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[ { "from": "human", "value": "hi , i had abortion in 2005 that time i didnt check my blood group later i came to my blood group is B negative . i told that about it she told me to have an injection if not geting pregnacy is difficut but some problem i didnt have that injection but know i want a baby what to do please tell me" }, { "from": "gpt", "value": "Hallow Dear,First get Rh group of your husband done. If he is also Rh -ve, there is no necessity for you to get the injection as there is no risk of isoimmunisation.Usually, Rh negative person does not have the antibodies in the blood against Rh positive antigens by default. When the blood of such individuals comes in contact with the Rh positive cells, the body develops antibodies. Therefore, during first pregnancy, the baby has usually no risk. However, this baby if Rh positive, can be responsible for initiation of Rh antibody formation in mother's body. This usually happens during delivery or abortion. These antibodies in subsequent pregnancy may cause harm to the baby. Therefore, immediately after delivery, the injection is given which prevents the antibody formation in the mother's body. Now, since you had not taken such injection, you can find out whether such antibodies are formed in your body by performing a test called as Indirect Coomb's test on your blood. If there are no antibodies present in your blood, your next baby is spared of the mishap. However, after next delivery do not forget to take the injection. If the antibodies are formed in your blood, the effect of baby will depend upon the concentration of these antibodies. Accordingly baby may require blood transfusion either immediately after delivery or even during pregnancy lest the risk to the baby's life due jaundice as a result of blood cells destruction. I have tried to make these very complex things as simple as possible for you. You may contact me by asking me a Direct question after you get your blood tested for antibodies. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi my g.f and i had sew 3 times on 30th aug 5th sept and 8 th sept everytime she take i pill within 24 hours after that she got periods on 18 th sept but she dont get her next period. The home pregnency kit by cipla shows negetive result tested at afternoon (3rd nov.) is she pregnent ?" }, { "from": "gpt", "value": "HelloHealth care magic user I understood your concern and My opinion is that there is a No or very less chance of getting pregnancy if she has already taken i pill each time after doing coitus , but if she has missed her period more than a week than please do repeat urine pregnancy kit test or blood b-hcg after a week if you are in doubt , that will definately show positive test if she is pregnantI hope my answers help you Thanks" } ]
[ { "from": "human", "value": "Hi my name is sunita I am 24 years I have one male baby& I have done an abotion after 7 month of first delivery but now I am trying for concive but it is unable I have taken a medicine for 6 month of egg releas there was no effect on me now I am taking ayurvedic medicine for last three months should I will get another baby?" }, { "from": "gpt", "value": "Dear Sunita, Is it confirmed by ultrasonography that you are not ovulating? If so, then you will have to take medicines for induction of ovulation. If you are ovulating, then there is no necessity of any medicine for egg release. Please continue ovulation monitoring by ultrasonography which will locate the day of ovulation. Then try to have frequent your sexual relations on and around the day of ovulation. Usually, healthy egg is released when the follicle is between, 18 mm and 21 mm diameter. Uterine lining (endometrium) between 9 mm and 14 mm is most conducive for implantation. Along with, it is advisable that you get the patency of your reproductory tract assessed by Laparoscopy and/or Hysterosalpingography. If any block of anatomical lesion is detected, you may require surgical correction. Since you have conceived twice before, at this stage, I do not feel there is any necessity of semen examination. I hope this helps you at this stage. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i am27 years old with a perfectly healthy life style. i have been married for the last 2.5 years we have not been able to conceive for the last one year. i have been diagnosed with Mycobacterium tuberculosis of the uterus. what is this about and what are the chances of having a normal pregnancy after its cure .. is this 100 curable ??" }, { "from": "gpt", "value": "Hallow Dear,Mycobacterium tuberculosis of the uterus indicates that you are having tuberculosis (TB) of the uterus. It destroys the uterine lining (endometrium) and thus hinders the conception. Along with uterine affection, usually the tubes also get infected which create anatomical and functional block in the tubes leading to infertility. Genital tuberculosis can be definitely treated completely, though it is a prolonged treatment of about 6-9 months. However, it destroys the function of the genital tract. Hence, even though genital tuberculosis is cured completely, pregnancy after that is a very rare possibility. You may think of adoption of a baby. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Good day, i am under drug control trying to concieve,ClomHEXAL folowing my ovulation charting i realise a falling and rising curve i dont know if it is responding good or bad.And moreover i am not experiencing the fertile sign but having some ligth abdominal pans.THANKS." }, { "from": "gpt", "value": "Hallow Dear,If your ovulation charts are confusing, I would advise you to monitor your ovulation with ultrasonography. It will furnish you with following important information:1. Whether you are ovulating or not. If ovulating, it will help locate the day of ovulation which will help you plan your sexual relations.2. Size of the follicle just at the time of ovulation: The eggs released from a follicle between 18 mm and 21 mm size are the healthiest and can cause successful pregnancy. If the follicles are becoming larger before ovulation, induction of ovulation may be planned by Inj. hCG at the appropriate size of the follicle. 3. Thickness pf the Endometrium: Endometrium of thickness between 9 mm and 14 mm is most conducive for successful implantation of the fertilized ovum. ClomHEXAL is Clomiphene citrate which is used for induction of ovulation. It may affect the growth of the endometrium. If this medicine does not give desired result within 3-6 cycles, there is no wisdom in continuing with it for induction of ovulation and then one should switch over to HMG/hCG combination. I hope, patency and anatomical normalcy of your genital tract and the semen has been assessed for normalcy. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am going to be 18 on the 28th this month, 5'4\", 130 pounds and I have a history of migraines. I was supposed to get my period yesterday and I threw up at 5am yesterday morning. I have no signs of my usual PMS, no cramping at all. I was wondering if I could get pregnant and see signs this early? I am taking reclipsen and sometimes missed pills, but I always took double doses the day after." }, { "from": "gpt", "value": "Hello, and i hope I can help you today.The effectiveness of birth control is reduced if you miss pills, and your period may also come at the wrong time if you have not had a consistent level of birth control in your system. It is recommended that you use a backup method of birth control (like a condom) if you miss more than one pill in a pack, even if you double them up.So, if you truly are late (on your pill-free week at least a few days) and have not started to menstruate) you can perform an over the counter urine pregnancy test. It it just as accurate as the doctor's office. If you are not pregnant, then start your new pack of pills on time, and if you can better adhere to taking the pill at the same time every day, your period should come more regularly.If you have trouble remembering to take pills, there are other birth control methods that are long acting and effective like the birth control patch, vaginal ring, or implantable contraceptives that you may want to discuss with your doctor.I hope I was able to answer your question today, and that my advice is helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "In my Ultra Sound Report Right Ovary 59X36X48mm and has central endometrium of 7.3mm no fibroib or gestational sac is seen ovaries right ovary is healthy X 25mm and normal in size and shape and has a small follicle Left Ovary 35X126mm and also has no follicle . i want baby can i have?" }, { "from": "gpt", "value": "hi healthcare magic user, it is difficult to tell from one ultrasound report whether you can conceive or not. please share your clinical history in detail with period pattern, age any history of previous abortions. any past surgeries. hormonal profile , Fallopian tubal status, husband semen analysis so that I can guide you further." } ]
[ { "from": "human", "value": "Hi, I am 27 year old female. I am un-married,My menstruation cycle if starts on 1 of any month and suppose lasts till 6 days( that means 6th of that month), my periods got over on 30th Dec, my next cycle starts after 3-4 days when the previous one ended. I have gone through an intercourse with my partner & my periods were supposed to come in the beginning of feburary, but they have not appeared. I have gone through pregnancy test by using a strip, but I am not sure about it, as both the lines turned pink, but 1 line was dark pind and another was light. Please let me know, what should I do now.?" }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1.First of all do not panic.2. If you have missed your periods, I will suggest getting morning’s first sample of urine tested for pregnancy.two lines are suggestive of positive pregnancy test.In case of doubt blood beta HCG test and USG can be done to confirm or rule out pregnancy.4.Even if you are pregnant, you can opt for termination with medicines safely till 9 weeks of pregnancy under expert medical supervision.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar" } ]
[ { "from": "human", "value": "I am 28 years old ,its my second time i want to conceive,i have regular periods,had two medical abortions,my doc prescribed me letroz,i want to know are my chances high for getting pregnant ?as i have regular periods,or two abortions can be a PROBLEM." }, { "from": "gpt", "value": "HelloHealth care magic user I understood your concern and My opinion is that ya there is a very good possibility of pregnancy even after two abortions but you should be more conscious like taking regular folic acid and progesterone tablets You should do S TSh, RBSL ,Hemoglobin,anticardiolipin antibody test before conception and early pregnancy test If all this test comes normal than nothing to worry I hope my answers help you Thanks" } ]
[ { "from": "human", "value": "ive been getting like dizzy spells and my hands have been getting swollen not everyday but i do get like that... could i be pregnant? the reason i ask if im pregnant is because my husband n i have been tryn.. want to know if its cause of that or sumthn else?" }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1)First of all do not panic.2)Your symptoms except dizziness can not be related to pregnancy.I will suggest you to wait for your expected date of menses. If you have missed your periods, I will suggest getting morning’s first sample of urine tested for pregnancy.3)I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet.Have adequate water intake , say 8 – 10 glasses per day.Avoid deep fried foods, bakery products, and refined sugars.Avoid substance abuse, if any.Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.4) For the swelling on your hands, please get the following things ruled out -a. cervical spine(neck) problemb. medical issue like allergy or blood vessels or lymphatic tissue related problemI hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar" } ]
[ { "from": "human", "value": "I was wondering what are the chances of me being pregnant in march i got my period in time which was the 23rd in April i was 6days late took a test the 20th came out negitive i started my period the 26th of April we are now in may so i figured i would start the 26th as i did last month and still nothing" }, { "from": "gpt", "value": "Hi I think you should do a urine pregnancy test to rule out pregnancy first. If negative, you can wait for one more week and repeat the test. If negative, you can take some medicines like meprate or deviry for inducing periods. It happens sometimes due to stress factor also. Periods can come one week early or one week late normally also. Hope it helps." } ]
[ { "from": "human", "value": "I am planning for pregnancy, my doctor prescribed me to take susten 200 twice a day from 21st day of menses for next 15 days. Will there be any effect on next period cycle. My treatment of PCO is going on since 6 months.Anticipating positive responce.........." }, { "from": "gpt", "value": "Hallow Dear,Susten will be useful only if you have conceived and due to corpus luteum deficiency, there is Progesterone deficiency which cannot sustain the pregnancy. So before you take Susten, you will have to confirm that you have ovulated and had sexual relations on and around the day of ovulation. After conception, Susten will definitely help continuation of pregnancy. However, if there is no conception, your menses will be delayed till you continue to take these pills. After you discontinue the pills, you would get withdrawal bleeding within 4-7 days. It would not cause any irregularities in your menstrual cycles. Instead, I would advise you following:1. First get confirmed that you ovulate (by ultrasonography). 2. Have sexual relations on and around the day of ovulation. 3. Take Inj. hCG on the day when your one of the follicle is around 18 mm size. It will cause the ovulation and support the corpus luteum also. If the conception has occurred, the pregnancy will continue, else, you will get menses after 10 days. Take only Gynaecologist's opinion. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi my name is mrs vivian adams i have been married for 5 yrs but b$ i got married i had a d&c for a baby that was 5 months old in 2005 and til now i have been trying to get pregnant no way i have done all series of test by tubes are open i had hysteroscopy last yr that confirm that i have pieeces of bones stuck to the walls of my uterus which was removed and the doctors said the womb i clean now that i should try again for pregnacy i have been trying till now still noway my periods are not normal it comes only one day in d month and its not even flowing well pls i need help advic on what nxt to do thanks" }, { "from": "gpt", "value": "Dear Vivian,It seems that your uterine lining (endometrium) has been grossly damaged due to D & C complications and hence you are not getting sufficient bleeding during your menstruation. Paucity of the endometrium is not allowing successful implantation of the fertilized ovum. 1. First ensure by ultrasonography that you release the eggs regularly. 2. You will have to take steps for developing your endometrium. One way is to get intrauterine device inserted which will prevent the fusion of the uterine walls and will facilitate the endometrial growth. 3. Along with take Oestrogen preparations continuously fro 3 months (thus you will not have menses for 3 months). After three months, discontinue the pills to have menstruation, which may be good in amount. You have to take this therapy only with the advice of a Gynaecologist. Please report to a Gynaecologist. I hope this gives you some guidelines. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "during my last cycle i took induct and dubagest.during follicular study,at the 22nd day i was given somme injection to rupture my egg .my periods didnt came at time but few spotting was seen.but next cycle i had my periods. from second day of my periods my doctor suggested ovigyn d and dubagest .what purpose it will solve pl explain" }, { "from": "gpt", "value": "HelloHealth care magic user I understood your concern and My opinion is that ovigyn d and dubagest tablets we give the patients to improve quality and size of ovarian follicle so egg release at proper time and you have good chance of pregnancy. I always prescribe this medication to my infertility patients and i found very good result in patients so dont worry and take this medication ,it will definately help youI hope my answers help you Thanks" } ]
[ { "from": "human", "value": "i am jothi.30 yrs. height 154cm and weight 59kg. trying for pregnancy for the last 3 years. no success. two months back i had laparoscopy. everything normal. my husband semen analysis also normal. this month i had follicular study . the report as follows: 8th day --- right ovary 11mm. 10th day----- right ovary 16mm. 12th day 18mm; 14th day 23mm. 14th day i was given HCG injection. Is this normal and whether i ovulate?" }, { "from": "gpt", "value": "HelloHealth care magic user I understood your concern and My opinion is that yes 23 mm at 14 days is normal size And Yes Inj HCG also you took at right time,you will definately ovulate, please do repeat ultrasonography on 16th day, so dont worry and be relax.i would advise to have regular coitus up to 18 days, you will have good chance of getting pregnancyI hope my answers help you Thanks" } ]
[ { "from": "human", "value": "Hai doctor i am sandhiya .i am a pcos patient.i got maried before 2 months .after mariage i didn't get period doctor said i have pcos.now i am taking treatment doctor prescribed me take T.VACFOL,T.OKAMET,T.SIPHENE,C.MIPROGEN 200mg,T. ECOSPORIN 75mg.pls tel me can i get pregnant earlier" }, { "from": "gpt", "value": "Hello magic care health user Dont wory and be relax In my opinion PCOS patient has good chance of pregnancy. My many patients with PCOS has delivered and they are enjoying parent hood In your case you are married since 2 months so nothing to worry please do regular intercourse from 8-18 days of period for next 6-9 months , Regarding medicine which you are taking i will not advise to take all this medicine right now.If you are not able to get conceive AFTER 1 year of amrried life than you should worry and we have do few investigation but till than enjoy and dont worryi hope my answers help youThanks" } ]
[ { "from": "human", "value": "i had sex on 11th day of my cycle. but had taken i-pill within 24 hrs.. now my period is late.. andi am feeling like vometing whole day.. my period is 3 days late and from the date of my period i am experiancing redish / brownish discharge, in small amount... i am 20 years old... am i pregnent????" }, { "from": "gpt", "value": "Hallow Dear,You did have unprotected intercourse in fertile window of your cycle. However, you have very scientifically covered it by I-pill which is an emergency post coital contraceptive pill. These pills need to be taken ideally within 24 hours of but not later than 72 hours of the unprotected intercourse. You taken them within 24 hours. Great!When taken within prescribed time, these pills are very effective in preventing the pregnancy. So you need not be worried about pregnancy. These pills are Progestational pills, hence they cause some amount of bleeding few days after their consumption; moreover, they may delay next period by few days to about a week. You have stared getting signs of period by some bloody discharge. This is expected after the pills. So please wait till your menses start in full flow. You do not seem to be pregnant. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i am 15 years old and want a baby , me and my boyfriend have been trying for a month and i was certain that i was pregnant but i wasn't because i got my period the next day .. i have finished my period 4 days ago .. and me and my boyfriend had sex 3 times and every time he came inside of me .. what is the possibilty of me being pregnant after 4 days finishing my period .." }, { "from": "gpt", "value": "Hello,Thanks for writing to us.You are too young to conceive and continue the pregnancy. There are so many risk and complication in young age (age should be more than 18 yrs).Sex 4 days after period is quite SAFE. You can't be pregnant during this time (first 7 days after period) as these days are Non-FERTILE.To be pregnant, you need to involve in unprotected sex during fertile period (D12-D18) of regular cycle. In this time, chance is quite high.Hope, it helps for your information. Good luck." } ]
[ { "from": "human", "value": "hi , i m 26yrs old woman, nd planning for the second baby. trying since a year but no great news yet.have done all the tests, both husband nd wife r perfectly normal. my gynac has prescribed super fertyl tabs from secons day of my period.will this give any kind of result?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns.Happy to know that fertility tests for you and your husband are normal.You are still young. So don’t worry. Give time. You will conceive. Among women trying for pregnancy about 80% of them conceive during the first year and 90% of them conceive by the end of second year. This is for your information.Fertyl induces ovulation. Its effect depends upon type of ovulatory disorder and BMI. When used for 3-6 months, Fertyl induces ovulation in 60-80% of women and about 30-40% of women who take Fertyl become pregnant . Most pregnancies occur in the first 3 months of use.Some women may need higher dose of Fertyl and some women may not respond to it. So it is necessary that ovulation with Fertyl is confirmed by ultrasound at least in the first cycle of its use.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "I am 18 , 5'1 in height and I wheigh 113 pounds ... Me and my husband have been trying to conceive for 3 months ! Why isn't it happening ? I took plan b and the gardasil shot about 5 months ago is that effecting my chances or has it wore off and I just need to be patient ?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns today.Gardasil and Plan B do not affect your fertility in any way. So don't get stressed.It is good that you have normal BMI. This is very favorable for conception.Do you have regular menstrual cycles? It is suggestive of ovulation.You are still very young. You have very good chance for conception. Among couples trying for pregnancy 80% of them conceive in the first year and 90% conceive in the second year. So have patience. You will conceive.You need to consult doctor if you do not conceive in two years' time.To increase your chances of conception, quit smoking ( if you're a smoker) and have intercourse at least three times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "Hi I've just had an ivf cycle converted to a tsi cycle. Took trigger injection on Thursday night at 10pm had intercourse as told on Friday night late, Saturday morning at 9:30am when clinic said I would ovulate sand Saturday night again..have cramping most of today Sunday. Is this a positive sign for me" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I appreciate your concerns.With the trigger injection ovulation occurs 36 hours later. So it is good that you had intercourse on Friday and Saturday. Cramping pain could be just ovulatory pain. It is one of the signs of ovulation. It does not indicate pregnancy. Pregnancy symptoms start about 10-12 days after ovulation. Wish you good luck.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "hello i am just wondering whether you are able to help me? i have not came on since 19th november 2010, i have done so many pregnancy tests that i have not lost count, i have also been to the doctor who has taken my blood and it has still came back negative, he has told me to wait two months from the date i got my blood results which was on 9th february 2011 so if i wait for the two months like the doctor said i will need to go back to the doctors on the 6th april 2011. what would you suggest to me." }, { "from": "gpt", "value": "do serum tsh and serum prolactin den do hsg on day 8th den do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui for early results" } ]
[ { "from": "human", "value": "before 2 years i hve misscariage 3 month,then my dr are not recomend d n c.last 1 year i want to conceive bt m fail to get pregnant.my dr says i hv pcos problem i use ivf treament and other more bt m not pregnant.now plz tel me what i can do m very disappointed,plz help me....plz saira" }, { "from": "gpt", "value": "Hi I think you should go for evaluation first.. Get a thyroid profile and prolactin level done. You can track your follicles growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband for 2 to 3 days after the injection. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Hope it helps. If you are not ovulating, you may need some medicines for that." } ]
[ { "from": "human", "value": "Hi doctor,I am age 30 years I have been taking Ipill for 1 year like 2 times a week to avoid pregnancy.I missed in july and got pregnant I did not want a baby so used unwanted kit. I and my husband are trying since 3 months to get pregnant but its not happening.Please suggest do I need to visit a gynacaelogist for help?Is it due to usage of Ipill for 1 year I will never get Pregant?Please help" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I appreciate your concerns.Please be reassured that Ipill does not affect your fertility. It may only cause temporary irregularity in menstrual cycles.It would have been nice if you had provided me some more information like age, BMI, regularity of cycles etc. Since you were pregnant once, you do not seem to have any apparent fertility problems.Relax. You will conceive again. Among couples trying for baby, 80% conceive in the first year and 90% by the end of second year. So don't be stressed.Consult Gynecologist if you do not conceive in a year's time.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.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "hello my age is 27 we are plaaning for pregnancy..still i am unable to conceive but before 10 days docter has given me injection for rupturing my egg as my egg size is normal ie:20mm but today is 25 thday still i dont have any symptom for preganancy......can you give me any suggestion.thanks" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic. If your egg size was 20 mm, it means that in all probability you are ovulating. How long you have been married? Only about 20% of women get pregnant in one menstrual cycle. So have patience. Get a pregnancy test done if you miss your period.It would have been nice if you had provided me some more information like your age, BMI, regularity of menstrual cycles, whether your hormone assay, semen analysis are normal.What treatment have you taken so far?If you are married for more than a year consult infertility specialist in your area and register for treatment. Do hormone assay, HSG and semen analysis for your husband. Based on the results of investigations, further treatment can be advised. 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": "hello mamam asha from hyderabadits been 1 year we are marriedwe are planning for baby nowwe started planning for baby from last junepreviously we used condoms so i didnt face any problem but from the time intercourse was direct i was facing infections and all with which we were away fro each other for about one month..........from the time we had direct sex i am gradually putting on weight and having ma misperiodsi went had gone through lower abdomenall scan and uterus scan everyhing is normal........what is the problem with me?i visted doctor last month she gave me tabletas for getting periods i got my periods on november 16........the last period was on september 14she also gave me folic acid tablets and ovacare am using them form nov 16 2011she gave me other10 tablets to stat from dec 1 (i.e 16 to 25 day) can u tell me whats the correct dates to have sex we cant have sex daily coz both of us are working thrice in a week is OK for us" }, { "from": "gpt", "value": "Hi Mrs Asha,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns.I wish you had given me some more information like your age, BMI etc.Dear, among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive.It is extremely important that you maintain normal BMI. Otherwise it can interfere with ovulation.I hope the infection is cleared now. If not you and your husband both need to be investigated and treated.As you are trying for pregnancy since more than a year, I suggest you consult doctor and do your baseline hormone tests and HSG for tubal patency and semen analysis for your husband. Based on the results of these tests further treatment can be planned.Do continue to take tab folic acid daily.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. There is no need to calculate the ferility period. It unnecessarily causes stress. having sex 3-4 times in a week automatically takes care of the fertility period.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishesDr Rama" } ]
[ { "from": "human", "value": "me and my girlfriend have been having dry humping lately. we do so with our clothes on. almost every time there has been 4 or more layers of clothing. though my clothes have sometimes become wet from pre-come, she has never reported feeling any dampening of her clothes. is there a chance she can be pregnant?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns. Precum does have sperms. Whenever there is Precum or semen present near the vagina there is a possibility of semen seeping into vagina and the possibility of pregnancy. Since your girl friend's clothes were not even damp,there was no way that the semen was near vagina. So there is no chance for pregnancy at all.Instead of this unnecessary stress, it is safer for your girl friend to discuss with doctor and use reliable contraception.I hope this is helpful.If you have any further concerns do contact me through Healthcare magic.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "i m having pcos.my age is 24.height 5'2''..weight 50 kg.my both ovaries has pcos.diagnosed when i was 18.i was on birth controls for many time.i stopped taking them 1 year back.now i got married and i wish to get pregnant soon.i had my periods on 23 oct 2011 normally without birthcontrols. after that hadn't got my periods yet.what should i do to get pregnant?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns. It is good to know that you have normal BMI. If your periods are irregular, then there is a possibility that you are not ovulating regularly. So consult infertility specialist in your area and register for treatment. Do baseline hormone tests, insulin level and HSG for you and semen analysis for your husband. Based on the results further treatment can be planned. If you are found to have insulin resistance, you will be prescribed medicines( Glucophage). This improves the possibility of ovulation too. You may also be prescribed medicines to initiate ovulation. You are still young. You have very good chances of conception. So do not worry.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.Take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "Hi,my name is Dana,my age 22.Married from 2 years .My period is irregular late 7 days and I'm tried to get pregnant for 3 months ago I hope to pregnant this month, my Dr. Gave me utrogestan 100 mg for 10 days for make my period regular or if I can be pregnant or good for fertile.hopefully.but I want to ask it is normal that I didn't get pregnant from the first months?I also I didn't take birth control in my life.so what shoul I do?" }, { "from": "gpt", "value": "Hi Mrs Dana,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns. Dear, among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. Among couples trying for pregnancy 25% conceive in one menstrual cycle. So it is normal to not get pregnant in the first months of trying.Is your period irregular only in this month? If so, you can try for natural pregnancy for a year and see. If your periods have always been irregular, then there is a possibility that you are not ovulating regularly. So consultinfertility specialist in your area and register for treatment. Do baseline hormone tests and HSG for you and semen analysis for your husband. Based on the results further treatment can be planned. There are medicines available to treat ovulation problems. Do not worry.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.Take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "HI.. I am 26 yrs old and live in USA .. I have been trying to conceive for 2 months now.. this is my 3rd cycle trying and I have gastric probs n today my stomach is in pain n heart burn.. I have Aciloc 150 at home.. Is it safe to take that?? Please help" }, { "from": "gpt", "value": "Hallow Dear,You may take antacids for heart burn problem. In fact failure to conceive for two months is never labeled as infertility problem You should give fair trial for conception for at least 6 months. You may confirm that you are ovulating regularly by ultrasonography ovulation monitoring from day 9 onwards of the cycle. Along with please get semen examination of your husband done. If both the tests are normal, please plan your sexual intercourse on and around the day of egg release, keeping in mind that egg has a life for 24 hours and the sperms are active for 72 hours. Give a fair trial for three more months. If still you do not conceive, you will have to get patency and anatomic normalcy of your reproductory organs checked. Hysterosalpingography and/or Hysteroscopy will help you for this. I hope this should help you at this stage. Still if you do not conceive within one year in spite of all normal reports, this is an unexplained infertility for which you may have to opt for Artificial Reproductory Techniques. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi there, I am 9 days post embryo transfere. Before the transfere, i had tender breasts probably due to the meds. On day 8 after transfere, the tenderness has started to disappear!? Today, day 9 there is almost no tenderness. I have had very mild cramping right from the start. My question is .... if breast tenderness is disappearing, is it most likely that i am not pregnant? Ps. This was a donor egg IVF. I have 4 days to go until my pregnancy test and I am getting very stressed!!! Hope you can help. Many thanks indeed. Pippa" }, { "from": "gpt", "value": "hi healthcare magic user, yes your are right breast tenderness after and before transfer is due to medications. Don't worry it doesn't mean that your cycle is failed. be positive and focused it can be positive also sometimes low level of progesterone can lead to such symptoms. you can empirically increase dose of the progesterone in order to increase chances of implemention. please don't discountinue any medicines unless pregnancy test report is negative." } ]
[ { "from": "human", "value": "trying to get pregnant I am trying to get pregnant, but I have some concerns.. first being I have endometrosis, will this drop my chances of having a child? second I'm just getting off of the drop provera shot I was on it for about 8 months , only getting I think 3 or 4 shots at the most, will that affect me as well? how long does it take for my body to jump back and start being normal again? are there any otc medications I can take to make me ovulate, or help me to get pregnant? what should I do to just help my body speed up the process and get pregnant? I'm very active don't do drugs or smoke, or drink, I try to take care of myself as best I can but I guess I'm doing something wrong.." }, { "from": "gpt", "value": "hi healthcare magic user, yes endometrosis will reduce chances of conception. 1)it will reduce chances of implementing as well as egg quality. 2)you can try with ovulation induction with medication but before that please check for ovarian reserve. 3)injection depo will not harm you your body get reed off Depo shot after4months once you take dose. 4)you have to improve your life style daily exercise ,diet rich in antioxidants. 5) additional and most important be mentally strong as path is difficult, always be positive, focused." } ]
[ { "from": "human", "value": "hello medam or sir, iam p.suresh i have no chailds since ten years old from.and i have healthy my count and extra reports are currect.my wife also healthy she is pelopion tubes and overies are gud condition.but no chaild,and most problum is ofter inter sex came cuts on my part of that. what can i do" }, { "from": "gpt", "value": "hi healthcare magic user, you need complete evaluation and few blood tests to be done to know why like this. their could be issue in doing sex also due to some genital infections also. please get complete examination done with gynaecologist. if their is infection needs to be treated with medication. hormonal profile will guide us to decide how to go ahead." } ]
[ { "from": "human", "value": "Hi! I want to ask if how much the chance of conceiving after taking clomid, fostimon 150 iu and choriomon 10000....I had my fostimon injection150 today and had schedule for ultrasound this coming Saturday abs maybe my doctor will give me choriomon on that day also. I really need ur answer for I really want to conceive" }, { "from": "gpt", "value": "Hi I think you should get yourself evaluated first. Get a thyroid profile and prolactin level done. Clomid is given to increase the size of follicles. Fostimon is also for same thing. You can track your ovulation by repeated ultrasound and when follicle is more than 17 to 18 mm, take choriomon injection for rupture of follicles. Be in contact with your husband for 2 to 3 days after the injection. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. The chance to get pregnant in one cycle of timed intercourse is 7 to 10 percent only. Hope it helps." } ]
[ { "from": "human", "value": "I had my iui on 18 th July. Today I went to doctor for pregnancy test but it was negative......I took duphaston10mg,nucell and folvite5mg for 15 days .....my doctor told me to stop medicine now and wait for more 2-3 days ..were these medicines right? Shud I go for pregnancy test again after 2-3 days?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns today.Usually after IUI if one conceives, pregnancy test is positive after 15 days.The medicines you were taking are right. One of them is vitamin and the other medicine is to support pregnancy if it occurs.Did you do the blood pregnancy test today? It is a reliable test. There is no need to repeat it. Stop all the medicines. You will start your period in 3-4 days time. I wish you get pregnant next time.If you have done urine pregnancy test, then there is a possibility that sometimes it does not detect pregnancy. In that case I advise you to repeat the pregnancy test after 2-3 days.I hope this is helpful.If you have further concerns, I will be happy to answer.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "my name is Noor i'm 26 years old , i had missed abortion and went through D&C last April .. i had my period after 32 days and today i'm in the 13 day of my cycle .. i did ultrasound my egg is 20mm and my endomertrium is 8mm,, what is my chances to get pregnant again this month??" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns today. The ultrasound report is very good. You have a mature follicle. It suggests that may have ovulation in a day or two. From your notes it appears that you have conceived spontaneously earlier. So there is no need to take any medications to initiate ovulation. The endometrial thickness of 8 mm is good too. Do have intercourse either daily or on alternate days starting from today so that you get pregnant.Your husband's semen analysis is apparently normal as you have conceived before. Not all women trying for baby get pregnant in a menstrual cycle. About About 25% of them get pregnant. So your chances of pregnancy in this month are one in four.I hope this is helpful.If you have further concerns, I will be happy to answer.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "Hi Doctor. I am a 30 year old woman. I want to start a family and went for a uterine checkup today. I was found to be having 16mm endometrial hyperplasia though i was told my ovaries are okay. This has worried me a lot since i want children. What are my chances of having a family?" }, { "from": "gpt", "value": "Hallow Dear, Endometrial thickness more than 14 mm is not conducive for implantation of fertilized ovum. Moreover, such a thick endometrium is indicative of failure of egg release. Please get the endometrium studied first to find out whether there is any evidence of egg release, as evident by secretory changes in the endometrium. If you are not ovulating, you will have to get treatment for induction of ovulation. Blood examination of FSH, LH, Oestrogen, Progesterone, Prolactin and AMH would help clinching the diagnosis. Endometrial hyperplasia may be associated with fibroids in the uterus. Please try to find any evidence of fibroids by ultrasonography. The chances of successful pregnancy with endometrium as thick as 16 mm are rather low; however, can definitely be managed by correction in hormonal levels and induction of ovulation if needed. Please report to infertility consultant. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I thought I was pregnant because my menstruation came late but now its on and I have orange colored blood but I noticed mucus mingled with it but prior to my menstruation coming on I have been discharging a lot but it has no odor and its clear could I be pregnant with my menstrual cycle on because that's really the only time I discharge alot" }, { "from": "gpt", "value": "Hallow Dear,Probably you are suspecting bleeding due to abortion. It is likely. Heavy bleeding after delayed menses may be due to process of abortion - it may be threatened abortion or incomplete abortion. Please get your ultrasonography done. If there are any products of conception visualized in the uterine cavity, you are in process of abortion. If the cervical opening is closed and complete baby is seen in the uterine cavity, you are having threatened abortion. If there is no pain in abdomen, it can be managed by bed rest and some Progestational preparation like Susten. If the products are partly seen and/or the cervical opening is open, you are either having inevitable abortion or incomplete abortion. Then the uterine cavity will have to be evacuated. If you are not pregnant at all, the bleeding could be due to hormonal imbalance. Blood examination for FSH, LH, Oestrogen, Progesterone, T3, T4 and TSH will throw some light on the cause of such bleeding. Please report to your Gynaecologist.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hey I'm 15 years old and my name is Charlotte and I accidentally had sex with a guy friend of mine he didn't ejaculate in me but I keep thinking in my head that I am pregnant and I realised I'm 7 days away from my period can I be pregnant and what should I do about it ?" }, { "from": "gpt", "value": "hi healthcare magic user, you can be pregnant if you had unprotected intercourse in fertile period. Everything depends upon day of the period and period pattern. please share details so that I can guide you best possible way." } ]
[ { "from": "human", "value": "hi doctor, i am 24 and i have daughter, is 5yrs old. but i havent got another pregnancy yet. so i consulted doctor and she suggested pelvic scan. it is reported that mine is bulky uterus measures 7.6x4x4.9cms. my question is \"is it a problem to get pregnancy?" }, { "from": "gpt", "value": "hi healthcare magic, your size of the uterus is normal.. since you have conceived once I don't think their is major issue.you need to get evaluated why not conceiving please check for ovarian reserve , hormonal profile. after that we can plan fertility treatment." } ]
[ { "from": "human", "value": "age 26, after 5 months treatment just now recovered from pcos , my fsh , lh & insulin are normal, still i am on productive f & glycophase since last 2 month and not able to concieve. Is productive f help me in ovalution..?? Pl. suggest what to do now... ??" }, { "from": "gpt", "value": "hi healthcare magic user, yes continue glyciphage which will help for ovulation induction. since you are Young good chances of conception. you should do other blood tests and husband semen analysis to find out cause. in case if everything is normal then we can plan further treatment. follicular study can be planned." } ]
[ { "from": "human", "value": "hellomy name is ishika..i have got a question about myself...i had continued sex wid my bf frm last three days n taken 3 i-pill..will i get pregnant?or in future i will face any problem..even want to say that when i checked my urine with preganews.it shows positive...am i pregnant?pls kindly help me..thanks" }, { "from": "gpt", "value": "Hi Ishika,Your question is not very clear. You said you had sex with your boy friend in the last three days and took I pill. You also have written that you did pregnancy test and it is positive. Pregnancy does not happen in three days time. Were you sexually active through out this month? If so then there is a possibility of pregnancy.I pill is very effective in avoiding pregnancy (95%). I pill is washed out from the body in few days time. It can cause temporary irregularity in menstrual cycles. It has no long term adverse effect on menstrual cycles or fertility.I hope this helps." } ]
[ { "from": "human", "value": "hi, i am suffering from poly cystic ovaries and started meprate 10mg from day before yesterday prescribed by my doctor, she had told me that after stopping these tablets periods will come in 2-3 days, is it possible to get pregnant after having my periods this month (14th feb.). we have tried last month for getting pregnant but as i have tested pregnancy test and it is negative. please advise." }, { "from": "gpt", "value": "hi healthcare magic user, if you are having delayed period and urine pregnancy test is negative. then their is no possibility of getting pregnant. still if you want to be doubly sure please get a blood test called serum BHCG to confirm pregnancy. you will get period after stopping tablet meprate." } ]
[ { "from": "human", "value": "I am 32, I have 3 children and my tubes are tied. I am having pregnancy symptoms. Sore swollen breasts, leg cramps, nausea... What are the chances I am pregnant? I am still a couple days from my regular cycle to begin so is it to early to do a test?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns today.Tying the tubes (Tubal ligation) is a very effective method of contraception. But there is a small chance of method failure. The failure rate depends on type of tubal ligation and your age. Failure occurs either because the procedure was not performed correctly or because of recanalisation (the cut ends of tubes join together in continuity).In the first two years after surgery the chance of pregnancy is 1 in 200. The method failure does occur even after that. Later on it is up to 1-2 per 100. About one third of these pregnancies are ectopic ( pregnancy outside uterus usually in the tubes) pregnancies. So if the pregnancy test is positive follow up ultrasound to confirm the location of the pregnancy is very important.The symptoms you are having can be premenstrual symptoms also. The earliest you can do your pregnancy test is 3 days before the due date (for 28-30 days cycle). So get a pregnancy test done accordingly.I hope this is helpful. If you have further concerns, do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "Hi, I am 25 years now got married in 2012 Nov soon after marriage I had follicular cyst in my ovaries so that i did not conceive.No we are trying from last two months but no pregnancy happened, Doctor has advised to take siphene 50mg for 5 days from the 2nd day of periods, and also to do ultrasound scanning on 12th day after menstrual bleeding. Can I become pregnant this month? What % chances are there to become pregnant? Please help to find the answers." }, { "from": "gpt", "value": "HiGREETINGS Hope semen analysis is normal. You can take clomifene for 5 days with follicular study.Timed intercourse with follicular study would be better.Your ovulation can be assessed with follicular study. Hope my answer helps you. Regards" } ]
[ { "from": "human", "value": "i got my implannon takin out in august because i want another baby. i have been using ovulation test and this month was the first time i actually got a positive ovulation test so i am just wondering why i havnt got pregnant yet its been five months of trying and it only took us a month to get pregnantg with our first child. Im just scared that i cant have kids because i have hpv and i have had abnormal paps after having my son. yes everything is ok now but im afraid that it might have made it impossible to have kids" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic. I am Dr Ramadevi wani. I will be answering your concernsIt would have been nice if you had provided me some more information like age, BMI, regularity of cycles etc.Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive.HPV does not interfere with fertility. Since you have written about abnormal pap tests, I just want to know, if you have had STD before. If so, then get HSG for tubal patency done ( STDs can cause pelvic infection resulting in blockage of the tube). If you have not had STD before you can try for natural conception for another 6 months. If you do not conceive by the end of one year, then consult doctor and get baseline hormone tests and HSG for tubal patency for you and semen analysis for your husband done. The tests results will help in planning the treatment.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 doc ,I am a 35 yr old female .my height is 5.3 inches. Weight is 125 poundsI had grade 1 spondylolisthesis l4 l5 in 2004 .With mild scoliosis.i plan for a baby . Is it safe to have a baby . I am very apprehensive Andover depressed what will happen . Can I have a safe pregnancy . Should I get pregnant and then visit a obgyn" }, { "from": "gpt", "value": "hi healthcare magic, conceive will be same as normal provided all the blood reports are normal and result of Fallopian test is normal. then don't worry chances of getting pregnant as normal. only thing that is &she should be more careful during work." } ]
[ { "from": "human", "value": "My boyfriend ejaculated and then Wiped it off his hand with a towel he then touched my clit (short name) well being the freak I am I washed my hands and then replayed what he did to think maybe there was some leftover sperm on it. After that I touched my vagina. Could this cause possible pregnancy. My stomach feels sp bloated and I am a freak of nature." }, { "from": "gpt", "value": "hi healthcare magic user, if their is contact of sperm and vagina their is a possibility of getting pregnant. chances of getting pregnant with semen contact will depend upon period day. of it is in safe period then no need to worry about pregnancy" } ]
[ { "from": "human", "value": "Dear Doc, i was found to be 3 weeks pregnant now after i lost my 17 weeks baby 4 months ago. Not to mention my first miscarriage last February (7 weeks old), which they called chemical pregnancy. Now i am taking Aspirin Protect 100, Duphastone, and folic acid. Is the gap of my 2 miscarriages safe for my pregnanacy now and is taking all this meds now safe. Appreciate your advice." }, { "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) Both of your previous miscarriages were at different weeks. This means the reasons for them are different.3) Usually I suggest my patients to start with Folic acid, B 12 , Vitamin D3 supplements at least 3 months before they plan for the pregnancy.As you are already pregnant this time, I will suggest to get a viability scan on USG.You can even now start with all the suggested supplements.4) Also the gap 4 months is alright to have next pregnancy. And what all you are taking is alright. I usually suggest to take Low dose aspirin after 14 weeks of pregnancy. That is the only suggestion from my side.I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "i took clomid for 5 days starting from day 2 of cycle and on day 12 the transvaginal ultrasound showed 3 follicles measuring (22.4X25.3) and (23.1x21.9) and 20.9x17.2) with minimal c.o.d fluid. i was also given an injection of chorimon5000 on day 12.When should i try to time my contact now." }, { "from": "gpt", "value": "Welcome to healthcare magic, Clomid (clomiphene citrate) is an oral medication that is used to stimulate ovulation. which increases the chance of pregnancy. The first dose (usually 50mg tablet) should be taken on the 5th day of the menstrual cycle and then subsequent doses at about the same time of day for a total of 5 days. Most women who have cycles of 26 to 32 days and they are advised to have sexual contacts between day 10 to 20. The chances of getting pregnant are maximum around 14th day. Follow the given steps to calculate your exact fertile period:1. Maintain a monthly menstrual cycle chart2. Note the number of days in your shortest and longest period3. Subtract 18 from the number of days in your shortest cycle. In a 28 day menstrual cycle, this would be day 10.4. Subtract 11 from the number of days in your longest cycle. Again, in the average 28 day cycle, this would be day 19.5. In this example the fertile period is from day 10 to day 19.Hope you are able to calculate your fertile period.Regards, Dr.Imaad.(if the answer has helped you, kindly indicate this)" } ]
[ { "from": "human", "value": "I had sex on the 4rd day of my menses 4rom that day i do hav sex regularly my next menses is supposed to start on 1st of november but it didn't start, i went for scan because i was having signs of pregnancy but nothing was found & my husband threatened to throw me out pls i need ur advice" }, { "from": "gpt", "value": "hi healthcare magic user, you could be pregnant, early pregnancy is not seen on sonography sometimes due to slow growth or delayed conception. please get a urine pregnancy test to rule out pregnancy. if it is positive please start folic acid and repeat ultrasound after 7days." } ]
[ { "from": "human", "value": "Hi Doctors ...i am 30yr old and married since 20 months ..i have diabetes and hypo thyroidism .current i am on insulin with follwoing doseages humolog 50 25-0-30 and thyronorm 125 .i want to have a baby ASAP ..can you suggest how i can deal with this though i have above health issue" }, { "from": "gpt", "value": "hi healthcare magic user, you need few blood tests to check hormonal status, please also get test for tubal patancy done. strict control of diabetes is required in order to prevent abortion or any complications in baby. if everything is normal then you can plan with follicular study.." } ]
[ { "from": "human", "value": "I found out that I am going to be having surgery to remove my fibroids and some polyps. I don't now if they are removing the access mucus that is blocking my tubes also. Once I am healed after surgery will I be able to get pregnant cause this is the reason for my infertility?" }, { "from": "gpt", "value": "hi healthcare magic user, if you remove fibroid and polyp properly then you can conceive naturally also. provided that semen analysis is normal and good ovarian volume." } ]
[ { "from": "human", "value": "Today is my 16th day of my cycle.I'm having follicular study.today my follicle size are in right ovary -20,24,26mm and in left ovary-28,26,18,18.my et is 9mm.I had two hmg injection of 5000.but no rupture till today.what can be the reason and what should I do.I dont want to miss my cycle" }, { "from": "gpt", "value": "HI i understood your conern If you have two HCG injection and still it has not ruptured than we have to wait and see on 18th day in follicular study. You have to do nothing please wait till 18-20 days and do repeat scan ,there may be possibility of rupturing.Reason is in adequate LH hormone surge. if it does not rupture than this cycle will be fail.THanks" } ]
[ { "from": "human", "value": "Pregnancy Hi =) well i have this question i dont know if i am pregnant I had sex on Oct 12th and took a test on the 21st they were negative then took another one on the 28 and negative also... I usually start my period on the 25 or 28 depends well I did get it on the 26 very light though I dont know if it was light do to my stress because I am young 17yrs =( and now I have the worst pain in my upper abdominal and lower abdominal I have had this for over 2 weeks now and I feel bloated I wanna know if theres any chance that I feel that way because Icould be pregnant??? =( help" }, { "from": "gpt", "value": "Hallow Dear, Performing pregnancy test just 9 days and 16 days after the unprotected intercourse is rather too early to get reliable results. Pregnancy test done on urine at such early period are more likely to give false negative results. Pregnancy test should be performed on the overnight first morning urine sample about 8-10 days after the missed period or 3 weeks after the unprotected intercourse (if it is done on or around the day of egg release, which is 14 days prior to the next expected menses). Alternatively, Beta hCG tests are very sensitive tests and can give you reliable information even few days before the missed period. However, the bloating and generalized pain in abdomen are not the symptoms of pregnancy. In fact the first cardinal symptom of pregnancy to appear is missing a period. All other symptoms appear a week to 10 days later. The other cardinal symptoms are:1. Nausea & Vomiting with pica2. Frequent urination3. Breast symptoms like engorgement with tenderness, dark discolouration of nipples & areola with areolar widening, Montgomery's tubercles under the areola and secretions from the nipples. Your pain in abdomen with bloating seems to be due to indigestion problem. Some carminative and plain soda may give you relief. Please report to the Physician for these symptoms. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hello doctor, I am 29 years old. and trying to conceive from past 1.5 yrs but no luck...my gync..prescribed me fertyl(5th day to 10th day of my period) and meprate(18th to 28th day) so from last month i started those..i got my period this month.....are the above tablets right choice?" }, { "from": "gpt", "value": "HiGREETINGS We need more details about you to know why she has prescribed that medicines.Is your periods regular.? After taking meprate you will get your periods and then you should be taking fertil tablets.So I suggest you to consult your doctor once again.Hope my answer helps you Regards" } ]
[ { "from": "human", "value": "Hi my age is 28. am trying to conceive for a few months but i can't. last month then i started clomid. but still can't.i judt started duromine today, cz i giving up. will it effect anything? cz my hubby really want a baby. am planing to conceive dis month. but am still have 29days to complete duromine." }, { "from": "gpt", "value": "Hi,Welcome to Health Care 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 your BMI, duration of marriage, regularity of menstrual cycles, results of hormone tests, ultrasound, semen analysis report etc.Dear, among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. Among couples trying for pregnancy 25% conceive in one menstrual cycle.Since you already started Clomid last month, I presume that your baseline hormone tests and HSG for tubal patency and semen analysis for your husband are normal. If these tests are not done, please do them first, so that you receive the right treatment.Clomid is a medicine used to induce ovulation. When used for 3-6 months, it induces ovulation in 80% of users and half of them conceive.Why did you start Duromine? Duromine should not be used by women trying to conceive. It can harm your baby if you conceive. So please discontinue the medicine now. 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.Take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "My Fsh on day 2 of my periods is 4 where as my LH is 7, all my other reports are normal as per the doctor. I am trying for a baby for last one year. The Above are my latest tests result.I have taken Siphene 50mg twice a day for 5days from the 10th day of my periods and started Duphaston 10 from the 16th day for 10 days.Kindly Help me if i am going wrong in the treatement....!!" }, { "from": "gpt", "value": "hi healthcare magic user, hi I will need detail sonography report and clinical history to tell you exact plan. from report of LH and FSH it looks like that you are having PCOD. for having baby you need to of treatment for ovulation induction. medicine you are taking Duphaston should be their after ovulation . tablet siphon OK." } ]
[ { "from": "human", "value": "Trying to conceive from last 1 yrs after removing chocolate cyst .In last week my doctor suggested me to go for HSG test which has been done now results are normal.Even my husband sperm count is normal.By the time i m taking CCQ-100mg tablet for 5 days from the third day of periods which was on 17th june 2012" }, { "from": "gpt", "value": "hi healthcare magic user, please get a blood test called serum AMH to know chances of getting pregnant. if your tubes are normal, all your blood tests like thyroid and husband semen analysis report is normal along with AMH is normal then chances conception are good." } ]
[ { "from": "human", "value": "i am 34 yrs old and i am trying for second baby from past 3 months. i underwent scanning on 12th day of my period and the scanning showed that the egg ruptured with endo. thickness of 0.9cm with minimal POD-Fluid . my right ovarian follicle measures 2.1 * 1.8 CM and we had sex from 8th of my period till 21st day. what are the chances of getting pregnant. when can i go for pregnancy test." }, { "from": "gpt", "value": "Hallow Dear,Your scan report is showing all the favourable findings for the conception. The follicle of 18 mm to 21 mm size release healthy egg which has very good chances of fertilization. Your follicles seem to be within that range. Endometrial thickness of 9mm to 13 mm is very conducive for implantation. You had 9 mm thick endometrium. And finally you had regular unprotected intercourses from day 9 to day 21 of your cycle. This includes the fertile period of the cycle. Egg is released 14 days prior to the next expected menses. Egg lives for 24 hours while the sperms are active for 72 hours. Hence a period of about 8-10 days around ovulation is fertile period. If with such favourable findings about the ovulation and endometrial thickness you are failing to conceive, you may please get yourself investigated for:1. Patency of the tubes and the genital tact with its normalcy : This can be done by Laparoscopy and Hysteroscopy.2. Semen examination for assessing the quantity and quality of sperms.However, I would like to inform you that even in absolutely normal couple, 10% of the months do not conceive, there is 90% possibility of pregnancy in normal couples. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi Mam, This is Vijaya, Age - 25, Height - 5.1'', Weight - 65-70. I had misscarriage on Aug 20 (Baby growth was not proper), 2011 and I have got my first period after abortion on 19 Nov. I have hypothyoridism. Is it the right time for me to plan for kid or how many months do i need to have break after misscarriage. Please advise." }, { "from": "gpt", "value": "Hi,Welcome to healthcare Magic.I am Dr Ramadevi wani. I will be answering your concerns.There is no need to wait for few months after misscarraige to plan for next pregnancy.What is extremely important is that your hypothyroidism is treated properly. Make sure that your thyroid hormones are normal before planning pregnancy. Normal thyroid hormones are necessary for conception and for baby's growth.I hope this is helpful. If you have further concerns, do write to me." } ]
[ { "from": "human", "value": "I am 34 yrs old,5'2,118 lbs,2 kids ages 7 and 12.My last period was on 8/22/11(previous period on 7/22/11) 3 or 4 days late,which was unusual.It was also lighter with minimal cramping.I have been feeling some pregnancy symptoms like nausea,sore sensitive breasts with burning sensations on the sides,twinges in abdomen here and there.Last night when I layed down to go to bed,I suddenly started cramping in the lower right abdomen,moving to the middle,briefly on the left,some centralized back pain.The pain was mostly in the lower right abdomen and it lasted for about 2 hours,it felt like my period was coming again.I decided to go to the ER today to see why I had the pain last night.With my first pregnancy,I did not find out until 12 wks and with my second at 8 wks because I still have what seems to be a period.I told the doctor about this,along with my symptoms.She ordered a pregnancy test,she checked me out vaginally,and ordered an ultrasound.During the vaginal examination,she said the side where I was not complaining of pain was a little swollen,possibly an ovarian cyst.After the ultrasound,she said I was not pregnant,but had fibroids and I'm severely anemic,almost needing a blood transfusion.I'm wondering if I could still be pregnant and if being anemic or having fibroids could make the pregnancy undetectable at this time.Physically,I do feel pregnant,but not mentally because I'm confused about what's really going on.If you have any possible answers,I would feel so much better." }, { "from": "gpt", "value": "hi healthcare magic user, please get a urine pregnancy test to rule out pregnancy or other option is get blood test called serum BHCG to confirm pregnancy. if report is negative then definitely cyst and fibroid is cause for continuous bleeding .you need to see location of fibroid and treat it before planning for baby." } ]
[ { "from": "human", "value": "My first IVF cycle, have been administering 10 units of Lucrin since 6 Sep, 150units of Gonal since 29 Sep. Scan 2 days ago showed 15 follicles (6 - 11mm), todays' scan showed 26 (7 - 15mm). Dr thinks I should be ready for ET next Wed. I found brown discharge today. I'm also having sore back, sore knee and ankle for 3 nights. Is this normal? Is this OHSS? During the consultation this morning, I was told i have higher risk of OHSS. What will happen if I have OHSS? Do i have to abort this cycle???" }, { "from": "gpt", "value": "hi healthcare magic user, your risk of OHSS can be prevented with proper stimulation and dose of medications. now a days antagonist protocol with GnRH agonist trigger is safer way to prevent OHSS. since you are already on agonist protocol you can try for embryo transfer but their is high risk for hyperstimulation. if their is hyperstimulation you will feel bloated, pain in abdomen heaviness, in sever cases their would breathing difficulties. If you conceive after transfer sometimes their are increased chances of hyperstimulation. risk of abortion is low if managed properly." } ]
[ { "from": "human", "value": "Hi..........myself is Suparna,i am 32 yrs old,my height is 5 ft 3 inches,and weight is 63 kgs.on 30th August 2011 i have completed the course of Tuberculosis,I have taken Akurit 4 from 17th feb 2011 to 18th June 2011,thereafter i have started to take Rcinex 600/300.and it is completed on 30th august 2011 my clinical says that i am totally out of tuberculosis,at present i am taking Montair LC for allergic asthama,my question is in this situation shall i try for baby.if not what is perfect time for planning for baby?" }, { "from": "gpt", "value": "hi healthcare magic user, if you have taken complete 6month course of AKT please recheck for genital tuberculosis with endometrial biopsy ,if report is negative you can try for baby." } ]
[ { "from": "human", "value": "Hi doctor!I have been prescribed by my doctor to take ova mit drugs because I have delayed to be pregnant for months now,but still,I did take them after my menstruation period and they didn't help me,on this month I did receive my periods,so doctor,will I have a problem,because I take those drugs they did not help me to be pregnant..advice me doctor I real need a help." }, { "from": "gpt", "value": "Hallow Dear,Ova mit contains Clomiphene citrate which is used for induction of ovulation. Have you been investigated appropriately for the underlying cause of your infertility? If you have any problem in releasing the eggs from your ovaries, these tablets might help. 4 days after taking these tablets for 5 days, it is advisable to submit yourself daily for ultrasonography for ovulation monitoring. When there are indications of egg release (size of the follicle 18 mm or more), you should utilize those days for your sexual relations. I would advise you to get following investigations done on both of you before you start taking any empirical treatment:1. Evidence of ovulation: Ultrasonography and hormonal assays : Oestrogen, Progesterone, FSH, LH, Prolactin.2. Patency of the genital tract : Laparoscopy and Hysterosalpingography. 3. Husband's semen examination. After these preliminary investigations, further planning may be chalked out. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Last month I had tried to conceive but had an early period which lasted for two day. usually my period lasts for 6 days. my reports say that my uterus is anteverted normal in szie and echotexture, plus same goes for the ovaries. just want to know how logn will it take to conceive as i ahve a busy schedule" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic. I am Dr Ramadevi wani. I will be answering your concerns.Since your period usually lasts for 6 days, there is a small possibility that the 2 day period you had is implantation bleeding. Just get a pregnancy test done.It would have been nice if you had provided me some more information like your age, BMI, duration of marriage, regularity of menstrual cycles etc.The ultrasound report is perfectly normal.Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive.If it is more than two years of trying, then consult doctor and get baseline hormone tests and HSG for tubal patency for you and semen analysis for your husband done. The tests results will help in planning the treatment.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.Take a tablet of folic acid daily.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "Hi I have 2 kids. I am not on any BC and I just finished nursing and got my period back for the 1st time. My husband and i have never had this happen on the 30th of dec we had a conom fall off I was excpected to ovulate yesterday. what are my chaces of being pregnant?" }, { "from": "gpt", "value": "Hello,Thanks for posting your query. If ejaculation occurred in the condom and there was a dislocation of the condom, there is a risk of spill into the vagina. Since you are in the fertile period, chances of conception are high. If you do not want another pregnancy now, you can use the emergency pill or go for the insertion of an IUD. Hope this helps." } ]
[ { "from": "human", "value": "HELLO MY HUSBAND AND HAVE BEEN TRYING TO CONCEIVE AND NO SUCCESS. I HAVE BEEN ON CLOMID FOR FOUR MONTHS AND I AM OVULATING BUT STILL NOT PREGNANT. MY HUSBAND IS SCHEDULED TO HAVE A SEMEN ANALYSIS AND I AM SCHEDULED TO HAVE A HSG AS WELL, WHAT ARE THE CHANCES THAT WE CAN CONCEIVE" }, { "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 your age, BMI, duration of marriage, regularity of menstrual cycles and whether baseline fertility hormone assay is done. Clomid induces ovulation. When used for 3-6 months, clomid induces ovulation in 60-80% of women and about 30-40% of women who take clomid become pregnant . Most pregnancies occur in the first 3 months of use. Usually clomid is prescribed for 6 months.You should have done these baseline tests i.e. HSG and semen analysis before starting Clomid. Do not take clomid until you get these tests done.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "hi i have a four years old daughter and i want to get pregnant for the second time but not able to conceive. Same happened during my first pregnancy and my doctor did DNC after which i was able to conceive. Now do i have get through the same process or can medicines help me in conceiving?" }, { "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 your age, BMI, regularity of menstrual cycles etc. Having D&C and you conceiving are coincidental. D&C does not help in conception. So there is no need to undergo that procedure now.First do a bit of homework and find out who is the good infertility specialist in your area and register for treatment. Do baseline hormone tests and HSG for you and semen analysis for your husband. Based on the results further treatment can be planned. There are medicines available to treat subfertility. Do not worry.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.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic. Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "hi,,,,,i am 32 years old woman....trying to conceive from last 1 year.....got the follicular study done couple of times and was found ok....now my doc has referred me for iui....please let me know what could be the reason for not conceiving after every thing being normal.... my hsg test was also normal.." }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic. I am Dr Ramadevi wani. I will be answering your concerns.Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive.Since your doctor has already started treatment I presume that all baseline infertility investigations including semen analysis are normal. Then this is called as unexplained infertility. The cause cannot be found with available investigations.What your doctor has done is right step. Have IUI after induction of ovulation with Gonadotrophins. You can have 3-4 cycles of IUI. I hope and pray you conceive with the help of IUI. If you do not get pregnant with this treatment, the next option would be IVF ( in vitro fertilization).I hope this is helpful. If you have further concerns, do contact me through Healthcare Magic.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.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "hi doctor i'm a 37year old mother with a 1year 4months old daughter, i went to see my last week telling him that i want another baby now and he priscribed brameston for me. so i want to know the purpose of that medicine?thank u for replying. WWW.WWWW.WW" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns today.I wish you had given me some more details. Are you still breastfeeding your daughter? Do you have regular cycles? Did your doctor do any hormone tests?Bremeston contains Bromocryptine. Bromocryptine works by restoring the balance of a substance called dopamine in the brain. It has several uses. In your context it is used- to stop breast milk secretion or-to reduce the level of prolactin hormone. Prolactin level if high can interfere with fertilityThe other uses of Bremeston are to reduce growth hormone level and to treat Parkinsonism. There is a better drug available called Cabergoline which has less side effects than Bremeston. Do discuss with your doctor and use this medication instead of Bremeston.I hope this is helpful. If you have further concerns, do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "HI am 34 years of age trying for 5 years to get pregnant... i had done an Hsg and a polyp was found ,the doc said said after a d&c and a flush my chances of getting pregnant would improve...i also have a retroverted uterus i am curious for your answer" }, { "from": "gpt", "value": "Hi I understood your concern Retroverted uterus is a normal position of uterus.it will not affect your chance of getting pregnancy. Regarding infertility problems ,following are the tests which you should do first before going to any type of treatment Husband-Semen analysis Wife-S LH,S FSH, S ESTRADIOL,S.PROLACTIN,AMH,USG PELVIS,HSGIf all this tests are normal than i advise my patient to try for pregnancy by ovulation induction method IUI/IVF which has success rate of 40%Thanks" } ]
[ { "from": "human", "value": "hi doctor my name is shaila i am 32 years my weight is 52 kgs and my height is 5 feet.i got married 1 year 8 months back and had undergone 2 miscarriages now i am planning after 8 months doc suggested me to take benforce m and folic acid tablets daily .little tensed for i had undergone 2 miscarriages." }, { "from": "gpt", "value": "Hello Madam,understood your concernPlease do following test before planning pregnanacy beacuse you had 2 Miscarriage1.S TSH2 RBSL/HBA1C3 VDRL4 Antiphospholipid antibidy assay5 HBsAg6 USG PELVIS 3D preferably to rule out any uterine abnormality If everything comes normal than continue FOLIC ACID , If HBA1C abnormal than take BEnfoce otherwise NOgood luck" } ]
[ { "from": "human", "value": "I am concerned about the chances of pregnancy. I am currently on week 4 of Sprintec, and was 2-4 hours late the last two days of week 3. The last day of week 3, I did the deed. I also switched BC medications from last month to this month. I still haven't gotten my period. I am worried. Should I be concerned?" }, { "from": "gpt", "value": "Hi Please do one urine pregnaacy test. If its Negative than nothing to worry ,plase weight for few days .your period will come. If does not come after 7-10days. than do repeat pregnaancy test and follow up to gynecologistThanks" } ]
[ { "from": "human", "value": "Hi, my LMP was 6th march 2012 thn negative home pregnancy tests. My doctor put me on Diane-35. Got my periods on 27th may. Flow was not much. Having PCOS. Now she has prescribed oosure and siphene. Am I on right medication???? Is it impossible to concieve in the first cycle for PCOS patients???" }, { "from": "gpt", "value": "hI THERE IS A GOOD CHANCE . YOU SHOULD FOLLOW SOME RULES LIKE REDUCE 10% OF YOUR BODY WEIGHT. YOU MAY REQUIRE FERTILITY TABLETS FOR FEW MONTHS STARTING FROM 2 DAY . BUT NOTHING O WORRY ABOUT THAT.YA YOU ARE ON RIGHT MEDICINE. YA THERE IS APOSSIBILITY OF GETTING PREGNANACY IN 1ST CYCLE. BUT YOU SHOULD AT LEAST TAKE 5-6 MONTHS BEFORE GOING TO NEXT PLAN OF TREATMENT tHANKS" } ]
[ { "from": "human", "value": "Hello, I am scheduled for a heteroscopic myomectomy in a few days and want to confirm if it won't have a negative effect on my ability to get pregnant. Sub mucous fibroid seen measuring 23.1mm x 22.4mm, posterior intramural fibroid seen measuring 35.1mm x 31mm and anterior intramural fibroid measuring 31.1mm x 28mm" }, { "from": "gpt", "value": "hI iT WILL NOT HAVE ANY NEGATIVE EFFECTS ON YOUR FUTURE PREGNANACY. INSTEAD IT WILL INCREASE SUCCESS RATE FOR CONTINUATION OF PREGNANCY." } ]
[ { "from": "human", "value": "I am 33 years old and married since 3 years...however, lately, I realized that I have a very low libido though not sure about the reason...My doc had prescribed Caverta 50 medicines for me which I am regularly taking...I do not have any kids and we are now planning for kids...my concern is using Caverta would have any adverse effect on our attempts for a baby (like low sperm count, etc.) given that my wife is already suffering from PCOD problem and also if I would get addicted to the medicine" }, { "from": "gpt", "value": "Hallow Dear,Caverta is a medicine containing Sildenafil Citrate. This medicine is used in cases of erectile dysfunction of the penis. If you do not get good erection of your penis due to low libido, this medicine will help you; however this medicine is effective only after you have desire to have sex. Sildenafil Citrate is not reported to have any adverse effect on sperm quality or quantity. However, please get your semen examined after 4 days abstinence to assess the quality and quantity of your semen. Your wife is having Polycystic Ovarian Syndrome. So the cause for infertility is more likely to be failure to release eggs by your wife. Please get her thoroughly investigated by a Gynaecologist and take appropriate treatment for her. If your semen examination reveals any abnormality, it may require some attention and treatment I hope this helps you. For more detailed and exhaustive advice, you may ask me Direct question. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I had miscarriage last year,after that i couldn't become pregnant,my doctor told me that my womb is upside down that i should always lie face down after sex so as to get pregnant.but since then i've seen nothing,i'm even spotting now.pls what do i do." }, { "from": "gpt", "value": "Hello,I have gone through your query and understood the concern. From your description, I understand that you have a retroverted uterus. This is not the sole reason for the abortion because successful pregnancies are seen in many cases. The cause of the miscarriage should be known; if a postmortem or histopathological assessment of the products was done, that would benefit a lot. Your tubal patency, hormone levels and ovulation status should be normal. After intercourse, you have to wait for at least 30 minutes lying on your stomach for proper ascent of the sperm. Hope this helps." } ]
[ { "from": "human", "value": "Hai my name is anusha and i am trying for parent hood, my last period date is 9 march.i have missed my periods this month but urine test was negative, my doc suggested to take regestrone(5mg) for 3 days thrice a day. iam really confused to take it or not, is there any chances that i am pregnant." }, { "from": "gpt", "value": "Hello dearUnderstand your concernFirst you have to confirm the pregnancy before using regesterone. If period was delayed by 8-10 days (not clear from history), pregnancy test will give positive result if you are pregnant. Better tool is blood HCG and USG to confirm the pregnancy.If pregnancy was not there, you can take regesterone under the advice of gynecologist. Regesterone contain progesterone and help to induce period in absence of pregnancy. Periodic follow up will required.Hope this may help youBest regardsDr. Sagar" } ]
[ { "from": "human", "value": "i am 38 years old. i done my D&C on sept 14th. after that i bleed for 4 weeks and then stops bleeding. after one week ie on oct 24th again it started and stops 28th. we have our sex on nov 5th and nov 9th using condoms. is it any possible chance to get pregrent . if so can i take abortion tablet again . pls help me" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns today.I read your notes. You have had sex in the fertile period. Condom if used correctly is 98% effective in preventing pregnancy. Since it is not 100% effective there is slim possibility of pregnancy due to failure of the method. So if you miss your period get a pregnancy test done. If at all you are pregnant (which is unlikely), you can consult doctor and take abortion pills again.There are other contraceptive methods like birth control pills, intrauterine contraceptive device etc, which are more effective than condom in preventing pregnancy. If you do not want pregnancy, discuss with your doctor and use a more reliable method of contraception.I hope this is helpful.If you have further concerns, I will be happy to answer.If you have further concerns, I will be happy to answer." } ]
[ { "from": "human", "value": "Hello Dr , I am Aarti.I am trying to conceive from last three months but its not happening.So i have approached a gynacologist.She as suggested me to use a \"letrozole tablets with astaxanthin capsules OVA sheild\".So i just wanted to know whats the use of the tablets and capsules which are given for 25days. Thanks & Regards Aarti" }, { "from": "gpt", "value": "Hi and thanks for your query.Letozole is a medication that induce ovulation or an egg to be mature ,ready to conceive.It is better than clomid because chances for multiple pregnancies are fewer .Astaxanthin has been around a long, long time, but it has only recently begun to be recognized as the super-antioxidant that it really is. Hence you can take them as prescribed from your doctor .Regards" } ]
[ { "from": "human", "value": "Hi, it s already been 32 days since my last period, i ve taken a hcg pregnancy test at noon time and results reveal one bold line after 3 mins (based on the instruction). I keep it and put it in my bag for like 3 hours, then it showed one bold line and one faded pink line.. what does it mean?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Most urine pregnancy test, whether performed at the doctor's office or at home, stayed in the directions that the test should be discarded after five minutes. The reason for this is that if the test is left sitting around the second line may appear as a false positive.So this most likely means that you are correctly not pregnant as most urine pregnancy tests will eventually show a \"positive\" result if there left sitting around for longer than the recommended time.If you desire, you may repeat another pregnancy test tomorrow, making sure you use your first urine of the morning (as the pregnancy hormone is most concentrated at this time) and watch the test for the specified period of time on the instructions, which in your case is three minutes, and if after that time there is no second line visible than you are not pregnant and the test device may be discarded.I hope that I was adequately able to answer your question today, and that this information was reassuring.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "hello doctor today is my 22th day my follicle ruptured on 18th day and doctor adviced me lupigest 2oomg frm my 22th day and i was given hcg 5000. i have pcod so plz can u tell me wht are the chances of pregnancy..........i had my lmp on 19th june........" }, { "from": "gpt", "value": "hi healthcare magic user, chances of getting pregnant depends upon multiple factors like sperm count ,your thyroid levels. if everything is normal then chances of conception in reproductive age group is 15-20%." } ]
[ { "from": "human", "value": "Hi, I am Anjali, I am 25 years old, my weight is 40kg and my height is 5\"3. I recently get my abortion on monday, the reason of abortion was the heart beat was detected in 7 weeks of my pregnancy. And after testing my blood report there is a problem of thyroid my thyroid level is increased 2%. my hameoglobin is fine.i want to known that is thyroid problem is realy a big problem to conceive pregnancy again or when i plan to pregnant again or i also i want to know that is there any chances of further miscarraige?" }, { "from": "gpt", "value": "Hello dear,i understand your concern.In my opinion thyroid abnormalities like hypothyroidism or hyperthyroidism is associated with menstrual irregularities there by leading to infertility,miscarriages,intraauterine growth retardation,low IQ in children etc.But dont worry the above said complications are seen in patients with poor thyroid control.Once the thyroid is under control then the chances of complications are very less.So i suggest you to take thyroid medication regularly to make it normal.Then plan your next pregnancy after a gap of 3 months.Dont worry.Avoid stress.Best regards....Dr.Srilatha" } ]
[ { "from": "human", "value": "Respected Sir/Madam.I am a married girl. Our marriage held on 2009. After marriage we decide pregnent after one year. But after one year we are trying to pregnent. But I can't. We consult a infertility specialist. And he told us that a Polyp seen in utreus. His advice to remove that polyp. After the removal of polyp till I can't pregnent. Last month our Dr. advice us to IUI. IUI date October 2011, 29. Sir pls help me can I conceive this month?" }, { "from": "gpt", "value": "hi healthcare magic user ,causes of infertility can be multiple needs evaluation if you are not getting pregnant even after removal of polyp means you need treatment either IUI or IVF depending upon examination findings, clinical history, sonography report." } ]
[ { "from": "human", "value": "Hi i had a misscarry april this year. since then i been trying to get present. resently i when to see a my doctor. he advice me to use ova-mit. My question is will i get pregant if i have sex with my partner during the 5 days using the ova-mit.Thanks" }, { "from": "gpt", "value": "Hi,What is your age and BMI ?How long you have been married?Are your periods regular?Some women do not have natural ovulation. Ovamit is given to them to bring about ovulation. Ovulation occurs 5-10 days after completing the course of Ovamit. So it is important to have sex with your husband during the 5-10 days after completing the course of Ovamit.It is important to have serial follicular ultrasound during this treatment to make sure that ovulation occurs. Sometimes there may be excessive follicles growing or there may not be any response. Even these problems can be detected by ultrasound.Since your doctor has started you on Ovamit, I presume that baseline infertility investigations are normal ( hormone test and fallopian tube patency test for you and semen analysis for your husband ).To increase your chances of conception you both should 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": "I am 30yrs old and have had two miscarriages in the past. currently i am on obimet 500mg BD, folic acid, ecosprin, evalon forte, fertyl super, wyselon and undergoing follicular study. On day 15th endometrial thickness is 5.5mm, left ovary follicle 20X16mm,rt ovary follicle 12X9mm. Are these good for conception or not?" }, { "from": "gpt", "value": "Hallow Dear,I believe your cycle is regular and between 28 to 30 days. Then, your egg release (ovulation) day would be somewhere between 14 to 16 day. The egg is released 14 days prior to the next expected menses. However, since you are on Clomiphene for induction of ovulation, this calculation is invalid. Your ultrasonography scan also suggests that you are quite close to ovulation. Usually, a healthy egg is released by follicle between the size of 18 mm to 21 mm. Though right ovarian follicle is smaller in diameter, your left ovary has got a good sized (20mm x 16mm) follicle. It may rupture any time to ovulate. May be you would be given Injection of hCG hormne for bringing about ovulation. Eggs released from follicle of size between 18 mm and 21 mm release the best quality eggs who have potency for successful pregnancy. However, your endometrial thickness is not up to the mark; it is just 5.5 mm thick. For successful implantation of fertilized ovum, endometrial thickness between 9 mm to 13 mm is most conducive. I do not feel this endometrium can give you a successful pregnancy. You are on Fertyl which is Clomiphene citrate. This medicine is used for induction of ovulation. However, due to its anti-oestrogenic action, it affects the endometrial growth adversely. According to my opinion, you should let this cycle pass without pregnancy. Since there is a problem in endometrial thickness, you should work on it by oestrogen preparations. Further more, colour Doppler study of endometrium will be more informative about the deeper layers of the endometrium.You should attempt the pregnancy when the follicle is between 18 mm to 21 mm in size and the endometrium is between 9 mm to 13 mm in thickness at the time of ovulation. May be, if endometrial growth is adversely affected by Clomiphene, you would require HMG/HCG protocol for ovulation if you cannot ovulate naturally. You have been put on Obimet, which is Metformin. It was (and is still) a belief that this medicine helps the ovulation better with Clomiphene citrate. However, the recent studies have shown that there is not much of a difference with or without Metformin; instead the use of Myo inositol has proved to be more successful with Clomiphene citrate. Please take the opinion of your infertility specialist before you attempt the pregnancy to avoid unsuccessful pregnancies or conceptions. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi..im married women.. my age is 30,height 5.2\" and weight is 70, my queiry is im planning to get concieve for 2nd baby, i have a boyfriend who is not married, and now im planning to have intercourse with him, will there any porblem arises for me in future, please help me" }, { "from": "gpt", "value": "Hallow Dear,From your question, I gather that you have conceived once. If so, you have proved your capacity to become pregnant. If the previous pregnancy was not from this boy friend, his semen quality and quantity will have to be tested for normalcy. However, for your height, your weight and thus the BMI appears to be rather high. You should try to maintain BMI under 24.9. Currently your BMI is 28.2. This may create problem in your conception. High protein, moderate carbohydrates and low fat with plenty of minerals and vitamins will help you bring down your BMI.I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am 38 yrs old and recovering from a myomectomy to remove three submucosal fribroids with the largest at 6cm. My gyne told me she saw scar tissue and removed a small cysts from the left ovary. i had a lap done in April of this year in which and the fibriods could not be removed but a cyst was removed from the left ovary. I am now being told i have a 10 percent chance of conceiving. My concern is after the lap I was told she used the blue dye and my tubes were clear and if I didnt want to conceive right away to use birth control. I dont understand why the change in being told that now there is an issue with conception. I still had scar tissue nothing really had changed." }, { "from": "gpt", "value": "Hello,Thanks for sharing your health concern with us. I have gone through your query and would like to offer some suggestions. Considering your age, the ovarian reserve is more important to plan mode of pregnancy. In addition, scarring has been noticed repeatedly and this is not a good sign. In view of all these findings, your doctor may have opined so. I would suggest ART since precious time is wasted trying for natural conception. Hope you find this information useful. Take care." } ]
[ { "from": "human", "value": "Hi i am married since two years We are desperate to have baby now.Our gynecologist advised me to take Clofert 50 mg for three months (5 days every month). Kindly let me know what are the chances of getting pregnant with this medicine? My period is regular" }, { "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 your age, BMI, whether your hormone assay, HSG and husband’s semen analysis are normal.Since your doctor has already started treatment I presume that baseline investigations like hormone assay, HSG, and semen analysis are done and they are normal. If these are not done you need to do them.Clofert induces ovulation. Its effect depends upon type of ovulatory disorder and BMI. When used for 3-6 months, Clomiphene induces ovulation in 60-80% of women and about 30-40% of women who take clofert become pregnant . Most pregnancies occur in the first 3 months of use.Some women may need higher dose of clofert and some women may not respond to it. So it is necessary that ovulation with clofert is confirmed by ultrasound at least in the first cycle of its use.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "Hello Doctor, We are planning for kids and recently visited a gynecologist. After my 14th day she administered me dexona. When I looked about it online, they said its pregnancy D classified medicine and people planning for pregnancy sahould better avoid the same. Sould I continue the medicine? Please help me" }, { "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 your age, BMI, duration of marriage, regularity of menstrual cycles and whether your baseline hormone assay, HSG and husband’s semen analysis are normal. If you have not done these baseline tests you need to do them first.Do you have any autoimmune disease or any other medical problem? What infertility treatment you have taken so far? Dexona is usually prescribed along with clomiphene citrate in women with PCOD if they do not show ovulation with clomiphene alone. Dexona taken alone after day 14 is not of any help in conception. Please discuss with your doctor why she has prescribed this. Since she knows your health better she will be in a position to explain to you.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "Hi, I am 28 suffering from pcod past 1 year . Trying to conceive my Dr. given me glycomet 1gm, folinext D, Oosure tab , cabglobin tab weekly, fertyl for 3rd to 7th day of period. I wanna know it really helpfull for me to conceive. or iI need something more" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns.About 85% of couple conceive in the first year of marraige and 95% of couples conceive by the end of second year. So don't be stressed. Give time. You will get pregnant.Since your doctor has already started treatment I presume that baseline investigations like hormone assay, HSG, and semen analysis done and they are normal. If these are not done you need to do them.The medications your doctor has written are right. Folinex is given to reduce the possibility of anomalies in your baby. Women with PCOD have problem with ovulation. Oosure and glycomet are given to improve the function of ovary. Fertyl is given to initiate ovulation. Probably you have high prolactin level. That is why she has prescribed cabglobin. High prolactin levels are seen in thyroid diseases. So do check your thyroid hormonesTo increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "hellow my name is anum and my age is 21 and my weight is 70 and i have been trying to conceive from last 8 months but its just not happening and i have a menstral problem 2 my periods never continue for 7 days it just finish with in 3 to 4 days i dont now what to do" }, { "from": "gpt", "value": "Hi Anum,Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns.You are still young. So don’t worry. You are trying only since 8 months. Give time. You will conceive. Among women trying for pregnancy about 80% of them conceive during the first year and 90% of them conceive by the end of second year. This is for your information.Period bleeding days can vary from 3-7 days. This is normal. It need not be for 7 days. What is important is to have regular periods which is suggestive of normal ovulation.You have written only your weight. I need to know your height to calculate BMI.To increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three to four times in a week.Take a tablet of folic acid daily.In my opinion there is no need to do any tests now. Wait for at least 8 more months. If you do not conceive by then, you can consult infertility specialist and do baseline hormone investigations, HSG and semen analysis for your husband. The results will help in planning further treatment.I hope this is helpful.If you have any further concerns do contact me through Healthcare Magic." } ]
[ { "from": "human", "value": "Is it safe to take Flucloxacilin antibiotics when I actually in day 10 of my cycle and I am probably expecting my ovulation on day 14. doctor has given me the antibiotics for a week. I am very reluctant to take it now since I am really planning for my pregnancy? Kindly advice" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic.I am Dr Ramadevi Wani. I will be answering your concerns.Flucloxacillin belongs to Penicillin group of drugs. Animal studies have not shown any teratogenic effects due to flucloxacillin when used during pregnancy. The limited evidence in human pregnancies has also not shown any ill effects. So you may use this medicine while trying for pregnancy if your condition demands. Even infection is not good when you are trying for pregnancy. If your doctor can change it to other penicillins like Ampicillin, amoxycillin, cloxacillin, it would be great. There is more evidence available regarding the safety of these medicines in pregnancy.I hope this is helpful." } ]
[ { "from": "human", "value": "hi, i am 22 &; i havent gotten my period since november. I have irregular periods, i just started my birth control on may 13th. What are the chances of me getting pregnant this month cause i accidently had unprotected sex &; my doctor told me to use condoms the first month no matter what." }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic. I am Dr Ramadevi wani. I will be answering your concerns today. From your notes it appears that you started contraceptive pills without your periods. I hope that you have done pregnancy test and ruled out pregnancy before starting contraceptive pills.Contraceptive pills are effective in preventing pregnancy from day 8 of starting the pills when you start them at any time in a period cycle. So if you have had unprotected sex after a week of starting the pill, you are protected. The chances of pregnancy are almost nil.If you have had sex within a week of starting the pill, then there is a possibility of pregnancy. The chances of pregnancy are about 20% (one in five).I hope this is helpful." } ]
[ { "from": "human", "value": "Hi,my name is Nasheet Faridi aged 29 yrs and married for 2 and a 7 months,need advice regarding conception.One yr back i concieved and aborted due to Gal bladder infection containing multiple stones,doctors advised me not to go for babay this time because the infection was very much,Just after 20 days i had laproscopic surgery in which gal bladder was surgically removed.After that my husband has taken precaution for almost 9 months by using condom.From past 4-5 moths we are not taking any precaution.I want to have a baby as soon as possible.Eagerly need your help.Thanks and Regards.." }, { "from": "gpt", "value": "Hi,Welcome to Healthcare magic.I am Dr Ramadevi Wani. I will be answering your concerns.Since you have conceived before, it is clear that there is no apparent problem.Please note that among women less than 40 years trying for pregnancy, 80% conceive within the first year and 90% conceive by the end of second year. It is only since 4-5 months you are trying for pregnancy. So don't worry. Give time. If you do not conceive in another 7-8 months, you need to consult doctor for investigations. Baseline investigations that you need to do will be hormone assay, HSG for fallopian tube patency and semen analysis for your husband. 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 me and my partner have been trying for a baby for 18 month and had nothing, ive had blood tests which are fine, my partner is going for a sample this week, but he is worried he cant have kids or has low sperm, just wanted to know what help is there for us?" }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic. I am Dr Ramadevi wani. I will be answering your concerns today.Please note that among women less than 40 years trying for pregnancy, 80% conceive within the first year and 90% conceive by the end of second year. It is only since 18 months you are trying for pregnancy. So don't worry.It is good to know that your hormone tests are normal. Why your partner and you are thinking of negative things. As mentioned above it is natural for some to have this delay in getting pregnant.Let your partner have the semen analysis test after two days of abstinence. If it is not normal consult infertility specialist. There is help available.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... i had my last period on Nov 9th.. then i did succesfull sexual intercourse on Nov 24th.. then i took Postinor-2 2 tablet in a time.. after that we did it using condom.. but about 3-4 days later, we did it again without condom and 1 day after i took postinor-2 again, 2 tablet in a time... But until now (December 19th) i don't have my period yet.. My period is usually unregular..It comes every month, but not in exactly same period...The cycle can be 30,32,36,36,38 or even 40 days... I worried because today is 40 days already since my last period.. Now i feel little bit nausea...i checked Presumptive Pregnancy test (Test Pack) last week.. Blurred line...I repeated 1 day after, it showed the same result..Not positive,but also not sure negative.. I'm scared to check it again now... Is it possible that i'm pregnant since i take 2 packet (4 tablet of Postinor-2) in a month? thanks alot.." }, { "from": "gpt", "value": "Hi, Welcome to Healthcare magic. I am Dr Ramadevi Wani. I will be answering your concerns today.Postinor 2 if taken within 24 hours of unprotected sex is 95% effective in preventing pregnancy. You did delay in taking Postinor 2 the second time. So there is a possibility of pregnancy.The pregnancy line blurred or sharp, does indicate pregnancy. I hope you are doing the test properly. I suggest you repeat the test either with early morning urine sample or do a blood pregnancy test which is more reliable.I hope this is helpful.Best wishes,Dr Rama" } ]
[ { "from": "human", "value": "last year we aborted the pregency at the 20th week due to renal failure of the kid, one kidney was missing and in the other one there was blockage in the urinary track. in the anomoly scan it got detected. my question is does this kind of case gets repeated in the second time prgency" }, { "from": "gpt", "value": "Hallow Dear,Most of the time such anomalies in foetus are found due to chromosomal abnormalities. The chances of repetition of such chromosomal abnormalities cannot be excluded. I would advise you first to submit both of you for your chromosomal studies to find whether the fault is in either of you which has resulted in the chromosomal abnormalities in the baby. If no fault is found in either of you, you may go for pregnancy. During pregnancy please monitor the baby by ultrasonography and chromosomal study if needed. I would advise you to consult foetal medicine consultant before you take any step for next pregnancy; and even during the pregnancy. I hope this helps you.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I would like to start a family. I am 41. I take medication for epilepsy, 200mg lamotrigine and 450mg phenytoin daily but have been seizure free for a number of years. I have regular menstral cycles and am not aware of any other fertilty issues. I also take 5mg of folic acid daily. Should i be able to conceive naturally and have a healthy pregnancy?" }, { "from": "gpt", "value": "Hello,I have gone through the query and understood your concern. It is indeed possible to conceive under modern forms of treatment even while undergoing treatment for epilepsy. You need to have a proper clinical evaluation and plan further management. The anti-epileptic medication has to be modulated and changed to safer drugs which can be used in pregnancy. Also, considering your age and health, it is better to opt for ART to save precious time. Please contact your health care provider for further information. Wish you good health." } ]

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