards,Dr Shikha Shah" } ]
[ { "from": "human", "value": "hey, can any online Gyn tell me what are the chances of getting pregnant after i was given a ZyHcg 5000 iu injection? i am a pcos patient . i did take some medicines. and the egg was fertiled and i was given this injection to release the egg. so may i know what are the chances of me getting pregnant." }, { "from": "gpt", "value": "Hi.. Thanks for writing.. hcg shots increases the chance of pregnancy as it ensures ovulation.. With Good ovulation, fertilisation and implantation, malignancy occurs.. Take progesterone in luteal phase to increase chance of pregnancy.. Hope I have answered your query.. Good day." } ]
[ { "from": "human", "value": "i had sex last friday but he did not ejaculate at all. (because i wanted to stop). we were also wearing protection. I started my period May 7 and ended the 11. I am not sure if i was ovulating though when i had sex. My doctors seem to think i have PCOS like my mother. also, my periods are irregular. is it a good possibility i could be pregnant? I am scared" }, { "from": "gpt", "value": "Hi.. if you had protected sex and he didn't ejaculate inside there is less chance of pregnancy.. About 75 percent of women is detected PCOS in scan but very few have problem with conceiving.. so fertility might not be a problem.. But this cycle less chance.. Hope I have answered your query. Good day." } ]
[ { "from": "human", "value": "Hi Doc, my age is 29, height is 5\" 2 .. and weight is 56 kgs.I had a biochemical pregnancy in April 2011. after which i got my tests done.. my prolactin was very high... but now everything in under control. I am undergoing a follicular study now.day 11 my endrometirum was 10.2, my right ovay MSF and left ovary is 18. I was told my follicle is ripe and so i was given an injection Profasi 10000 to rupture. Am I on the right path? what are my chances of conceiving? and what does MSF mean?thank you" }, { "from": "gpt", "value": "Hi.. Thanks for writing.. Yes you are in the right path of treatment.. One follicle is mature and with hcg injection will ovulate.. Also endometrial lining is good.. MSF means multiple small follicles. This means there is mature follicle in that ovary.. Hope i have answered your query. Good day." } ]
[ { "from": "human", "value": "hi my age is 27 i ve irregular periods.i ve billateral polycystic ovaries and my prolactin is 48 and tsh is 7.4,lh is 9.54 doctor prescibed me to take eltroxin 50mg for hypothyroid.sicriptin 1.25 for high prolactin n krimson 35 for high in lh.iam married girl iam waiting to get pregnent.will it possible for pregnent after taking these tablets" }, { "from": "gpt", "value": "yeah u can get pregnant...go to ur gynec and take clomiphene or letroze from day 2 ...den follicular study...if needed she will give inj gonadotropins. ...til follicle size 18 mm...then rupture...den keep relationship" } ]
[ { "from": "human", "value": "Hi i have been married for 1 and a half years. Since april when we started to plan a baby my periods became irregular and came once in two months that too after taking withdrawal tablet. I had a serum prolactn, thyroid panel tests. all of them were normal. She then advised me to go for yaminitablets for 2 months. Will my menstrual cycle normlaize and will i get pregnant." }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic. I am Dr Ramadevi wani. I will be answering your concerns.It would have been nice if you had provided me some more information like age, BMI, HSG and semen analysis report.Irregular cycles are often due to ovulation not occurring. There are several reasons for this like sudden change in weight, stress ( both physical & mental), polycystic ovaries etc. If there is mild hormonal imbalance, Yamini tablets will regularize your cycles. If your BMI is more than 25kg/M2, you need to reduce weight.If your cycles do not regularize after the course of yamini tablets, you need to be investigated to find the cause. Relax. You can get pregnant with irregular cycles. There are medicines available to induce ovulation.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three times in a week.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "hi,im 31 years old and a mother of a 5 yrs old girl.Im also suffering from hypothyroidism.Im having bilateral polycystic ovaries.My height is 5.1\" and weight is 68 kg.The size of ovaries are ROsize 3.2 x 2.5 x 2.2 cm(vol 9.7cc) and LO 3.3 x 2.6 x 2.0 cm (vol 9.2 cc).How it can be cured .Can I conceive again." }, { "from": "gpt", "value": "Hi.. Thanks for writing.. Hypothyroidism can be corrected by thyroid tablet.. There is no permanent solution for PCOS.. Good exercise and diet control jelps.. Ovulation induction with follicular study detects ovulation.. if there I'd ovulation there is good chance of pregnancy.. Hope I have answered your query. Good day." } ]
[ { "from": "human", "value": "hi i am recently married in may 2015 and trying to conceive, last month i had very short and light periods of one and a half day , this month on 18 of August 2015 i got bleeding of three days it was not heavy , although my periods was due on 24 of this month but i got it earlier , i havnt had any pregtest yet, suggest me can i be pregnant? I am 5 2 and weight is 50 Kg,always have regular periods of 4 -5 days , i am fit and healthy otherwise." }, { "from": "gpt", "value": "Hi there,After going through your question, I am of the opinion that:1) Some women get little bleeding every month for 3 to 4 months of their pregnancy.2) However, that bleeding is very light and does not even fill one pad.3) Sometimes, when you start trying for pregnancy, there are hormonal changes which can cause a change in normal menstrual pattern.4) You can get a urine pregnancy test at home to just check whether you are pregnant. If that is negative, you can just sit back and relax. In case you miss your periods, you can repeat the urine pregnancy test or a blood test called serum beta HCGI hope this was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Have been trying to fall pregnant for the past 10 months with no success. We have a 2 year old. My Dr prescribed Fertodim-50 and said I should take it on day 2 of my cycle for 5 days. My cycle is 25-28 days. I took it this month and started intercourse on the 9th day according to my Dr and fertility calculator. We had sex for 3 consecutive days. Should we have proceeded after the 3rd day and how exactly should I be taking the pill if I m not pregnant ?" }, { "from": "gpt", "value": "Hallow Dear, Fertomid pills are the tablets of Clomiphene citrate. I would have appreciated had you taken some more scientific steps as described below:1. From day 9 onwards, subject yourself for the ovulation monitoring by ultrasonography. Usually the egg is released when the follicle attains the size of 18 mm to 21 mm. So you can plan your sexual relations accordingly. Ultrasonography also will provide an evidence of egg release. 2. Some prefer to give Inj. hCG when the follicle is matured to have guaranteed and planned egg release. So from a couple of days before that to few days after injection, sexual contacts are advisable. 3. Clomiphene citrate should not be taken for more than 6 cycles. If it does not result into pregnancy, you may have to change over to HMG/hCG combination for induction of ovulation. If all these fail, you may have to go for Artificial Reproductory Technique. I hope this provides you brief and still apt guidelines. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i was on depro birth control shot for at least 7-9 years not consistenly though. I had two early abortions and i didn t need any d&c. i been of the shot for a year now and have been trying to concieve. do you think i will ever concieve a child ? Or should i wait a bit longer i am 33yrs old" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Since you have been pregnant before, there is no reason to expect that you should not be able to conceive spontaneously after going off the Depo Provera. The fact that you terminated your pregnancies does not have any long term effects on your ability to conceive, and Depo, once it is out of your system, does not have any bearing on your fertility or ability to have a healthy child. Certainly there is no reason to delay trying to get pregnant if that is what you and your partner desire.However, sometimes it can take 6 months to even a year after stopping Depo for your ovulation to return consistently, so if you do not conceive easily right away, there is no reason to be concerned. I hope I was able to adequately answer your question today and that this information was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "My last period started on April 6th. I stopped taking the pill 3 days before having unprotected sex with my boyfriend on the 22nd of April. About a 3 or 4 days later i had brown and dark red light discharge (I thought it was from going off the pill). I was supposed to start my period on the 4th of May. It’s now 5 days late and i’ve had some pregnancy symptoms including tingly breasts, increased appetite, weight gain, bloated, dizziness, throwing up (only twice), and very fatigue. I tested this morning, but came out negative. Did i test too early since it’s only been 2 weeks since the unprotected sex? Should I test again and if yes then when? Is there a real chance that i’m pregnant?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.It is normal to have bleeding 3 or 4 days after stopping birth control pills (which is why you have your \"period\" during the pill-free week). In addition, it is common to have an irregular or delayed period after stopping the pill as well.It is unlikely you would have ovulated in only 3 days after stopping the pill, so your chance of pregnancy from that encounter is very low. Also- pregnancy symptoms vary greatly between women and many of the symptoms we commonly associate with pregnancy like bloating, breast tenderness, appetite changes and irregular bleeding can happen from an irregular menstrual cycle as well as pregnancy.Modern pregnancy tests are extremely accurate and will be positive by two weeks from an unprotected encounter. Your test was likely accurate, but retesting in a week would provide extra reassurance.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "My husband and I are TTC. I was put on clomid on day 3 of my menstral cycle. I am now a week late. I have taken 2 hpt s which resulted in neg. I went to my dr today and got a blood test done, which also came back negative. I have rarely been late for my cycle...only a day or two a few times. I took Benadryl last night. Could I still be pregnant even with the negative results?" }, { "from": "gpt", "value": "HI.. Thanks for writing.. I understand your concern.. If the blood test is also negative there is less chance of pregnancy.. But you can wait for 1 more week for spontaneous onset of periods.. Hope I have answered your query.. Good day" } ]
[ { "from": "human", "value": "Hi, after calculating my ovulation day (22th. to 25th june) we had intercourse on 23rd n 24th june i had cramps as i use to have before my periods, we had iintercourse after that for 2times n i also did hasthmaithun.....did these things lead to my periods.?i had my regular periods on 8th of July.please help." }, { "from": "gpt", "value": "Hi.. Thanks for writing.. Unless fertilisation occurs there wohn't be pregnancy.. By intercourse after ovulation or by doing yoga don't prevent pregnancy.. I would like to know since how long you have been trying for pregnancy.. Is your husband's sperm count normal? If so you can try ovulation induction pills and get a follicular study to know the status of ovulation and have intercourse on that day to increase the chance of pregnancy.. Hope I have answered your query. Good day.." } ]
[ { "from": "human", "value": "Good Morning sir i got married 4 years back,i had irregular periods since my mature time.After marriage i consulted a doctor she gave me Krimson tablets for regular periods.I am eager to get pregnant so doctor advised me APCOD sachets is this medice helps to get pregnant." }, { "from": "gpt", "value": "Hallow Dear, Krimson pills contain Ethinyl Oestradiol which helps building up the lining of the uterus (endometrium) required for the implantation of the fertilized egg. These pills have to be down regulated and the medicine for induction of ovulation needs to be started. After down regulating Krimson pills, you should take initially Clomiphene citrate which will bring about the egg release. This can be ascertained by ultrasonography ovulation monitoring. If within 6 cycles this medicines fails to give you pregnancy, you have to switch over to hCG/HMG combination. In PCOS, along with failure of egg release, the levels of Insulin and male hormone also increase. Metformin helps to reduce insulin levels while Myo inositol reduces the levels of both insulin and male hormones. If either or both these medicines are given with Clomiphene citrate, the results are better. APCOD contains Myo inositol, Methyl folate and Vit. D3. It will help the medicines for ovulation. Per se APCOD cannot bring about the ovulation. Along with these medicines, please take care to maintain your BMI under 23.9.Please report to an Infertility consultant for appropriate medication. The medicines which you are taking now without the medicines for ovulation induction cannot make you pregnant. I hope this provides you guidelines for further steps. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am 19 years old and I indulged in unprotected sex about 53 hours back. The guy pulled out before ejaculating but we are still unsure of the circumstances. I am a case of PCOD which is why menstruation cycle keeps changing and I have been taking medication for that since a year and I have also been taking medication for my skin allergies regularly,homeopathic and allopathic. Is there any way I can know for sure whether I m pregnant or not,also is it advisable for me to take a contraceptive pill like I Pill before 72 hours are completed ?" }, { "from": "gpt", "value": "Hi there,My opinion after reading your question is that:1) After having unprotected intercourse, it is better to take an I-pill within 72 hours. This is to be done even if there was no ejaculation because pre-ejaculate also contains sperms.2) I do not know what treatment you are taking for PCOD, but if you are taking oral contraceptive pills like Yasmin or Yamini or Mala D or Duoluton-L, then you do not need to worry about taking I-pill. This can be determined by how you are taking the medicines. If you are taking 3 weeks of medicine followed by one week break, then they are most probably oral contraceptive pills.3) There is no way right now to find out if you are pregnant so soon, you will have to wait atleast for two weeks and then get a blood test called serum beta HCG. If you miss periods, you can get a urine pregnancy test done.4) So to sum it all, I think you should take an I-pill as soon as possible. Then you can wait for periods. If you get them, nothing to worry. If you do not, then get a urine pregnancy test done.I hope this was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "i'm taking ovofar my docter gave me dis and i got miscarriage in month of april i was pregnant for 2 months that time,now my docter said that she going to clean my tubes on 22 of dis month i'm taking dia tablts from 2 days is it good and i'll get pregnant after cleaning the tubes" }, { "from": "gpt", "value": "first check ur thyroid level ...prolactin..and sugar level...y u got abortion...first find d cause n treat that...u should take 3 month gap for next conception" } ]
[ { "from": "human", "value": "Hi, I am 29 yrs old and have irregular spotting as in the spotting starts about a week or two before the actual bleeding. However I have periods every month same day without fail. We are trying for a baby. I was suggested to take duphaston on 14th day of cycle for 10 days, and I have taken 7 so far, 3 are still to go. I have been having slight pain in my breasts for a few days won t necessarily say that I have sore breasts( Had a pregnancy earlier which was terminated so i know there is difference between sore breasts and pain in the breasts). I took a home pregnancy test which came out negative. I don t have any other symptom besides pain in the breasts. So what I wanted to ask was is it possible that consuming Duphaston can interfere with the home pregnancy test? Is it possible I could be pregnant and what is the ideal time to try a pregnancy test while on Duphaston and even otherwise? My periods begin on 11th of the month and i was advised to have sex between 19-30th to improve my chances of conceiving." }, { "from": "gpt", "value": "Hi there,My opinion after going through your question is:1) Duphaston does not interfere with pregnancy test results, but can cause sore breasts.2) Home pregnancy test comes positive ideally after 3 to 4 days of missed periods.3) You still have a lot of days before you can get a positive test.4) In case you want to find out earlier, you can get a blood test called serum beta HCG which can give a positive result by 3 to 4 weeks of pregnancy.5) However, my suggestion to you is to wait for your periods to be missed and get a urine pregnancy test done after 3 to 4 days. if that is negative, you can get the blood test done.I wish you all the best.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Hi me and my husband have been together for fouryears we have one boy but the last one died. We have been shocked that I dnt use no birthcontrol and Still have not came out pregnant. We want a girl. Hopefully why is it hard for me to get pregnant. We can have sex like four times a mnth but cant get pregnant? Is it me or my husband" }, { "from": "gpt", "value": "hi....your history suggests your contact with husband is less and should be 2-3 times a week at least .so after this frequency for 6 months ,if still you could not concieve, you can go for the work up and evaluation" } ]
[ { "from": "human", "value": "Im 30 yrs old married since last 10 yrs,in 2004 bfor marrage i suffer with tuboovarian for which i had an opration. i took AKT-3, for six mnth. Later after 5 year i oprated for ectopic pregnancy, now im trying to conceive and doing treatment for the same, two cycles of follicular shows follicals became too big n hemmorage yet not ruptured.is it any possiblity to coceive throught ivf." }, { "from": "gpt", "value": "hi..in IVF the egg formation is stimulated and eggs are collected and placed in media and then fertilised with sperms outside the body and fertilised eggs are implanted in uterus and tubes are bypassed .For this to happen,ovaries have to be properly functioning and the uterine lining forms the bed for embryo to growa normal menstrual cycle partly suggests that ovaries are good, your age seems to be OK for good results,hormone levels: FSH,LH,ESTRADIOL, AMH would give us the ovarian functioning,hence after the work up,your chances of conception could be tentatively explained" } ]
[ { "from": "human", "value": "hello Doctor, I have diagnosed with PCOD and had medicines. I have also advised to undergo USG for follicular study on my 11th day. My report is as follows. Right Ovary – 8mm, 9mm Left Ovary – 12mm Endometrium – 7mm My age is 33 seriously trying for conceive, advise may I get pregnant or need any treatment to conceive as soon as possible. Pl advise if any specialized hospitals in Banglore. Thank you for your time Regards" }, { "from": "gpt", "value": "Hi there,After reading your question, I am of the opinion that:1) For your 11th day, the report is fine.2) However, this report is not enough. You need to do your hormonal profile as well as tubal patency test like HSG.3) Endometrial thickness as per your USG is a little less, but can be improved with treatment.4) You also need to get your husbands semem analysis done.5) If everything is normal, nothing to worry and you can conceive naturally.6) In Bangalore, for conceiving, there are many options like Gunasheela hospital, Manipal hospital, Dr. Kamini Rao, Apollo etc. Either of the options are fine.I hope this was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Hi, I was wondering if I should worry if on day 9 I may have gotten pregnant because of the condom leaking from the bottom. It did not break, but was extra tight at the top and there seemed to be fluid near the base and so I was worried, but not even sure if the fluid was sperm. It just seemed more than usual. I m not even sure if a condom can leak from the bottom if it is on tight. My cycle is a 28 day cycle. Thanks. Corrine" }, { "from": "gpt", "value": "Dear Corrine,When your menstrual cycle is of 28 days, day 9 of the cycle is just on the borderline of fertile window. Anyway, safe period is indeed not a very safe method of contraception. Moreover, the condom has leaked. Leaked out fluid does have sperms in it. So there are good possibilities of conception. Covering this intercourse with post coital emergency contraceptive would have been safer. Now you can confirm the pregnancy status by:1. Beta hCG test on the blood 10 days after this intercourse. 2. Wait for the menses. They appear, you are not pregnant. However, if you miss the period, perform pregnancy test on overnight morning first urine sample a week after the missed period; earlier the test may report false negative results. If you are pregnant and this is unwanted pregnancy, you may terminate the pregnancy by medicines up to 9 weeks of gestation. I hope this clarifies your dilemma. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "lam 10 days late of my periods and am always on time and lam experiencing feverish at any time. also i have lower abdominal pains with backache. with bitterness in the mouth. can i be pregnant? and at what stage can i do a pregnancy test to get positive results.i have never missed my periods before am confused" }, { "from": "gpt", "value": "Hallow Dear, Fever, abdominal pain, low back ache are not the symptoms of pregnancy. You seem to have some flue like infection along with dyspepsia. Even the bitterness in the mouth could be due to fever. Please report to your physician and get the treatment. Some analgesic antipyretic will help you. Also get your urine examined for any evidence of infection. If so, the doctor will prescribe you some antibiotics as well. However, before that you should ascertain the status of your pregnancy as some antibiotics may cause ill effects on the baby at this stage. Yes, 10 days delay in menses could be due to pregnancy. 10 days is a sufficient time for any pregnancy test to give reliable results. You may perform either pregnancy test on overnight morning first urine sample or you may opt for Beta hCG test on your blood anytime now onwards. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, myself and my boyfriend had sex last week, some of it we used condom for some we didn t. He didn t come, would there be a chance I d be pregnant? Last 2/3 days getting very light period? Not due until next week. Don t know this guy too long..as in couple mths... ? Roisin" }, { "from": "gpt", "value": "Dear Roisin, Since during some sexual contacts, he did not use condom, the probability of pregnancy does exist. Though he had not ejaculated inside your vagina, deposition of pre-seminal fluid (precum) cannot be excluded. Precum does contain some sperms which are capable of fertilizing an ovum. Precum gets deposited without any sensation to a man. Please find out the evidence of your pregnant status by:1. Perform Beta hCG test on your blood 10 days after the last unprotected sex. 2. Alternatively, wait for your menses to appear. Light bleeding may not be a true menstruation. If you get good menses, you are not pregnant. If they are delayed for more than a week, perform pregnancy test on overnight morning first urine sample; earlier the test may report false negative results. If you are not sure whether you have missed period or not due to scanty bleeding, you may perform the test 3 weeks after the last unprotected sexual intercourse. I hope this will resolve your dilemma. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi, Really need help! Me and my hunsband tried to have baby for 4 months but not sucessful. Doctor said that my endometrial near ovulation is 6mm which is too thin. However my husband have colitis and need to take mesalazine which been stopped 7 month already in order to have a healthy baby, but seems like it is not good for him to stop taking it for his health. Thus, we have to have a baby as soon as possible so that he can continue to take mesalazine. Would you please let me know if 6mm endometrial near ovulation is to thin to have a baby? How I can thick my endometrial and have a healthy baby because in those days I find healthy is really important! You can have nothing but health! Thanks a lot for your help!" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.First of all, I want to reassure you that no matter what your endometrial measurement may be, 80% of couples will conceive within one year naturally. Couples are not diagnosed as infertile until you have been trying and been unable to become pregnant for over one year.Endometrial thickness is really only relevant in the context of couples trying to get pregnant through in vitro fertilization. The thickness of your uterine lining is somewhat related to your estrogen levels. When couples are undergoing IVF, treating with additional estrogen can thicken the uterine lining. However, because you've been only trying to get pregnant for four months, your endometrial lining may have absolutely nothing to do with the reason why you have not yet conceived. Furthermore, unless your husband's sperm count has been shown to be decreased, Mesalazine should not have any effect on fertility nor should affect any health of a developing baby should you conceive. Medications taken during pregnancy by the mother can affect the fetus, but not any medication taken by the father, because medication cannot be transmitted before fertilization through sperm. So unless the medication causes the sperm count to be low or abnormal, there is no medical reason why your husband needs to be off his medication for colitis in order for you and need to conceive successfully. I suggest that if he needs the medication for his health that he continue to take it. As for is maximizing your chance of healthy pregnancy, the best thing you can do is get plenty of sleep, eat a well-balanced diet, take prenatal vitamins, and tried to have regular(at least 2 to 3 days a week) unprotected intercourse from the time your menstrual period finishes until you begin to feel premenstrual symptoms.I hope that I was able to adequately answer your question today, and I wish you and your husband the best of luck in conceiving.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "hello i have a question i had unprotected intercourse a few weeks ago im not on birth control and my partner was not wearing a condom he used the pull out method, i have irregular periods and i got my perod on the 26th of may it only lasted 4 days it usually lasts a week, ive been having some cramping , i took a pregnancy test today and it came out negative should i take a blood test?" }, { "from": "gpt", "value": "Hello dearI understand your concernThere is always chance of the pregnancy as you had unprotected sex and you are not on birth control pill.I would suggest again go for urine pregnancy test and or blood HCG if period will not come in next 7 days.If you will be pregnant and do not want pregnancy then still you can terminate the pregnancy by abortion pill under the advise of gynecologist.Hope this may help youContact HCM for further health queryBest regardsDr.Sagar" } ]
[ { "from": "human", "value": "I had my last period July 7 . My husband and I had unprotected sex July 19 and I took Postinor 2 within 24 hrs. Had unprotected sex again July 25 and August 1. My period was due August 4 but as at August 10 my period has not come. Could I be pregnant?" }, { "from": "gpt", "value": "Hello dearI understand your concernYour delayed period could be due to side effect of the postinor 2 or by pregnancy.Pregnancy is possible as you did sex on the 25th august without any protection.Postinor 2 pill cause delay in period by 10-14 days.If your period will delay by more than 14 days from the expected period date then go for urine pregnancy test and or blood HCG to confirm the pregnancy.If you will be pregnant then still you can terminate the intrauterine pregnancy by Abortion pill under the advice of gynecologist.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr.Sagar" } ]
[ { "from": "human", "value": "Hi, I am 29 years old and where trying to have a baby for almost 4 years. My periods will only get normalize when i take duphaston but when i stop I go back to the same problem. I have been taking duphaston and clomiphne for almost a year but I suddenly stop 4 months ago coz it seems that it has no effect to me. And now, I got an ultrasound with my gyne and result was, I have a polycystic right ovary, cystic follicle at the left, slightly thickened endometrium and with intramural myoma at the upper posterior wall measuring 2.2 x 2 cm. What is the best medication for this and should I still have a chance to get pregnant? Is my condition worse? I am badly needed your advise. Thanks" }, { "from": "gpt", "value": "u can get pregnant ...u should go for gonadotropins wid clomiphene/letroze ...n do regular ovulation study til follicle reach 18 mm..under guidance of gynecologist" } ]
[ { "from": "human", "value": "We had sex on the first day of her menstruation, which is 23 and I noticed that there is already blood spots... Then on the 24th still the same... And on the night of the 25th she had her menstruation the regular way... Which is not spots anymore... And on the 26th it came back to spots... On the 27th still spots... And on the 28th it stopped... Is there any possibilities that she is pregnant?" }, { "from": "gpt", "value": "Hello dearI understand your concernSpotting is not due to pregnancy.Intercourse on the first day of the period does not cause pregnancy.At this time, ovulation has not been occur and so no fertilization will occur.Spotting could be due to hormonal imbalance, birth control pill use, endometrium/cervical dysplasia, cervicitis, polyp.If it will continue in future then consult the gynecologist and undergo vaginal examination, USG scan, PAP smear to rule out the causes.Avoid stress, take healthy diet, do regular exercise and maintain proper pelvic hygiene.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "hi,i want to know that is there any chance of my wife getting pregnant bcoz sheis getting delayed in her periods regularly upto 3-4 days.we have done pregnancy test negative and our doctor prescribed ovacet twice daily,i want to know is this medicines have any side effects and is this correct." }, { "from": "gpt", "value": "Hallow Dear, It seems from the medicines that have been prescribed to your wife that she is having Polycystic Ovarian Syndrome (PCOS). In this condition, the eggs from the ovary are trapped within the ovary and they re not released; hence any cysts are formed. This leads to irregularly delayed heavy menses with infertility. This condition also is characterized by high insulin and high male hormone levels. Due to this, there is obesity, hair on unwanted areas like face, chest, abdomen, legs, etc. Medicines like Metformin and/or Myo inositol help reduce the levels of these hormones.For achieving pregnancy in such cases, some medicines have to be given for releasing eggs from ovary (induction of ovulation). To start with, usually Clomiphene citrate is used. This medicine can be used for maximum 6 cycles. If it fails to give desired results, HMG/hCG combination may be tried. Concomitant use of Metformin and/or Myo inositol give better results to Clomiphene citrate. Ovacet Tablet contains L-Methylfolate, Myo-Inositol, and Vitamin D3 as active ingredients. Therefore it helps achieving ovulation by Clomiphene citrate and usually does not have any ill side effects. However, this medicine should be given along with Clomiphene citrate. In addition to the medicines, please pay attention to her weight and BMI. Please maintain her BMI under 23.9. I am sure this will clarify your concepts about the treatment she is receiving and the ideal treatment for such condition. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi Sir,I am 32 years old, I am married since 4 years. I had a miscaarge 2 years back.I am trying to conceive but its very difficult as I have PCOD and my eggs do not grow to rupture,I am also taking medication but I use to sometimes masturbate under tap water from the age of 16. Is the masturbation reason for my conceiving problem. I feel satisfied when I masturbate but at the same time I feel guilty.Is that I am doing something wrong?,Please help me." }, { "from": "gpt", "value": "Hallow Dear, Masturbation is self satisfying sexual urge and is not a guilty act at all. You should not feel guilty for this habit. Many women do masturbate in their life. If masturbation is not coming in way of your normal marital sexual contact, it should not have any adverse effect in achieving conception. Your problem seems to be with Polycystic Ovarian Syndrome (PCOS). Please get well treated for PCOS from some competent Infertility specialist. Initially, you should take treatment with Clomiphene citrate in combination with Metformin and/or Myo inositol. This will help induction of ovulation required for conception. If it does not give desired results within 6 cycles, you may have to switch from Clomiphene to HMG/hCG combination for inducing ovulation. I hope this clarifies your doubts. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi doctor!my question is -I am 28 yrs women. Married. We have unprotected sex on 18th August. &I take I pill.but I have vomiting in half hour after taking ipill. But now we want to take chance for baby. So can we plan for pregnancy now. My LMP is 6th August. How long effect of ipill ?" }, { "from": "gpt", "value": "Hallow Dear, Since you have vomited out within half an hour of consuming I-pill, the pill should have been expelled out in the vomitus. So this pill will not give you any protection from the pregnancy. Of course, pregnancy also is not guaranteed; however, you had unprotected sexual contact around the day of ovulation and in the fertile period. So there are good chances of pregnancy. To find out whether you are pregnant or not; you have following options: 1. Perform Beta hCG test on your blood any time after 28th August. 2. Alternatively, wait for your menses to appear. If they appear, you are not pregnant. If they are delayed, wait for a week and then perform pregnancy test on overnight morning first urine sample; earlier the test may report false negative results. Since the pill has been expelled out within half an hour of ingestion, it does not have any effect on the body as it was not absorbed at all. So there is no risk to the pregnancy if you are pregnant. I hope this clarifies your doubts. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Im 24. Trying to get pregnant n my doctor advised me to take susten 200 after my ovulation today is my 16th day afte ovulation n 32nd day after last periods.. but still my result is negative.. lemme kno does susten 200 delay periods / it doesnot allow positive result in home pregnancy test." }, { "from": "gpt", "value": "Let me clear your doubt.in your normal menstrual cycle after ovulation your body starts secreting progesterone and which ultimately make the uterus suseptible to accept the pregnancy if pregnancy happens. So Susten 200 is Progesterone and starting after ovulation as your body starts secreting it. by doing this we are supporting if your body secrets in lower concentration than it helps. So it ultimately supporting therapy nothing else. and if pregnancy doesn't happen than bleeding starts withing 10 days after stopping tablets. normaly your body decreases its secretion and periods occur.Hopefully you get your answer." } ]
[ { "from": "human", "value": "hello doctor i have pcos,i got married by nov 2011.we r tryng to get pregnancy from last two months.my doctor prescribed ubiphen and dubagest for last month and clomipure and duphaston for tis mnt.last month i got date aftr 32days,and for april it was 36days. and my qtn how to knw severity of pcos and what is the best time to concv saranya" }, { "from": "gpt", "value": "Dear Saranya, In case of Polycystic ovarian syndrome (PCOS), better to conceive as early as possible. Both Ubiphen and Clomipure contain Clomiphene citrate while dubagest and Duphaston are Progestational medicines. Clomiphene citrate is a medicine which induces the ovulation. Progestational medicine supports the pregnancy after conception. However, in PCOS, along with the menstrual and fertility problem, the insulin and male hormone levels are increased in the body and they may not give success to only Clomiphene. Addition of Metformin helps reducing insulin level and the success to Clomiphene may be better. Myo inositol controls both insulin and male hormones levels and hence the results of Clomiphene are still better. Clomiphene should not be taken for more than 6 cycles; if it fails to cause pregnancy, ovulation induction may be tried with HMG/hCG combination. After the medicines for induction of ovulation, please monitor the ovulation by ultrasonography so that you can plan your sexual relations on and around the day of ovulation. Controlling weight is of prime importance in PCOS. You should maintain your BMI under 23.9. Diet control with high protein with low carbohydrates and low fats along with appropriate exercises will help you reduce the weight. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I had my last mensuration on 28 feb and generally next mensuration comes before 5 days. Since 28 feb we are not using any precaution during sex. From last week i have started taking pregnanacy test, as i eagrly want to know about it. I had my last test on 19th evening and 20 th morning. On 19th it was showing negative. And on 20th morning its showing invalid. I have taken 2 test few daz before also, one in evening and other in moring. And same thing happened. I am not able to make out the final result. Please guide me in this regard. Why it is happening so ?" }, { "from": "gpt", "value": "Hi there,My opinion after reading your question is:1) A home urine pregnancy test comes positive only 2 to 3 days after a missed period at its earliest.2) If you want to know sooner, you can get a blood test called serum beta HCG which can give positive results by 3-4 weeks.3) Watch out for symptoms of pregnancy like vomiting, nausea, breast tenderness etc., but they are not reliable signs of pregnancy.4) My suggestion is that you wait till at least till 1st and then get a urine pregnancy test. Till then, just sit back and relax and let nature take its course. If you are really anxious, you can take the blood test mentioned above right now.I wish you all the very best for your pregnancy.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "hye doctor my period was very late this month. this month its 21 days already late. i already went to clinic yesterday..but i m not pregnant. actually before this my period also not regular where its was very spoting.. yesterday i start eat the medicine (NORCUTIN). i really want to get pregnant actually.. help me.." }, { "from": "gpt", "value": "For pregnancy to happen healthy sperm of your partner and a healthy ovum of your own required basically. The path should be patent secondly. Do your husband semen analysis test. For seeing whether you are ovulating or not do ovulation study starting after 12th or 14th day of your cycle. You may require clomephene citrate tablets for induction of ovulation. The tablets helps in ovulation process. Do TSH, prolactin test., do one Sonography to find out the cause of irregular menses. If your weight is more than try to reduce it and it will help in ovulation. And one time do consult nearby Gynecologist with your husband. If want more detail or have any confusion than you can ask us anytime." } ]
[ { "from": "human", "value": "Hello. I had protected sex 10 weeks ago(4 days after period, 7 days before ovulation 31 days menstrual period).He ejaculated in me but he is 100% sure the condom was not broken and that there is no reason to worry about pregnancy.I took a test 14 days later it came out negative.I got my period on time it was normal.I had a second pregnancy test - negative.And then I got my second period on time.I am still afraid I can be pregnant." }, { "from": "gpt", "value": "Hi.. thanks for writing.. Since you had your periods on time and there is no delay there is almost no chance of pregnancy.. The condom was intact so no chance of pregnancy.. Hope I have answered your query.. Good day.." } ]
[ { "from": "human", "value": "I ve been on the pill (Loestin 20) for four weeks and four days. I started my second pack 11 days ago. I take the pill roughly at 20 to 1 in the afternoon each day. I had unprotected sex, and my boyfriend came inside. (on a Thursday) I then missed my pill the next day (on Friday) and was a couple hours slightly late taking my pill on the Saturday with the missed pill from Friday as well. This was almost a week ago. Could I be pregnant. I have never missed a pill till then. I know that missing one pill and doubling up when you remember the next day does not require emergence y contraception so I did not seek an emergency contraception. I remember having dirrahea the morning after having sex (which could be due to a sudden change in diet I had during that week) Could I be pregnant?" }, { "from": "gpt", "value": "Hi.. thanks for writing.. I understand your concern.. Since you have taken the missed tablet on next day there is less chance of pregnancy.. Only if more than 2pills are missed alternate contraception is required.. Hope I have answered your query.. Good day.." } ]
[ { "from": "human", "value": "i had unprotected sex 5 weeks ago and i came on my period like usual on the 20th march, then i had sex again last sunday and the condom split i took the morning after pill 48hours after. i have now got abit of brown stuff coming out from my vagina.. could this mean im pregnant from the unprotected sex i had 5 weeks ago or from last sunday? but isnt it to early for any symptoms from last sunday?" }, { "from": "gpt", "value": "u do urine pregnancy test ...if it's negative/1 line ...don't worry...if it's double line u r pregnant..visit gynecologist" } ]
[ { "from": "human", "value": "hi i just been told in secret that my grandaughter is pregnant but she dosent know i know she is about 8weeks and her partner is taking her to new york next week as a surprise should i be worried and is it safe and its also planned to go in a helicopter over new york" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.First of all, I want to reassure you that air and car/train travel is safe during all trimesters of pregnancy. Flight attendants are even allowed to work until the third trimester. So there is no reason you need to worry about your granddaughter flying while pregnant.However, pregnant women are more prone to getting blood clots in the legs when sitting for prolonged periods of time. So your granddaughter needs to just make sure she stretches and gets up to walk around at least every few hours if she is on a long flight.The only places pregnant women are encouraged not to fly are areas that are at risk for Zika virus infection. This includes most tropical islands and parts of central and south America. You can look at the following website for the complete list- travel to New York, and even a ride in a helicopter, will not pose a risk for the pregnancy.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "how are u, i have a qustion.i had sex 7 different times this month with my bf and i am not on anything, and was woundering how likely i could be pregnant.i have about two more weeks before i am suppost to have my periodi want to be pregnant but i am afraid i am going to get my hopes up and find out i not but oh wellwhat are my odds." }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Any woman having unprotected sex is at risk for pregnancy, so it certainly is possible that you may have conceived your first month. However, 80 percent of couples will conceive within one year, so if you divide that by 12 (for each month) you have about a 6 percent chance of conceiving per cycle.Sperm live in the female genital tract for up to 72 hours, so it is generally recommended when trying to get pregnant to have sex every other day between the time your period finishes and the time you feel PMS symptoms (which means you have already ovulated and can no longer conceive that cycle). So I would try to be patient and understand that it sometimes can take some time to become pregnant. In the meantime, I recommend you try to eat a healthy diet, get plenty of rest, avoid alcohol and smoking and begin to take Folic Acid, which is a B vitamin that has been shown to help prevent birth defects. 400 micrograms daily is the standard dose, which can be purchased alone or in prenatal vitamin preparations.I hope I was able to adequately answer your question today and I wish you the best of luck getting pregnant!Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "Hi, I m having a lot of white creamy vaginal discharge (sorry tmi) feeling pain and cramps in my tummy, dizziness that last about 4seconds, light headache on and off and my breast hurt when I lay on them, are there signs that I m pregnant? Please give u advice" }, { "from": "gpt", "value": "Hi there, I have understood your concern. I will suggest you the best possible treatment options.1 ) First of all do not panic. 2 ) All your symptoms can be related to pregnancy, if you have any positive definite indicator test for pregnancy. 3 ) As you might be aware that the very first and important sign of pregnancy is a missing period. If you have regular cycles, and you have crossed your dates, then please get morning's first sample of urine tested for pregnancy. In case of doubt blood beta HCG test and USG will be of help. 4 ) If your pregnancy test results are negative, then your symptoms can be due to PMS - premenstrual syndrome. Breast discomfort, headache and abdominal pain, mood changes are few of the symptoms in PMS . In that case I will suggest to start with long acting form of Vitamin B 6, vitamin E and evening primrose oil supplements on daily basis at least for next 3 months. Please seek prescription support from your treating doctor for getting the same and analgesic like paracetamol for headache,I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar." } ]
[ { "from": "human", "value": "i had my periods on 26-4-2014 to 1-5-2014 , after my periods i had sex with my hubby i stil did not get my periods mean while i m taking ovacet and evaserve tablet a/c to my doctor advice , so i just want to knw wheater m pragnent or not wt really happing in me" }, { "from": "gpt", "value": "Hallow Dear, You have not mentioned how many days after the menstruation or on which days of the cycle you had unprotected sex. Usually, 14 days prior to the next expected menses the egg is released (ovulation). A period of about one week around this day is a fertile period; though variations are known. With a history of unprotected sex in child bearing age, if the periods are delayed, pregnancy should be suspected unless and until proved otherwise. To find the evidence of pregnancy status, you have following options: 1. Perform pregnancy test on overnight morning first urine sample a week after the missed period; earlier the test may report false negative results. 2. Alternatively you may opt for Beta hCG test on your blood anytime after 10 days of the last unprotected sex. This should provide you clue to resolve your dilemma. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi doc, at forty 42 years both my tubes are block however my gyno told my one could be repaired, however there were other issues such as no period. a blood test concludes that i went into early menopause at that time i was 38. my period suddenly repair last august 2013 a month after i was rob at gun point. The time period that period stop i was also encountering some stress as i had make a decision to close my business thatwas difficult thing for me to do. question is could stress have been the contributing factor to my period history. and is there a posssible of me getting pregnant at this stage of my life." }, { "from": "gpt", "value": "Hallow Dear,There are more than one issues for which you need guidance cum explanation. I shall tackle them one by one:1. Though stress can affect the menstrual regularity, after having a menopause for 4 years if you again start bleeding, it should be taken seriously to rule out any evidence of any serious pathology like cancer. Such sort of a bleeding anytime 6 months after confirmed menopause is labelled as Post Menopausal bleeding and needs to be thoroughly investigated. Your menopause was confirmed by blood tests. Initial ultrasonography will give some clue and will guide for the further investigations which may include Hysteroscopy, endometrial biopsy, etc. 2. After bilateral tubal block, the tubal reconstruction surgery can be performed. However the success rate of such surgery in terms of pregnancy is hardly up to 50% in a woman in childbearing age group. If the tubes were blocked by some infection, the success rates are still low as the tubal lining is affected by infection. You are in your menopausal age group; so the success rate will be considerably low. 3. Since you have menopause, even though the tubes are reconstructed, the million dollar question is whether you would be producing any eggs? Most probably not. However, AMH levels in your blood will give scientific information about it. Considering all these odd facts for you to become pregnant, I would advise you to opt for an adoption if the natural pregnancy is not possible. I hope this clarifies all your doubts. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am taking ccq 50 from last 2 months to get pregnant but there is no positive result.today also my third day of period and as per doctor s advice I am taking this tabet from third day of the period.Ihave hypo thyroid from 2.5 years and l am 28 years old.my thyroid reports comes always normal.I am little worried about this please advice me what to do be pregnant" }, { "from": "gpt", "value": "Hallow Dear, When you are a proved case of hypothyroidism, you should aim to get thyroid function to normal range first. Hypothyroid state is known to affect the fertility of a woman. Even if you become pregnant with Hypothyroidism, there is an increased risk of pregnancy loss or baby affection with low Thyroid function. Some Levothyroxin (with the advice of a Physician only) will help you bring your Thyroid function to normalcy. I would advise you to go for medicines like Clomiphene citrate (which is a key component of Tablet Ccq 50) after your Thyroid function is within normal range. If even after that Clomiphene citrate fails to give you pregnancy within 6 months, you will have to shift to some Artificial Reproductory Technique with consultation of Infertility Consultant. Adding medicines like Metformin and/or Myo inositol are known to give better results to Clomiphene therapy. At present, please concentrate on Thyroid function. I hope this helps you today. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi Sir, I got menses on 27th May 2014. I went for Follicular study on 12th Day. Below is the report- 7th June 2014- Day EMT RO LO-------------------------------------------------------------12th 9.3 MM F1: 2.3 CM No DOMINANT F2: 1.8 CM FOLLICLE Could you please help me , how can I know that , which day will egg release..?" }, { "from": "gpt", "value": "Hallow Dear, Usually, healthy egg is released by ovary when its size is around 18 mm size. Chances of successful pregnancy are more when the egg is released from the follicles of size between 18 mm to 21 mm. One of the follicle in left ovary is of 1.8 cm; i.e. 18 mm size. So it is very likely that this follicle will rupture any day. Hence, I would suggest you to utilize every day now for sexual relations. Another option is to get inj. hCG 5000 IU to induce the ovulation from this follicle of 18 mm size and start having intercourse every day; or at least every alternate day for better chances of conception. Please continue to have ultrasonography daily for few days to find out what happened to these two follicles. Also please get the information about the thickness of the lining of the uterine cavity (endometrium) from the sonologist. Endometrium of thickness between 9 mm to 14 mm is most conducive for the implantation of the fertilized ovum. I hope this provides you sufficient guidelines. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I m 19 years old and my last period was on the 11th of April. I ve since not had a period yet. Whilst I have had sex twice in the past month, both times a condom was used and in the first, no ejaculation occurred. I ve done pregnancy tests on the 16th, 17th and 23rd of May which have all been negative. I also received the HPV vaccine last month. I ve been feeling bloated and my face has broken out. Firstly, is there any possibility I could be pregnant and if not, could Gardasil be the cause of this? Thank-you in advance." }, { "from": "gpt", "value": "Hallow Dear, Since on both the occasions your partner had worn condom and there was no ejaculation, you do not stand the risk of pregnancy. Moreover your three tests for detecting pregnancy have confirmed that you are not pregnant. Yes, Gardasil (human papillomavirus (HPV) vaccine) is not free from the side effects. facial swelling, bloating, etc. are reported side effects of the vaccine. The reaction may delay your menses. If they are causing much discomfort, please report to your Gynaecologist or Physician. Depending upon the severity, you may have to get some anti-allergic medicines, since these are the symptoms of allergic reaction to the vaccine. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi , im 32 yrs . Trying to conceive . Took a scan and dr told me im hvg pcos . Gave clomipure for ovulation and on 12th did my scan n was told im ready for ovulation n gave duphaston 10mg twice a day for 10 days when the course was over on the 12th june 14 found dark brown tinted blood cloths or blood around the area when used tissue got to see it. But no bleeding or cloths coming out only seen on tissue. Plus having slite pain on left side and sometimes right side of the tummy below the naval. Please can you tell me is this normal ? Are these my periods ? Or any signs of pregnancy ? Please help" }, { "from": "gpt", "value": "Hallow Dear, It is good that you have responded to Clomipure which is Clomiphene citrate. When you saw that the ovaries were on the verge of ovulation, it would have been more informative had you continued to have ultrasonography to confirm the ovulation. Since you were taking Duphaston for 10 days, your menses, if at all they were to come would be delayed for few days. If you are not pregnant, you would get the menses about 4-7 days after discontinuing Duphaston pills. The brownish spotting could be the beginning of the menses or it may the implantation bleeding also. You can confirm the situation by: 1. Pregnancy test on overnight morning first urine sample a week after the missed period; earlier it may report false negative results. 2. Alternatively, you may opt for Beta hCG test on your blood. I hope this helps you sort out your dilemma.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I had a baby back in Sept that was born at 17 weeks due to preterm labor and incompetent cervix. Since then I have been tracking my cycles which range from the lowest (last cycle) of 28 days to the longest of 38 days. The average is 35. Today is day 46 and still no sign of a period. I have taken several pregnancy tests all with negative results. I haven t had any hard core symptoms of pregnancy but I didn t with my first either. Is there still a chance that I could be pregnant or if all the tests have been negative this far is it most likely something else?" }, { "from": "gpt", "value": "Hallow Dear, Gradually your menses are becoming irregular. It is likely that you have developed hormonal imbalance. If several pregnancy tests are negative, you are not pregnant. Still for further confirmation you may get Beta hCG test done on your blood and also get ultrasonography done. Both these tests will provide you evidences of your pregnancy status. If it is confirmed that you are not pregnant, you may take some Progesterone preparation like Deviry for 5 days (with advice from your Gynaecologist). After discontinuing the pills, you should get withdrawal bleeding within 4-7 days. After you get the menses, please report to your Gynaecologist and get investigated for the irregular menses. You could be having Polycystic Ovarian Syndrome (PCOS). I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am trying to get preg from last 1 and half yrs. Iam married for 2 yrs. my menstrual cycle are normal. i have pcos and thyroid. presently i hav egone for follicular studies and my doctor gives e hcg 5000 and duphaston and fertyle100.will it be helpful to get pregnant. I am eager to get preg. plz help." }, { "from": "gpt", "value": "u should go for ovulation study...ur follicles will grow n rupture...den if u keep relationship ...den u will get pregnant...first is u should take clomiphene or letroze from your doctor ...n do follicular study" } ]
[ { "from": "human", "value": "Hello Dr. I,m Vaishali....Now my age is 38 & i wish to conceive as soon as possible...My Medical History....2 Abortion...from First marrige & 2 miscarriage also...now m taking fertab from last 2 months....Actually d problem is sperm doesnt goes inside..so Dr, Suggest me to inject the sperm...plz. sugest me perfect medications.. Thnk u Dr. Waiting for your Reply." }, { "from": "gpt", "value": "Dear Vaishali,Fertab is a medicine containing Clomiphene citrate which induces egg release from the ovary (ovulation). Hence, if you want to consume these pills for induction of ovulation, you should take them before intrauterine semen instillation (IUI - Injecting the sperms). The protocol should be as follows: From day 2 of the cycle, Clomiphene citrate tablets are taken for 5 days. Then from day 9 onwards, monitor the ovulation by ultrasonography. When the ovulation takes place, semen should go in your uterus; either naturally by intercourse or by IUI. Occasionally, the ovulation fails in spite of these tablets. In such cases, when the follicle is about 18 mm to 21 mm size, Inj. hCG is given to induce the ovulation and then the semen is injected. If these pills fail to offer you pregnancy within 3-6 trials, you should not continue these pills but shift to HMG/hCG protocol. I hope this clarifies the matter to you to take an informed decision. If you want further more details, you may ask me Direct question on this forum with your investigations report. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello doctorI was suggested miprogen 200 tablets alond with Agripeg sachet and loprin-75 tablets today by my gynac.I am already taking B-long since one month.I was under Follice study by my gynac and as per her she was happy that my egg has ruptures well and the thickness she said I guess was good too(she has given me a tablet for same during mu ovulation period).Does this mean I stand a good chance of being pregnent." }, { "from": "gpt", "value": "Hallow Dear, It is indeed a good news that your follicle has ruptured naturally and has released egg. Now please utilize this day and few more days by as frequent sexual relations as possible. You do stand a good chance of pregnancy provided there are no other adverse factors. Miprogen Capsule contains Natural Micronised Progesterone as an active ingredient. This medicine is given to support the pregnancy in early stages. In case there is any corpus luteum insufficiency, this medicine will take care to support the pregnancy. Argipreg Sachet contains Arginine, and Proanthocyanidin as active ingredients. It will help strengthening your capillary blood vessels and appropriate implantation of the fertilized ovum. You may continue taking B long which is Pyridoxin. It will help your general health as well as heart. I hope this ends up in a good stable pregnancy for you." } ]
[ { "from": "human", "value": "hi. I am 26 and have irregular periods. Last month i used fertyl 50mg from day 3 to 7 and Duphaston from 15-24 day. we had intercourse from 8-13 days and on 16th day. But were not able to do it on 14th and 15th day. I sthere a chance for me to become pregnant." }, { "from": "gpt", "value": "Hello dearI understand your concernPregnancy is possible when sex was done between 10th-20th days of the period.As you did sex from 8th to 13th and 16th day and sperm can live enter the genital tract for 4-6 days and can fertilise the ovum.So pregnancy is possible.If your period will delay by the 8-10 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy.Avoid stress, take healthy diet, do regular exercise and drink pelnty of waterI hope this will help you.ThanksDr.sagar" } ]
[ { "from": "human", "value": "Had I dont know if you could call it sex he just stuck the tip in, he did have a condom on the whole time and looked like he had it on the right way he did not cum inside of me and I took plan b 24 hrs later just to be safe is there anyway I can be pregnant" }, { "from": "gpt", "value": "Hello dear.I Understand your concerns.There is no chance of pregnancy as you had use double protection, condom and plan B pill.Condom does not allow the sperm enter into vagina and does not cause pregnancy.Plan B also effetive in preventing the pregnancy (85-90%).Just avoid stress, take healthy diet, drink plrnty of water do regular exercise like walking and stretching.I hope this will help you.ThanksDr.sagar" } ]
[ { "from": "human", "value": "Hi, i am a singaporean. My last period started on the 10 december and ended on 15 december. My period are irregular. Am i possible to be pregnant if my boyfriend does not ejacualate inside me? The last time we had sex was on 10 december. He did not ejacualate inside me. Recently i have feel cramps but it had already stop. My breast are not really tender and my nipples did not change in colour. By the way does gastric problems delay period?" }, { "from": "gpt", "value": "Hello dear.Understand your concerns.you are secured from pregnancy because you have sex in safe period, there is no chance of being a pregnant.During safe period, ovum is not released so no fertilization has been occur.But if you had sexula intercourse in unsafe period earlier with out ejaculation, then pregnancy is possible. As precum before ejaculation contain sufficient sperm and it enter into vagina unknowningly, so cause pregnancy.Gastrointestinal problem dose not cause delay in period.Your period could be dealyed by the hormonal imbalance, excessive stress, change in life style and dietary habit, ovarian cyst.Reproductive hormone analysis, USG scan, ovarian follicle study will help in the diagnosisPeriod can be induced by the progesteone pill under the advise of the hynecologist.I hope this will help you.ThanksDr.sagar" } ]
[ { "from": "human", "value": "hi, i am 30 years old and married since six years, i am trying to conceive for last 1 year but not got success, we consult our doctor and she suggested us for following once Laparoscopy so that the problem can be diagnose, i have taken this surgery on 9th of may and i found my one fallopian tube is blocked and second is opened after surgery but there is some type of infection, i want to know that how much time that infection can be healed and i can conceive after it or not" }, { "from": "gpt", "value": "Hallow Dear, The million dollar question is, when surgery was done, why both the tubes were not reopened? If the opened tube is infected, there is a great probability of it getting blocked again. First get the infection treated and then again reassess the patency of the tube by Laparoscopy or Hysterosalpingography. If the tube is still patent, you stand a chance of natural conception. However, tubal patency is not the only factor of conception. You have to find out whether you produce the eggs regularly or not. Ovulation monitoring by ultrasonography can help you to get this information. Also get the semen of your husband examined. If all the investigation reports are within normal range, try to plan your sexual relations on and around the day of egg release as found by ultrasonography. If after a fair trial of at least 6 months also, you fail to conceive in spite of all the reports within normal limits, you might have to consider opting for Artificial Reproductory Technique for which you should consult Infertility specialist. I am sure, this will provide you initial broad guidelines. For more detailed advice, you may ask me a direct question on this forum. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, I have a situation me and my girlfriend kinda had sex twice. I say kinda because it was for short amounts of Time and I wasn t close to orgasming I am just worried about precum and the odds of her being pregnant it was 4 days after her period. Also is there anything she can take to help avoid it (preferably something you can buy when younger then 18)" }, { "from": "gpt", "value": "Hallow Dear,Precum is pre-ejaculation secretion which is expelled out unknowingly. It does contain some sperms which can cause pregnancy. However, you had this experience 4 days after her period. This day is rather safe as far as the risk of pregnancy is considered. Egg is released 14 days prior to next expected menses. Egg has a life of 24 hours while sperms are active for 3 days. Hence a period of about a week around the day of egg release is considered as fertile window. 4 days after the menses falls quite away from fertile window. Still, I would say, better to err on safer side. Hence, she should take post coital emergency contraceptive pill protection. These pills have to be taken within 72 hours after the unprotected sex. If this period is already over, she may get intrauterine contraceptive device inserted within 5 days of this unprotected sex. This will give her protection from the pregnancy and moreover will give her ongoing contraception for years to come. If 5 days also are over, you cannot do anything now. Just wait for her periods to appear (which mostly she will get). If she misses her period, get pregnancy test done on her urine after one week; earlier the results may be false negative. Alternatively, you may get her blood checked for Beta hCG for diagnosing pregnancy, 10 days after this incidence. If she is pregnant, she can get the pregnancy terminated by medicines safely and effectively up to 9 weeks of gestation. However, this has to be done with Gynaecologists advice and prescription only. And lastly, any step she takes is to be done with her parents consent since she is minor; otherwise it will be an illegal offence. I hope this provides you detailed guidelines.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi Doc, my hus has below sperm factors.pls advise if we can try naturally. sperm count... 68 million/ml total count per ejaculate... 168 million motility fast proggressive..10% slow progressive.. 30% sluggishly progressive...15% non motile.. 45 % morphologhy normal forms..55% pls advise i have pco and my periods go missing once in 3 months" }, { "from": "gpt", "value": "Hello dearI understand your concernIn sperm analysis: count is normal.Total sperm motility should be >=40%.So semen analysis is within normal limit and conception is possible.But PCOS can cause problem in conception.To regularize the period consult the gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management.Drugs like krimson 35, metformin, clomiphene citrate, duphaston will help youDo regualr exercise and lose weight (10-12%) if you are obese.Take healthy diet, avoid stress and drink plenty of waterHope this may help youContact HCM for further health queryBest regardsDr.Sagar" } ]
[ { "from": "human", "value": "I have the Mirena, had it for 3 years now. Lately I ve been having a lot of pregnancy symptoms. I have clear liquid coming from my boob, tired, moody, nausea, head aches, cramps even after the little couple day cycle that I had. The list goes on. Could I be pregnant?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.No birth control method is 100 percent effective, so if you have been having unprotected sex, pregnancy is a possibility.However, if you can feel your strings, which means that the IUD is in place, the chance of your being pregnant is still extremely low.In addition, many of the symptoms we associate with pregnancy like mood changes, breast tenderness, fatigue, spotting and nausea can also be caused by an abnormal menstrual cycle. You may not bleed very much with the Mirena, but you do ovulate and you may be feeling premenstrual hormonal changes which can mimic pregnancy.So to be on the safe side, I suggest you purchase an over-the-counter pregnancy test and perform it according to the enclosed directions. Modern pregnancy tests are extremely accurate, and will become positive within 10 days to 2 weeks after conception.If you are not pregnant, you should see your women's healthcare provider as nipple discharge can be a symptom of a breast problem if you have not been nursing recently.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "Hello, really hope you can help me. My boyfriend and I were heavy petting on 7 June and although there was no proper penetration there was a little pre-ejaculation. We had both been drinking and my boyfriend said that there can t have been any sperm in it as he experienced slight pain. As a precaution I took the morning after pill around 11 hours after the incident. My last period started on 28 May. Is there any possibility I could be pregnant? Thanks very much for your help." }, { "from": "gpt", "value": "Hello, and I hope I can help you today.First of all, unless penetration occurred, there is no reason to suspect that you could be pregnant. There is a small amount of sperm in pre-ejaculate, but unless you and your boyfriend had direct genital contact there is no way the sperm could have traveled up your reproductive tract because sperm die when they are exposed to air. Furthermore, even if you did have intercourse, the morning after pill prevents pregnancy 90 percent of the time if taken within 72 hours.So I really do thing that you can be reassured that you are not at risk for pregnancy. I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "Im 37+ and my hubby 38, we are married for 1yr 3mths, trying to conceive till today. each time we are together i feel pain due to dryness, so we use ky gel since then. I took chinese herbs and did acupunture few mths ago cause the doc told me that my womb was cold, but nothing worked. my normal cycle 31dys has changed to 40dys. This mth i didnt feel any period sympthoms as i usually feel (breast pian, legs & stomach cramps). i did home pregnancy test and its negative. Pls help!" }, { "from": "gpt", "value": "Hello,It is probably a case of products. You have late ovulation. You should go for follicular study after taking clomiphene on day two of the period. Check your thyroid function and serum prolactin.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal" } ]
[ { "from": "human", "value": "Hi I m 32 yr old. I get married 6 months ago.I hav normal health and we r not using any protection. My gynecologist first precib folic acid than siphene . After siphene he prescribed duplastone than I can get consive. My period is before 4 days. Ans me Dr wt to do get pregnant or I hav any gynec issue? I can t understand wt to do?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.First of all, I want to reassure you that it commonly can take up to a year from healthy couples to conceive. You are not diagnosed as infertile unless you and your husband have been trying to conceive (which means having unprotected intercourse at least two or three days a week) for at least a year.Folic acid is a B vitamin that does not help you to get pregnant, however it is recommended to take during early pregnancy because it helps prevent birth defects.Siphene, also known as clomiphene citrate, is a fertility medication. It can help induce ovulation in women who are infertile because they do not ovulate. However, if your periods normally come every month, there is no reason to suspect that you are not ovulating.Because you are under the age of 35, I recommend that you and your husband to not take any more fertility medications and try to conceive for another six months on your own. Normally, your most fertile time is between the time your period stops until you start to feel premenstrual symptoms. For most couples, that means having sex every other day from about the seventh day of your cycle until the 23rd to 25th day.If you and your husband have not conceived in another six months, I recommend both of you see fertility specialist, as 50% of the time lack of pregnancy can be a problem with the man's sperm as well.I hope that I was able to adequately answer your question today, and that my advice was helpful, and you and your husband are able to have a baby soon.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "Hi, doctor. December 31 is my mens day but I didn't got it, my mens is irregular. I am 7 days delayed. Me and my boyfriend had sex on 31st of December. And then January 2 and then January 6. Is there any possibilities that I am pregnant? I feel seems sick, pain in neck, and I have a white sticky discharge. I'm just 16 years old. Sorry for the grammar." }, { "from": "gpt", "value": "Hallow Dear, Delayed period after 3 encounters of unprotected sex should raise the possibility of pregnancy. However, you had all these sexual relations after 31 December; i.e. after you missed your period. You cannot be sure only with the history whether these sexual acts have resulted in pregnancy or this is just an irregularity of the menses. Since it is more than 7 days delay in your menses, please get pregnancy test done on overnight morning first urine sample. It would inform about the pregnancy status. However, considering your sexual history in relation to your menstrual history, I feel you should get Beta hCG test done 10 days after the last unprotected sexual relation. If you are diagnosed not pregnant, please report to your Gynaecologist for irregularity of the menses. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "At last I got my first prega news on 30th march 2014.im happy.but after 10th week pregnancy I see in ultrasound that my baby has no heartbeat. Unfortunately I had got missed abortion on 4th may 2014.and now aftrer 15th day I want ans from you for help.so pls give me an ans for my question.now! Which time is safe and good for i got my next healthy pregnancy.when should I trying to concive.because the next time I want a perfectly healthy pregnancy.." }, { "from": "gpt", "value": "Hallow Dear,After abortion, theoretically, the egg release may start anytime after 5 weeks. However, whether to go for next pregnancy so immediately is a question; particularly when you had missed abortion. I feel primarily after any type of abortion, due time of about 3 months should be given for the organs and tissues of reproductory system to regain normalcy. After that pregnancy may be attempted. However, since you had missed abortion, I would advise you to consult a foetal medicine specialist to find out the probable cause behind the missed abortion. May be both of you might have to get your chromosomal study done. If any cause is detected and is curable, first get it treated before you attempt next pregnancy. Right from now, in the preconception stage, start taking Folic acid tablets daily and high protein diet also. This will help release of healthy egg and healthy implantation of fertilized ovum. Please consult your Gynaecologist before attempting the pregnancy. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi, i had unprotected sex on the 11th of may and my period is expected to come on 24th may. ( last period was on 24th april) i doubt that i am pregnant, shall i do a pregnancy test? will it show the correct result? if it is positive then please guide me the ways to terminate it, either natural ways or pill." }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1) First of all do not panic.2)I will suggest you to get morning's first sample of urine tested for pregnancy, after another 5 days.( 29th April) In case of doubt blood beta HCG test and USG will be of help.3)Even if you are pregnant, you can opt for termination with medicines safely till 9 weeks, under gynecologist’s supervision.I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "Taking duphaston 10mg ,each a day for 10 days every month to regulate my period. Started trying for 2nd baby this month, I have finished 5 days on the tab. Still 5 more days and will this force periods to occur, a misscarriage or abortion after a week, or will it land up in no period incase if Iam pregnant." }, { "from": "gpt", "value": "Hallow Dear, Duphaston is a progestational medicine. In fact progesterone is needed for stabilizing the pregnancy and taking it to the term. So rest assured that Duphaston will not cause abortion. If you are having progesterone deficiency due to weak corpus luteum, you will need this medicine to stabilize this pregnancy. Then in such case if you stop Duphaston, your pregnancy might get disturbed.If you continuously take Duphaston, you will not get your menses even if you are not pregnant, till you discontinue these pills. After stopping them, if you are not pregnant, you will get withdrawal bleeding within 4-7 days. I hope this resolves your query. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "what are normal prolactin levels for women trying to conceive.I am 32 yrs old and want to conceive right away. my prolactin test results was: 21.4 ng/mL.all other tests like hemoglobin were all normal.ovulation is normal and having a healthy diet as well" }, { "from": "gpt", "value": "Hallow Dear, Prolactin levels between 25 - 30 ng/ml are within normal range. Therefore, your prolactin levels of 21 ng/ml are within normal range. You do not have to take any treatment to bring down prolactin. If all your tests are normal, please get your husbands semen examination done. Also try to find out the patency of your tubes and the normalcy of the uterine cavity by hysterosalpingography and Laparoscopy. If all these are normal and still you are finding problem in conceiving, you fall in the category of unexplained infertility. Such cases may require Artificial Reproductory Techniques. Initially you may start with Intrauterine Insemination. Please report to an Infertility Consultant. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi,i m sana i had a problem of PCO..i had been operate since last month (ovariy drilling)nowadays i m taking glucophage three time a day and pragnacare and folic acid daily..i want to concieve soon..i m married since one and half year..plzzz recomend me what can i do...." }, { "from": "gpt", "value": "Dear Sana, Ovarian drilling is one of the methods to achieve egg release from the ovaries in cases of Polycystic ovarian syndrome (PCOS). Glucophage is metformin which helps control the raised levels of insulin in PCOS. Please continue taking them; it is a useful medicine. However, I feel Myo Inositol is a better choice which controls the increased levels of insulin as well as androgens. It has got better pregnancy success rate. Pregnacare and Folic acid are good vitamins which help healthy eggs and implantation of fertilized ovum. In PCOS, you should control your weight. Find out what is your BMI; you should keep it under 24. High protein, low carbohydrate and low fats is a good diet which should be supported by appropriate exercise. If with this treatment you do not conceive within 6 months, please report to Infertility specialist; you may have to go for Artificial Reproductory Technique. I hope this helps you.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "These days m trying to conceive n I think not sure dt m pregnant nw my last menstrual date was 3rd August 2014, my question is should I start folic acid tablet nw ? I have a three years old son n after dt one miscarriage(due to fall on the floor) in march 2014 this is m 3rd time pregnant again n thanks to God my first pregnancy ws normal no complications n 2nd ws too ....." }, { "from": "gpt", "value": "Hello, and I hope I can help you todayFolic acid is recommended to be taken during pregnancy because it helps reduce the risk of certain kinds of birth defects known as neural tube defects. While there is no proof that taking folic acid completely prevents birth defects, it is known that neural tube defects are caused by folic acid deficiency.It was helpful to take folic acid while you are trying to conceive because then you will already be on it at conception. However the neural tube of the baby only begins to develop at around 7 to 8 weeks gestation, so if you start taking the medication at around that time pregnancy the potential benefit is still there.So in summary, you should begin to take folic acid tablets as there is a possibility you are pregnant.I hope this information was helpful and best of luck to you for your future pregnancy.Regards,Dr. Brown" } ]
[ { "from": "human", "value": "i had sex with my gf and i gave unwanted 72 tab to her . again after two days had sex and gave tablet, normally she shoud gt periods on date, she is saying she s not getting periods even after four days from the date of normal period date , even she has not got withdrawl bleeding , is she is pregnent??? when should she expect the periods ...??" }, { "from": "gpt", "value": "Hi there,After reading your question, I am of the opinion that1) Unwanted 72 is not a fool proof method of contraception. Sometimes, pregnancy can occur even after using it.2) Missing a period by few days is also not unusual for a non-pregnant woman.3) You can get a urine pregnancy test done as soon as possible to rule out pregnancy.4) If the test is negative, you can wait for her periods to come or repeat the test after a week if they still do not come.I hope this answer was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Me and my girlfriend are wanting a child. We have had sex 3 times in the past 2 weeks. Unprotected. She is also not on birth control. Her period should be coming up soon. Last time it was the 7th. It is now the 29th and the latest we are thinking her period should come is on the 7th of July. What are the chances that she will be pregnant?" }, { "from": "gpt", "value": "Hallow Dear, It is not possible to predict the probability of pregnancy without knowing the exact days of your intercourse in relation to your menstrual cycle. However, please follow these instructions if she fails to conceive during this cycle:Get her ovulation monitoring done by ultrasonography. Try to plan the intercourse on and around the day of egg release. The egg has a life of 24 hours and sperms are active for 3 days. So intercourse near the day of ovulation will help her conceive. If this time she misses her period, please get her pregnancy test done on overnight morning first urine sample about a week after missed period; earlier these tests may report false negative. Alternatively, you may opt for Beta hCG test on her blood 10 days after the last unprotected intercourse. I hope this should provide a scientific answer to your query. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi.. I am 35 years old and have a boy child of 6+ yrs. I had gone for an abortion 3 years back with Cytotec externally. Now I want to have my 2nd child and its becoming difficult to conceive. I am having Vitalin 800 now (1 daily). Why is it becoming late to conceive? Is it that I have not ovulating?" }, { "from": "gpt", "value": "u check ur thyroid function n serum prolactin...rahe ur cycles regular...u have to ask ur husband to check his sperm count (husband seven analysis)...u should try having relationship with husband from 11 to 18 day after day 1st day of period" } ]
[ { "from": "human", "value": "I am 28yrs old working woman,living in Mumbai.My husband is 28yrs old.We got married 2.yrs back.I have been trying to conceive since 1yr.My periods are very regular.We have consulted a gynec and have gone through several tests,root testing and folecular study for 2 cycles.According to doctor all the results are absolutely normal.My husband's test result was also fine.Since last one year we are trying.Now I am really worried.Can please advice." }, { "from": "gpt", "value": "Hallow Dear, When you cannot conceive in spite of all the results being normal, such case is labelled as a case of unexplained infertility. Before you go for any ART treatment, I would advise you to try few simple things:1. Monitor your ovulation by ultrasonography. This will locate the day of the ovulation. Try to plan your sexual relations at and around this day. 2. Ovulation monitoring should start from day 9 onwards. Please find out what was the size of the follicle before rupture. Follicles between the size of 18 mm to 21 mm release the healthiest eggs and have best pregnancy outcome. 3. Also find out the thickness of the endometrium at the time of ovulation. Endometrium of thickness between 9 mm to 14 mm is most conducive for implantation. If this trial does not work, you may try artificial reproductory technique. Please report to an infertility consultant. I hope, this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello sir!! i had unprotected sex with my partner and had an i pill the very next day. Next day i again had sex and also I had 2 i- piils back to back. Now on the day my periods genrally occurs there is a brown discharge instead. Its lasted for 1-2 days. Am i pregnent?" }, { "from": "gpt", "value": "Hallow Dear, There was medical belief few years ago that I-pill like emergency contraception can be taken only once in a month. However, now there are evidences that such pills can be repeated any number of times after each unprotected intercourse if taken within 72 hours of the intercourse. These pills have typical after effects:1. Few days after the administration of the pills, some amount of vaginal bleeding occurs. This is withdrawal bleeding and stops within few days. It requires no attention. 2. The following period may get delayed by few days to a week after single administration of the pill; with multiple administration, it may further be delayed. In all, these effects may get enhanced with administration of more than one pill. So the brown bleeding you have noticed seems to be the post pill withdrawal bleeding. It will stop itself. Your regular menses will be delayed by a week to 10 days or may be more also, since you have consumed two pills. These pills are fairly successful in offering the protection against the pregnancy. So the possibilities of pregnancy are very remote. If at all you do not get menses even 2 weeks after the missed period, you may get pregnancy test done on your overnight morning first urine sample to find out your pregnancy status. Alternatively, you may opt for Beta hCG test on your blood. I hope this relieves your stress. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello I m 31 yrs old....had an abortion when I was 16.....never got pregnant again till december 2013 with twins.......I had bleeding all through my 10 weeks of pregnancy which ended in missed abortion....I therefore had an abortion done...that was 3 months ago.....ever since I ve been spotting. .......I had one heavy bleeding that I think is my period 15 days ago but lasted for 5 days and ever since I ve been spotting.....my ultrasound is normal....endometrium 7 mm......I was told I have hormonal imbalance and I should use contraceptive.......but I don t want that because I m trying desperately to become pregnant....please advise me" }, { "from": "gpt", "value": "Hallow Dear, I do empathize your situation. It is a positive finding that your ultrasonography has not detected any organic lesion in the uterus. For the hormonal imbalance, you will have to take hormonal treatment. If you do not take it, the imbalance may interfere in your conception. If you are keen on getting pregnant, you need not defer for the hormonal treatment. Retroprogestational preparations of progesterone will help you regularise your menses without affecting the egg formation and release. You may request your Gynaecologist to prescribe you retroprogestational preparation. Of course I would like you to get your coagulation profile done, keeping in mind the history of missed abortion. Please get following tests done:1. Bleeding time & Clotting time2. Platelets count3. Prothrombin time4. Fibrinogen degradation productsI hope this should provide you positive scientific information. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I lost my virginity on June 27,2104 around 7 days ago. We didn t use a condom for the first few pushes but We used a condom the rest after that. He doesn t know if he pre came inside me. Can pre cum get you pregnant? I know stress delays your period. I just want to make sure. Ive had a few symptoms but i read you get them also from your period. 1. I threw up 2 days after (due to stress)2. I have a faint pain in my lower right side of my back 3. Im bloated I just need to make sure to see if i need to buy a pregnacy test" }, { "from": "gpt", "value": "Hallow Dear,Yes dear, pre-ejaculation fluid (precum) does contain some sperms which can cause pregnancy. The precum is deposited in the vagina unknowingly. However, from your narration it is not very clear whether you have missed your period, and if so, for how many days? Vomiting can be a symptom of early pregnancy after missing a period; though, the other two symptoms you have mentioned are not characteristic of pregnancy. If you have missed your period, please get your pregnancy test done on the overnight first morning urine sample about a week after missed period; earlier the test may report false negative. Alternatively you may opt for Beta hCG test on blood 10 days after the last unprotected intercourse. I hope this provides you guidelines to resolve your query. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello, I have a question regarding my girlfriend. she was on her last day of her period and we decided that she was able to have sex. so we did. And I ejaculated in her. Can she get pregnant on the last day of her period? she told me afterwards that her period started again the day after with signs of blood" }, { "from": "gpt", "value": "Hello dearI understand your concernPregnancy is not possible when sex was done on the last day of the period.Last day of period is completely safe period.During this time ovum is not released so no fertilization will occur.To become pregnant, penetrative sexual intercourse in unsafe period of the cycle is require.Period started is just menstrual blood.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "I had finished dophiston before 3days and today i did pragnancy test by pragnancy strips and it gives like positive result i mean that the second line i.e pragnancy line was slightly shown in the strip and did the test today for four times but the result was same am i pragnant or not" }, { "from": "gpt", "value": "Hi there,From your question, your pregnancy test kit is mildly positive.That means:1) Yes, you could be pregnant.2) The next step is to get a blood test called serum beta HCG to see your pregnancy hormone levels.3) If beta HCG gives positive results, it means you are definitely pregnant.4) You could also retake the urine pregnancy test after a week and see the results if you do not want a blood test right now.Hope this answer was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Ultrasound said I was 5 weeks 4 days on Sept 10. I had sex on Aug 4,6, and 17. I am very confused on which possible conception date it would be. Because I heard you take two weeks away from the ultra sound date? My last period was Jul 26 which means I should be further along right?" }, { "from": "gpt", "value": "Hi there, after reading your query, my opinion is that:1) The 5 weeks 4 days is counted from the day of your period, i.e. 26th July. So, you would be 5 weeks 4 days on 3rd September.2) The most likely date of conception would be 17th because there are chances of delayed conception as indicated by the disparity between your date and sonography.3) So, instead of ovulating on 10th, you would have ovulated a week late, on 17th.4) Most probable date is 17th in my opinion.Hope this answer was helpful.Regards,Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Hello..me and my girlfriend indulged in a little foreplay..I masturbated and then washed it off with only water..and I wiped it off and I am pretty sure that my hand was dry..then about 10-15 minutes later, I felt her vaginal area withmy finger..i ddidn t even insert it in deep..it was very superficial..could this get her pregnant? I am really freaking out..please help..thank you." }, { "from": "gpt", "value": "Hi there, I have understood your concern. Here is my opinion for the same. 1 ) First of all do not panic. 2 ) As there was no penetration and you washed your hands, I am sure that there will be no pregnancy.3) I suggest you and your girlfriend visit a counsellor who will guide you about sex and contraception.I hope this answer helps you. Thanks. Dr. Shikha Shah" } ]
[ { "from": "human", "value": "Hello Doctor, Hope you are doing good. My name is Chitra, 26 years old. From the time of puberty(which was 15 years back) I am having irregular menstrual cycle. And from the time I am under medication. Initially I was told that due to early age puberty my periods are irregular. And it used to be vast.. Either when I get my periods it will last for 15-20 days and when I stop it using tablet it will not come again for months. I have consulted around 4 doctors in this 15 years and found that I have PCOS and so far my period was not regularized and in continuous treatment. My Gynecologist said that many women have this issue and it will get alright for some once they get married and have a child. Now I am married for 4 months and I was under medication till last before month. I was having Duoluton tablet and my Dr. asked me to stop this birth control after 2 months of marriage and to start having Hyponidd for 6 months which will help me conceive. I stopped Duoluton last month and started having Hyponidd, but missed my period which was supposed to be on 18th May 2014. I even had a pregnancy test and it was negative. Unfortunately after marriage I moved to USA and couldnt have a personal consultation with my Dr. and also could reach her through phone only by next week since she is in abroad and not in India now. Now I am confused as to what would be the best treatment for me from now on that will help me getting conceive. I am also obese since I have gained so much weight before marriage due to computer job, heavy mental stress due to family issues and in addition with PCOS. Now I am a house wife and also away from mental stress and family issues and here in USA I am trying to workout atleast thrice a week in treadmill and cycling for 1 or 1.5 hours. But I feel difficult to reduce it now, still I am trying hard continuously. For sure I know reducing my weight will slightly help me. But apart from that what would be the treatment I should take further? Is that a personal consultation with doctor compulsory by this time and if yes which specialization doctor should I consult? It will be of great help to get an answer and I am worried if I will get pregnant and make my husband happy who loves me a lot. Thank you!" }, { "from": "gpt", "value": "Answer: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) You need to get your hormonal profile done. 2 ) Take high fibre food along with diet and exercise.3 ) You need to consult an infertility specialist for proper guidance.4) It is necessary to see a doctor personally as PCOS is not a disease that can be cured with medicines alone.5) Do not worry. With proper and regular medications, you will be able to conceive.I hope this answer helps helps you. Thanks. Dr. Purushottam Neurgaonkar. ." } ]
[ { "from": "human", "value": "Hi, My name is Kelly. I was just wondering if anyone could help me understand why it s taking so long to get pregnant after the depo shot. I ve been off of it for 9 months now and I have recently seen dark brown spotting but only once and it hasn t come back. I was on the shot for about 4 years. My husband and I would really love to have a kid. Please helps. Tia (:" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Unfortunately, Depo-Provera is a very long-lasting contraceptive. For convenience sake, having to only worry about birth control every three months is extremely helpful. However, in some women, normal ovulation can take many months to come back some even up to one year. The reason for that is that the hormone that is in Depo-Provera is designed to be long-lasting and different people metabolize the drug differently. Also, the fact that you had been on Depo for four years and likely you did not get your period during that time is a sign that your estrogen levels also had been suppressed by the medication.If at one year since stopping the Depo-Provera you do not have any sign of real menstruation, I would recommend that you and your partner see a gynecologist for evaluation. They could do an analysis of your hormones, and medication to help stimulate you to ovulate again may be a possibility.So I know it is difficult, please try to be patient if at the end of three months you still have not resumed normal menstrual cycle, I would recommend evaluation by a gynecologist or endocrinologist to evaluate why you are not menstruating. It may be recommended also for your partner to do a semen analysis, as most doctors want to know that there is no male factor involved in your fertility issues.I hope I was able to adequately answer your question today, and that this information was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "I dont have any abnormalities except lh hormone. I took krimson for three months. I did hsg test. While taking follicular study my ovum did not get ruptured. I was given gonodotrophin injection to rupture ovary. I am also given naturogest 300 mg. I felt very dizzy and i feel nauseated. Then i m given naturogest 100 mg to be taken in morning and night. I still feel dizzy. What. Should i do" }, { "from": "gpt", "value": "take plenty of liquids ...rest and if dizziness not subsiding take vertin 4mg....don't skip meals..." } ]
[ { "from": "human", "value": "My daughter had Bells Palsey and they gave her steroids for 4 days and she was taking them 4 times a day. She is a week late for her cycle and she took a pregnancy test which was negative, she has been off them for over a week. Can this give her a false negative. Her & her husband are trying to get pregnant." }, { "from": "gpt", "value": "Hello dearI understand your concernSteroid can not give false negative result.But accurate confirmation of the pregnancy should done by the blood HCG.You can also repeat the pregnancy test after 3 days.If pregnancy test will come negative then it could be due to hormonal imbalance, stress, change in life style and thyroid dysfunction.In absence of the pregnancy, period can be induced by the progesterone pill.Avoid stress, take healthy diet, drink plenty of water, do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "I know it may be a weird question, but I am still very concerned and worried. I am a virgin. But we were being a little bit crazy with my boyfriend and he came. I sat on his stomach and I think maybe a small amount of sperm touched my clitor. But yes, I m a virgin. Is this dangerous??? Please help me I am worried!!!!" }, { "from": "gpt", "value": "Hello dearI understand your concernPregnancy is not possible.Pregnancy is possible when penetration occur with or without ejaculation or penetration up to vaginal introitus.Pregnancy is not possible without loss of virginity.Just be relax and wait for the period to come.Avoid stress, take healthy diet, drink plenty of water.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "Hello, So me and my gf had unprotected sex tonight and I pulled out when I ejaculated, getting some semen on my hand. I then wiped all I could off with a towel. About 10-20 minutes later I fingered her then had unprotected sex again. I was wondering if the dried semen on my hand or the semen that dried around the tip or in the tip of my penis could cause concern for pregnancy. We were thinking Plan B if this is the case. Thank You" }, { "from": "gpt", "value": "Hello dearI understand your concernPregnancy is not possible due to dry semen.But in your case as you have unprotected sex in which precum before ejaculation enter into the vagina unknowingly .For safer side you can have to take plan B to prevent unwanted pregnancy.It is very effective if it should take with in 24 hour of the sex.But you can take upto 72 hour of the unprotected sex.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "I have an sexual intercourse last july 27, and unfortunately,he didnt know if he withdrAw it on the right time.. We decided to in take a pill on aug 2. I was expecting my menstruation 2nd week of august. But its already aug7 but still no menstruation yet. Do i need to continue taking the pill to avoid to get pregnant? Os it effective to the the pill after sexual intercourse. Thanks.hope for your reply" }, { "from": "gpt", "value": "Hello dearI understand your concernEmergency pill is effective only for 72 hour after the sex.As you did take after 72 hour then it will not protect against the pregnancy.Wait for period to come as pill can cause delay in the period by 8-10 days.If period will delay by more than 12 days then go for pregnancy test and or blood HCG to confirm the pregnancy.If you will be pregnant then intrauterine pregnancy can terminate by the misoprostol and mifepristone under the advice of the gynecologist.Avoid stress, take healthy diet and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "My boyfriend and I were having sex and the condom broke. I just started birth control to the point where it still has no effect, so I bought a plan B one step pill and took it last night. This morning I'm peeing a little blood and having to pee a lot. Why is this happening?" }, { "from": "gpt", "value": "Hello dearI understand your concernYour bleeding could be due to the plan B pill or rough sexPlan B contain high progesterone and it cause breakthrough bleeding.It is due to progesterone withdrawal effect.It will last for 2-3 days.Avoid stress, take healthy diet and drink plenty of water.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "Hi I just want to know about Fertimod 50 mg i am taking it today were my last pill to drink I am scared for a Miscarriage again I had one last year 28 September 10 weeks My first time I fell pregnant. Just want to know how long its takes on Fertimod 50 mg My Doc said everything is okay with me:-) Thank you Nellie" }, { "from": "gpt", "value": "Dear Nellie, Fertomid is a medicine which contains Clomiphene citrate as an active ingredient. This medicine has to be taken for 5 days and then it initiates the egg release. So this medicine is for inducing egg release (ovulation). It is advisable to monitor ovulation by ultrasonography or LH estimation kits. Intercourse or IUI should be planned on the day of ovulation. This medicine should not be tried for more than 6 cycles. If within this period there is no success, some other medicines like hMG/hCG combination may be tried. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I have pcod and irregular periods. I have been trying to conceive for last 6 months. in the month of October I had these brown discharge for many days my doc gave me duphaston 10 mg after which I got my periods. this month again I am having the same problem i.e since 26 dec I 'm having this brown discharge. I did a home pregnancy test to check if I am pregnant but unfortunately i'm not. should I take duphaston again to bring my periods. any will duphaston help me to conceive?" }, { "from": "gpt", "value": "Hello!First, do not worry. 6 months are not enough to get worried.Second, you have to confirm that you have PCOD. Your doctor is right.You should have menstruations every month. They feed the uterus, unless it becomes smaller and you may have difficulties in the future to concieve.The fact that the menstruation come after Duphaston, it is a good sign. Also, you have to know that in PCOD, there is a difficulty in growing a mature follicle. So you have to monitor your ovulation with your gynecologist.At least, I would say that you should try for another 4 months with your husband during the appropriate days and then take an appointment to your doctor. During this time you should take also Duphaston for the menstruation. If you do not have menstruations, you can not get pregnant.Take care.DR. Thano" } ]
[ { "from": "human", "value": "Hi I had my period 2 weeks ago everything was fine but I have had unprotected sex in the last week & now I m bleeding again it s light bleeding & kind of pinkish. Could I be pregnant or are there any other causes, I m 22 years old & after my last unprotected sex I was worried so I took 2 birth control tablets I am waiting to start the pill until my next regular cycle." }, { "from": "gpt", "value": "Hallow Dear,If you are menstruating regularly with cycle of bot 30 days, you can expect egg release (ovulation) about 2 weeks after the last menstrual period. Some amount of light bleeding, may be with some pain in the abdomen can be experienced on and around the day of ovulation. It is called Mittelschmerz. Your bleeding seems to be this type. Also this bleeding could be due to the birth control pills you have taken after the intercourse. In fact post coital emergency contraceptive pills within 72 hours of the intercourse would have been more effective in avoiding the pregnancy. However, you had unprotected intercourse during this period. So the possibility of pregnancy cannot be ruled out. I would advise you to get Beta hCG test done 10 days after the last unprotected intercourse to find out the evidence of pregnancy. Alternatively you may wait for menstruation. If you miss it, perform pregnancy test on overnight morning first urine sample about a week after the missed period; earlier the test may report false negative results.I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi. Me and my husband is having long distance relation as we r posted in different place for job purpose nd married for 1.5 Years. We r trying for baby bt having very irregular sex life nd could manage 2-3 times hardly in a month. I m having PCOS Nd want to concieve. Please suggest what to do as m vry much anxious abt ths nd facing problems in married life. I m using metformin for last 4-5 months as per doctor. Bt nt getting pregnent." }, { "from": "gpt", "value": "Hello again. I agree with what doctor Purushottam has said. I think that we have told nearly the same. But what I do not agree with, is the fact that PCOS is only a lifestyle related problem because the etiology is yet still not sure and many theories exist. But in a situation where a couple is trying for 1.5 years for a pregnancy, we are talking about infertility and I think that only lifestyle changes are not enough. I have mentioned trying to loose wight (exercise and vegetables/water included), ultrasound for the follicle growth track and intercourse around the ovulation, so we are saying the same thing. Thank you.Dr. Thano" } ]
[ { "from": "human", "value": "hi ... My name is sara .. I got married 7 months back and since then i am trying to get pregnant .. but i am not able to conceive . And one more problem is that am having early periods almost before 8 days of my date . I am very much worried . I have visited a gynecologist and have taken ultrasound also . Doctor said everything is normal . please suggest me something ?" }, { "from": "gpt", "value": "Hi Sara, Your period coming early may be a symptom of something and therefore you need a thorough review of your gynecologic profile and a fertility assessment. A doctor will need a little more details and evaluation to get a diagnosis. So, i will advise you to go and consult with ObGyne." } ]
[ { "from": "human", "value": "Hello Doctor, 1 year back i had missed abortion. That was my first pregnancy. When I asked many doctors they said if abortion happens once then it is ignorable. Do you suggest any precautions for avoiding the repeatation. We are planning for a kid now. Many thanks." }, { "from": "gpt", "value": "No relationship wid husband for first 3 months...avoid heavy weight lifting...check ur thyroid n sugar level" } ]

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