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[ { "from": "human", "value": "hi ,i m married for 3 years , but still no baby ,i have tb in uterus ,my tb around my tub ,last 4 days i m taken akt 4 table,this table as using for 6 month doctors says ,but after this course can achieve get my pregency normal.please tell me any problem after tb treatment ," }, { "from": "gpt", "value": "Hallow Dear, Tuberculosis of the uterus, particularly that of the uterine lining (endometrium) destroys the endometrium and the tubes. Even though the anti-tubercular line of treatment cures the tuberculosis, the damaged endometrium usually cannot be restored. Even the tubes get destroyed. Though they look apparently patent after anti-tubercular treatment, their peristaltic movement is lost which does not allow the egg to be propelled to the uterine cavity. In last 50 years of my experience in Gynaecology, I have not seen any case of genital tuberculosis where endometrium and tubes are damaged, conceiving. Once your genital tuberculosis is completely cured, you may think of adopting a healthy baby. By this, you will have a child, the orphan baby will get parents and that too without increasing the population. I hope I could give you appropriate message. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i last had sex on 11th may while on holiday, i took my period on 2nd may but i got tablets from my doctor to stop them while i was away, on 11th may when i came home i stopped tablets and took period when i was home, i have then since had a period which i got on 11th june, but before this i have been very tired, feeling sick, constantly want to eat, very sore breasts and swollen stomach and sore back, is it possible to be pregnant, i have done test but was negative" }, { "from": "gpt", "value": "Hallow Dear,The first cardinal symptom of pregnancy is missing a period. You have got period on 11th June. So no possibility of any pregnancy due to any sexual relation(s) before 11th June. For postponing your menses, you were on hormonal pills. These pills can cause tender engorged breasts, tiredness, nausea and other symptoms. Still, if you want a confirmation, you may opt for pregnancy test on the overnight first morning urine sample after 18th June. I hope this resolves your dilemma. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi. i would like to ask. Me and my girlfriend have unprotected sex during the 7th and 8th day after her period. I just penetrate not more than 1.5cm till 2cm inside and I absolutely did not ejaculate inside her. What is her chance of getting pregnancy?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.There are some sperm in pre-ejaculatory fluid (pre-cum) but it only begins to come out very close to orgasm. It does not matter how deep you penetrated during your episode of intercourse, because sperm can travel up into the vagina as long as it is moist even if ejaculation occurs very close to, but outside the vaginal opening. However, contrary to popular belief, withdrawal of the penis before ejaculation is relatively effective in preventing pregnancy- about 85 percent of the time. And in your case, if your girlfriend was only on the 7th and 8th day after the start of her period, it is unlikely that she ovulated yet- as the most fertile time for most women is around 2 weeks before their period is due.So I really do not think you need to worry about pregnancy in this situation, as the combination of using withdrawal and the fact that your girlfriend was not in her fertile time likely prevented pregnancy. It is impossible to give you an accurate percentage, but i would estimate that the chance of conceiving was much less than 1 percent.I hope I was able to adequately answer your question today and that this information was reassuring.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "get pregnantWhy is it hard getting pregnant i have been trying for years now and no sign of pregnancy. When me and my husband have sex his sprem runs back out why is im not get pregnant help me please. in 23 going on 24 in May im about 5'5 or 5'6 and my weight is 209." }, { "from": "gpt", "value": "Hi,Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns.After sex only part of the semen flows back and this is normal. Don't worry about it.From your notes it appears that you are obese. Having a normal BMI is extremely important to improve your chances of conception. So consult nutritionist and join Gym to reduce weight.How long have you been married?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.It would have been nice if you had provided me some more information like regularity of menstrual cycles, whether your hormone assay, semen analysis are normal.If it is bothering you first get baseline investigations like hormone assay, HSG, and semen analysis done. Based on the results, you can be treated.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": "age:25, height:4.11, i have pcos problem and irregular periods 5 months. now i am taking medicine diane 35, gluconorm sr, and cabgolin .25. and from last two months my periods are regular. i want to become pregnant. is that possible. pls tell me and guide me" }, { "from": "gpt", "value": "Hi, Welcome to Healthcare magic. I am Dr Ramadevi wani. I will be answering your concerns today.You have irregular periods because ovulation is not occurring. It is possible to get pregnant with PCO. You are still very young. Don't worry.Diane acts like contraceptive pill. So if you wish to conceive, first discontinue Diane.At first your husband and you need to consult infertility specialist. You need to do some hormone test, fallopian tube patency test and semen analysis for your husband to find out if there is any other problem. If ovulation is the only problem, there are medicines to induce ovulation. Your doctor will guide you regarding this. 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 further concerns, do write to me. I will be happy to answer." } ]
[ { "from": "human", "value": "About getting pregnantOk so my husband and i are trying to get pregnant we have been trying for 10 months and we still cant get pregnant. I have tryed the preseed lub hoping that it would help the situation which it didnt do anything ummm is there anything else i can do to try and get pregnant?" }, { "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.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. If it is bothering you first get baseline investigations like hormone assay, HSG, and semen analysis done. Based on the results, you can be treated.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 Dr. we are blessed that we have succeeded in our first ICSI with beautifull angel baby girl. 2 years later, we have undergone to the second ICSI ....This time after embryo transfer my wife is not experiencing any pregnancy symptoms......please advise.Mali" }, { "from": "gpt", "value": "Dear Mr. Mali,There are mainly four types of symptoms a woman gets in the early phase of her pregnancy. The symptoms of early pregnancy - in first three months are:1. Missing a period : This she must be having2. Nausea and vomiting : Some women do not get this symptom at all. Nothing abnormal not anything to worry about it. 3. Frequency of urination: Woman may not notice it. 4. Breast Changes - Woman starts feeling them after 6 weeks of pregnancy. * Engorgement and tenderness* Brownish discolouration of nipples and areola. This happens in first pregnancy and is permanent change.* Increasing the size of areola* Clear secretions from nipple on squeezingNow which of these symptoms she is not having? You should have mentioned. I hope you have got the answer for your query." } ]
[ { "from": "human", "value": "me and my girlfriend were messing around and i fingered her we never had acctual vagianal sex but im scared she might be pregnant before i fingered her i let her touch my penis and i never came but some precum got on her hand she went to wash her hands and the little amount of precum on my finger i wiped off after she came back it was around 20 to 25 minutes before i fingered her all i did was finger her we never had sex and i never ejaculated that night just a little precum can she get pregnant from this?" }, { "from": "gpt", "value": "Hallow Dear,1. You had fingered her vagina. Fingers never ejaculate semen. So there is no possibility of pregnancy due to fingering. 2. She had handled your penis which had some precum on it. However she had washed her hands after that. So there is no possibility of pregnancy due to that also. 3. You had wiped off your fingers which had some amount of precum on it. Then after about half an hour you fingered her. Again, there is no possibility of pregnancy due to this act. So rest assured. She will not be pregnant due to any of these acts. I hope this gives you peace of mind. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "My age is 28yrs and married since we completed 4yrs of marriage 2yrs back i had an abortion and after 2yrs now we are planning for a baby under the guidance of doctor. She prescribed injection fertigyn 10,000iu on my 14 th day i want to know the purpose of injection clearly" }, { "from": "gpt", "value": "Hallow Dear, Fertigyn injection is an injection of Chorionic Gonadotropin. It prevents the disintegration of the corpus luteum in the ovary and thus prevents progesterone deficiency. Progesterone is needed for stabilizing the pregnancy. Therefore this injection is given to prevent early (usually before missing a period) abortion. Since the egg release and conception takes place 14 days before next expected period, you have been advised to take this injection during this phase of the cycle. This should give you better results. I hope this clarifies your doubts.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello Dr. Grief,Me and my husband are planning to get pregnant and are planning for a specific date for our child to be born around Sept 30, 2012. What will be a good time to conceive if my menstrual period starts around the 29th and has a 30 day cycle?" }, { "from": "gpt", "value": "Hallow Dear,The duration of pregnancy when counted from the last menstrual period is 280 days or 9 calendar months and 7 days. In fact the egg is released (ovulation) 14 days prior to the next expected menses; i.e. if the cycle if of 30 days the egg will be released on day 16 of the cycle. The egg has 24 hours life while the sperms are active for 72 hour. Hence, the conception can happen about a week around the day of ovulation. Considering this, for practical purpose we consider about 2 weeks less from the day of ovulation (or conception). So the pregnancy precisely is of 266 days. However, for the sake of convenience, we calculate it as 280 days from the last menstrual period date. Considering these facts, if the delivery date is to be expected on September 30, the last menstrual period date should be 23 December. (Would you be having it then?) Now your cycle is of 30 days period. So the expected date of ovulation should be 07 January. Hence, if the conception takes place on 07 January, the due date of delivery would be 30 September. The hitch here is that you should have ovulation taking lace on 07 January. Moreover, we have noticed that all the pregnancies do not last for 280 days. The delivery can take place any time between 3 weeks earlier to 1 week later than the expected due date of delivery. Keeping these facts and calculations in mind, you may plan your sexual relations accordingly.I hope this will help you.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi, I am a young lady of 25 years. I am trying to fall pregnant. I have stoped taking my Triphasil (birth Control Pill) for 7 days now. I have been on the pill for 11 years. After leaving the pill i started to mensruate. The bleeding has subsided however, i still have a very jelly like distarge that at times seems to have small amounts of blood in it. I would assume that this is normal However my questions to you are: 1. How long after leaving the pill will it be out of my system and will it no longer give me protection from falling pregnant? 2. What could i take to help me fall preganat as i have been on the pill for 11 years." }, { "from": "gpt", "value": "Hello,Thanks for writing to us. I have gone through your query and would like to offer my opinion. Natural ovulation usually resumes in a couple of months after stopping hormone contraception. Since you are quite young, you need not go for assisted methods now itself. Just continue with healthy lifestyle and prenatal vitamins. If you fail to conceive even after a year, see a specialist for further management. Hope this helps." } ]
[ { "from": "human", "value": "hi doctor, on my 12th day my RO was 24mm my LO was msf and EM was 9mm.my doctor game me a decapeptyl 1ml shot. now how long will it take to rupture and ovolution and when should i have intercourse with my husband also my ultrasound is after 48 hrs plz help" }, { "from": "gpt", "value": "Hallow Dear,Decapeptyl is a gonadotropin-releasing hormone agonist (GnRH agonist). By causing constant stimulation of the pituitary, it decreases pituitary secretion of gonadotropins luteinizing hormone (LH) and follicle stimulating hormone (FSH). LH is a hormone which causes the egg release from the follicle in the ovary. What you need at this stage is a stimulation for ovulation which is given by hCG injections. Now what you can do is monitor the ovulation by ultrasonography everyday. Utilize the day when you find the egg released; it may happen any day now. Please understand that the life of ovum after ovulation is 24 hours while the sperms are active for 72 hours. Therefore, you can have your intercourse daily from today onwards in the hope of ovulation in next 24-48 hours. If this cycle you do not conceive, please observe the following instructions:1. The egg which is released when the follicle is between 18 mm to 21 mm of size is the healthy egg and has got maximum chance of successful pregnancy. When the follicle starts becoming larger before ovulation, the quality of the egg for successful pregnancy is not good. 2. Therefore when the follicle id 18 mm size, get Inj. hCG 5000 units to effect the ovulation. Usually within 24 hours after this injection the ovulation takes place. Hence, you may even have intercourse before you take the injection. 3. The lining of the uterus (endometrium) is most conducive for successful implantation of fertilized ovum (blastocyst) when its thickness is between 9 mm and 13 mm. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi doctor I m 35 yrs old and I weigh 78kg (174lbs)I have been detected with hypothyroidism n am onMedication(eltroxin 50mcg) for the last 3 monthsI have a daughter who is 8 yrs old who is absolutelyHealthy n fit. We wish to have another baby. Is it good for Me to Conceive with problems of hypothyroidism" }, { "from": "gpt", "value": "hi healthcare magic user, you can conceive provided that your TSH is normal. If I would have been your doctor I would have advised you plan for second baby because your child should have siblings. please get a TSH level done. so that I can guide you further how to plan for pregnancy. If TSH is normal then neurological , brain development of baby will be fine if properly managed in pregnancy." } ]
[ { "from": "human", "value": "hello dr,we are trying to get pregnant from last 1yr,still we dit get.we have taken all test,me doesnt have any preblem but dr gave ovacare tablet for 1 month,my husband have sperm 4millions/ml,he is taking oligocare and addyzoa for i month.could we have chance to get pregnant naturaly or will we go for IUI/IVF.Please tell madam,i dont know what to do" }, { "from": "gpt", "value": "I healthcare magic user, yes you can conceive naturally but less chances about 5%. if I would have been your doctor I would have advised your husband to check for fasting blood sugar and post lunch sugar. Let me in detail clinical history ,Age, weight, and blood reports such as AMH, TSH, prolactin, blood sugar so that I can guide you whether to go for IUI or IVF." } ]
[ { "from": "human", "value": "Hi,What are the benefits of ovacare forte a+b tablet. It has been 4 yr of our marriage and in 1st year my wife had a miscarriage by an accident where she had a leg fracture. She was on bed for 6 months and 5 month we started trying. In early this year we visited to a Dr has examined her and started the treatment. We had 2 time IUI which got failed. After the 2nd IUI Dr. Said to take a break for a month and come for the next cycle. This month we visited to her and she has suggested ovacare forte a+b tablet. These are 30 tables with combination of A and B ( which she has to take both of them daily).So I question : - will these tablets help my wife to conceive ? and what is the success rate in this?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Ovacare fort is basically multivitamin tablets containing vitamin A, C minerals, and folic acid which will help to improve quality of the egg.If I would have been your doctor, I would have advised you to share your blood test reports, follicular study, and IUI records so that I could guide you further whether to go for IUI or IVF and chances of getting pregnant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ashwini Talpe" } ]
[ { "from": "human", "value": "hi doctor i got two times abortion first time no heart beat baby in 1.5 month 2009, second time was same problem some treatment baby got heart beat but after 3month the baby got cromosanel problem in 2010 now we are trying for baby doctor has given before pregnency pregnacare forte and ovacare forte tablet now am 33 days pregnent i have to meet doctor now are after 40 days what is the use of this two tablet it will take care my womb pls ans me doctor now am 35 year old" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If I would have been your doctor, I would have advised you some blood work up. Please do blood sugar fasting and continue folic acid post lunch.I need to add few medicines after blood sugar levels. Now, please start tablet ecosprin if no acidity issue is there. All the best.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ashwini Talpe" } ]
[ { "from": "human", "value": "on the 2nd month of my pregnency missed abortion was happened .the featus never shows heart beat.also there is no development for the featus..my doctor prescribed to take clofert50 after 3 months. how it happened?whether it happen again. how should i can prepare for a healthy pregnency? pleace answer. we are eagerly waiting for a baby." }, { "from": "gpt", "value": "Hallow Dear,The history you have provided suggests that you had Blighted ovum wherein there is gestational sac without embryo inside. Hence, in such pregnancies, foetal cardiac activity is never seen. Once in a while, blighted ovum pregnancies are seen. The subsequent pregnancies can be normal.Clofert 50 is a medicine which contains Clomiphene citrate. Since you had conceived naturally, I do not feel you need this medicine. This medicine is for induction of ovulation in women who fail to release the ovum naturally. To prepare for the next healthy pregnancy, please start Folic acid tablets right from today. They will help the healthy growth and implantation of the embryo. Also have a good healthy diet containing high proteins, moderate carbohydrates and low fat with plenty of vitamins and minerals. If you are non-vegetarian, fish, meat, eggs will provide you proteins; while if you are vegetarian, bean sprouts, pulses and legumes are good protein sources. Include plenty of fresh fruits and green leafy vegetables with other vegetables in your diet. I hope this should give you preliminary guidance to prepare for your next pregnancy. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "My period is 4 days late i havent tested yet but i have been cramping like my period is coming put nothing happen so far and if i dont get it today it wil be 5 days late .... i been very moody and my lower right side of my back been hurting could i be pregnant" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.if you are having unprotected intercourse without using any form of contraception, you are risk for pregnancy.Pregnancy symptoms can vary widely between women, and symptoms of bloating, cramps, breast tenderness, mood changes, and irregular bleeding can be caused by hormonal irregularities as well as pregnancy.The most common sign of pregnancy however, is a late or missed menstrual period.So, I recommend that you purchase and perform a urine pregnancy test with your first morning urine according to the package directions. This will confirm whether or not you are pregnant.I hope that I was able to adequately answer question today, and that my advice was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "I have been on birth control for a year now. I was wondering if I am protest against pregnancy on all days of the month including my placebo week or first days of a pill pack? I have taken my pills everyday at the same time and have not missed any in the last six months." }, { "from": "gpt", "value": "Hello, and I would be happy to answer your question today.Birth control pills work by preventing ovulation, so you are protected against pregnancy all month, even in your pill-free week. As long as you are not off active pills for more than 7 days, there is no reason you should ovulate during your pill-free interval.In addition, the pill is most effective when taken around the same time every day without forgetting any, and it sounds like you have been very responsible for taking your medication.The pill is completely reversible however, so if you completely start taking it, you can conceive even in your first cycle. The pill is out of your system in 24-48 hours, which is why taking them every day is necessary to protect against pregnancy. There is no evidence that being on the pill will change your fertility potential when you are ready to become pregnant.I hope I was able to adequately answer your question today and that this information was reassuring.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "I took twp pregency test and they both said positive about a week ago and my last period was november 12. i have a doc. appt in jan. I was at the store to and my 2 years old daught was taking a fit kicking and screaming so i picked her up and carried her through the store.a dew hours later i went to go to the bathroom and i wiped and it was brown. What does this mean?" }, { "from": "gpt", "value": "Hallow Dear,Brown discharge per vaginum during any stage of pregnancy is not a healthy sign and needs attention. Brown discharge is either a stale blood collected in the uterine cavity which is now coming out or it could be a necrotic tissue (which usually is from the non-viable baby). With such a brown discharge, you have to find out about the viability of the baby. Pregnancy test may not be helpful since it takes more than a week for the pregnancy test to become negative after the baby has become non-viable. This is not a fresh bleeding and hence unlikely to be due to lifting of your daughter. The best option for you would be to get ultrasonography done. It will inform whether the baby is viable or not. If the baby is non-viable, you will have to get the pregnancy terminated ASAP to prevent further complications like bleeding, infection, etc. Please report to your Obstetrician ASAP. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi i m 21 years old, m an engineering student....i have bilateral polycystic ovaries with normal uterus and cervix...i want to know wether i can get pregnent or not..what should i do to cure it...treatment is goin on,i am taking eltroxin 100 mcg every morning n my doc suggested me to take tablet yasmin." }, { "from": "gpt", "value": "Hallow Dear,Polycystic ovaries are formed because the eggs in the ovaries are not getting released from the follicles and are getting stuck up. Unless an egg is released from the follicle, it cannot be made available to the sperms for fertilization, which is the basic requirement and the step for pregnancy. For effecting ovulation from the follicles, first line therapy is by Clomiphene citrate. It is advised that this therapy should not be given for more than 6 months. If this medicine fails to cause successful pregnancy, then gonadotropins may be used for induction of ovulation. Sometimes, these medicines cause ovulation, however are not successful in causing pregnancy. Particularly it is noted so with Clomiphene citrate due to its anti-oestrogenic effect. In addition, in PCOS, there is high insulin and high androgen in the body. Myo-inocitol has proved to be very effective in such situations. Yasmin is a birth control pill which may be successful in regularising your irregular menses due to PCOS; however, it may not be successful in giving you a pregnancy. Moreover, you seem to have Thyroid problem which also affects the fertility. However, you are on Eltroxin and should correct the Thyroid imbalance. I hope this will help you in planning your Management of PCOS. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am 40 trying to conceive. my insulin after pp came 40.8uil/ml. doctor said it is high and gave me obimet sr 500mg.my ht. is 5ft.4 inc. and weight is 66 kg my usg test confirmed that i have very small multiple fibroids. but cavity is clear.should i take the medicine for next 3 months(1 tab. per day)? please advice" }, { "from": "gpt", "value": "yes, you can take the tablet, but you have to consider the fact that your age is a little on higher side. After 35 yes of age, female ovarian reserve declines very rapidly, so please don't opt for time consuming treatment. Rather go for some focussed mode of treatment like IVF." } ]
[ { "from": "human", "value": "Good evening Dr. I am 29 years old. I got married on last december. We are trying for baby. But I have irregular periods (40-45). today 5th day of my cycles. Yesterday we met one gynechologist in singapore. He gave ova mit tablet. So please advice can i get conceive" }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, 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] Please do not worry.2] I will suggest to get USG done, to know or rule out PCOS, as you have irregular cycles. 3] Along with USG, Tubal patency test- HSG and semen analysis of your partner is advisable.4] With ovulation trigger drugs like clomiphene, follicle study from day 10, helps to know day of ovulation.5] 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.Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam" } ]
[ { "from": "human", "value": "hi dr.ji i am manjula i have pcod for that dr priscribed me tab. benforce-m .last year i consived but only sac was formed ther was no fetal nodes,why dis happend now dr. is giving me oral contraseptive also wether,i wil consive r any problem will accure for becoming pregnent again" }, { "from": "gpt", "value": "Hallow Dear,I empathize your feelings due to unsuccessful pregnancy. The description you have given fits into the condition called as Blighted ovum wherein there is gestational sac without embryo in it. Occasionally such cases are noticed. The most likely cause behind this could be low quality of the egg that got fertilized or low quality sperm. This may not repeat again. You are having PCOS and you were given Tab. Benforce-M which is Metformin. PCOS is a three pronged dysfunction. Along with anovulation and delayed irregular menses, it is characterized by high insulin values due to low insulin sensitivity of the tissues and by high androgen hormones. Metformin given to you was with the intension of increasing tissue sensitivity to insulin, thus helping to bring down insulin levels. However, it has been proved now that Metformin has limited role in successful pregnancy; instead Myo inositol gives better results. You may suggest your Gynaecologist about this medicines. It also helps in controlling high androgen levels. Now you are on contraceptive pills to regularise your menses; however, they will prevent your conception. Instead, I would advise you to start on some ovulation induction medicines like Clomiphene citrate or HMG/hCG schedules. These medicines help egg release and hence regularize the menses also. While on the medicines for ovulation induction, ultrasonography ovulation monitoring is always helpful for location the evidence and the day of ovulation. This helps you to plan the sexual relations. I hope you will resolve to such scientific management of PCOS related infertility. This includes bringing down the weight (BMISince you have conceived once, there are good many chances that you would conceive again. You should not be disheartened by an episode of Blighted ovum once in life. You have chances of normal pregnancy. Hope this helps you. For more guidance and information, you may ask me Direct question. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I have a normal sized anteverted uterus with intact endometrium bilateral polycystic ovaries. What does it mean? I usually have an irregular monthly period. Ive been married for 5 years now and i still dont have a child. Do i still have a chance to have a child?" }, { "from": "gpt", "value": "PCOS is the most common endocrine disorder among women between the ages of 18 and 44.Polycystic ovarian syndrome, or PCOS, is a condition in which a woman’s levels of the sex hormones estrogen and progesterone are out of balance. This leads to the growth of ovarian cysts (benign masses on the ovaries). PCOS can cause problems with a women’s menstrual cycle,fertility.Overproduction of the hormone androgen may be another contributing factor. Androgen is a male sex hormone that women’s bodies also produce. Women with PCOS often produce higher-than-normal levels of androgen.Common symptoms are, acne weight gain pelvic pain anxiety or depression infertilityPCOD diagnosed by,Gynecologic ultrasonography, specifically looking for small ovarian follicles.Serum (blood) levels of androgens (male hormones), including androstenedione and testosterone may be elevated.Some other blood tests are suggestive but not diagnostic. The ratio of LH (Luteinizing hormone) to FSH (Follicle-stimulating hormone), when measured in international units, is elevated in women with PCOS.Treatments,Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation,Medications for PCOS include oral contraceptives and metformin.For overweight, anovulatory women with PCOS, weight loss and diet adjustments, especially to reduce the intake of simple carbohydrates, are associated with resumption of natural ovulation.For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate[65] and FSH are the principal treatments used to promote ovulation.For women not responsive to clomiphene and diet and lifestyle modification, there are options available including assisted reproductive technology procedures such as controlled ovarian hyperstimulation with follicle-stimulating hormone (FSH) injections followed by in vitro fertilisation (IVF).so dont worry,PCOD is a common syndrome,and treatable also." } ]
[ { "from": "human", "value": "Dear doctor, I am 33 yrs old female having anti tubercular medicines for asymptomatic acites with mantoux test positive for 4 months, i am now taking Rcinex 600. i have to take it 2 more months according to my physician. Now i want to know if i can concieve during taking this medicine , is there any harm being pregnant?" }, { "from": "gpt", "value": "Hallow Dear,Tuberculosis affects the fertility by:1. Reducing general health. Mother nature has arranged our body functioning in such a way that whenever there is any risk to life, the reproductory function is jeopardized first. However, Tuberculosis is such commonly wide spread disease in India and still the population is increasing. By and large, Pulmonary tuberculosis in early stage does not affect fertility. 2. By affecting the Reproductory Organs: When there is Genital tuberculosis, the tubes and uterine lining (endometrium) get affected. Affected endometrium is not conducive for implantation of the fertilized ovum and hence pregnancy is not possible. When the tubes get affected, there is tubal block. Along with the tubal block, tubal musculature also gets affected causing dysfunction in the tubal motility. Therefore, even after the surgical correction of the tubal block, if the tubal peristaltic movements are affected, conception is not possible. This is called as Functional Tubal Block; i.e. physically patent still functionally blocked tubes. You are suffering from Tubercular ascites. There is a good chance that due to ascetic fluid and peritoneal tubercular infection, the tubes and uterus also may be affected. Even, affection of the ovaries will affect the egg release function of the ovaries.Once your anti-tubercular treatment is over and you are declared completely cured of the tuberculosis, you should undergo some investigations like Hysterosalpingography (X-ray of uterus and tubes with radio-opaque dye in it) and/or Laparoscopy to assess the status of endometrium and tubes. Ultrasonography also will be of use for the purpose. These investigations only will inform us whether your reproductory organs are in a state to offer you any successful pregnancy. Madam, your first aim should be to get cured from Tuberculosis. Once you are cured, get investigated for fertility potential. Even if you are unable to conceive, you can adopt a child - this will give you a desired child, the child will get parents and still the population will not be increased. I hope this helps you with relevant information. Dr. Nishikant ShrotriDr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi doctor, i am trying to concieve since last 2years . all my reports are noram. I get my periods only for 02 days. now doctor has me to take glucopage 750xr regularly twice a day and duphaston from day 16 for 10days. is it is possible to be pregnant with duphaston" }, { "from": "gpt", "value": "Hi,yes it may regularize your cycle and you may get pregnant.please hit thanks.Good luck.Regards" } ]
[ { "from": "human", "value": "Hi sir ,,me and my gf ,,were doing foreplayb,,and suddenly I rub my penis to my gf vagina ,,,keep rubbing to vagina ,,but I didn t ejucate on vagina ,,but my penis tip was little bit wet but didn t ejucate ,,, is there any changes of getting pregnency ,,if yes what to do ,what pulls are advices with Jill side effect ,pla reply as soon as possible ,,I am waiting n Iam in emergency" }, { "from": "gpt", "value": "Hello,In above sexual activity, chance of pregnancy is extremely RARE or NIL as there was NO proper intercourse or ejaculation. Just rubbing can't make her pregnant.Pregnancy is possible only if unprotected sexual intercourse is done with ejaculation around ovulation time in regular period. Therefore, you have nothing to worry and emergency pill is NOT required.I suggest to await for next period and undergo pregnancy test if she misses her regular period. Practice safe sex by using safe period/ OCP/ Condom etc to avoid unwanted pregnancy.Good luck and Be well." } ]
[ { "from": "human", "value": "hi, i am 25 years old.now i have been trying to concieve for 11 months but i can t because i have bilateral pcod ,now my doctor prescribed lycostar,apcod powder,siphene to me.are these tablets correct to my problem?can i concieve?my last period date is december 14,which date will egg release?when shall we do intercourse?" }, { "from": "gpt", "value": "hello,You are suffering from bilateral PCOD and trying to conceive for last 11 months (called Primary Infertility). Your LMP is DEC 14.You have to regularize period to be pregnant. Ovulation occurs nearly about 14 days before the expected date of next period. You have to intercourse around ovulation time without contraceptive method to get highest possibility of pregnancy. You may use OVULATION KIT to predict your ovulation time.In your case,ovulation occurred around 30th Nov and had to intercourse from 28th Nov to 2nd Dec.Consult with your gynecologist if infertility persists and need some investigations to rule out other causes. Take healthy diet with Vit-E supplements,avoid stress,do regular exercise and proper sleep.Be well." } ]
[ { "from": "human", "value": "for trying to concieve does a female have to lie down for some time after coitus? wt is the ascending time for a sperm?wt is life span of a sperm?wt shud be exact timing for coitus after ovulation pain?hw much time does it take for an ovum to reach the tubes after it is released frm ovary following ovulation pain?any harm to fetus or difficulty in conceiving if liquid paraffin is used during coitus?does the drop of oil make the sperm heavy and prevent it frm ascending?" }, { "from": "gpt", "value": "hello,Welcome to HCM.If unprotected sexual intercourse is done around ovulation time,there is highest possibility of pregnancy in regular cycle.It is preferable to lie down approx 1/2 hr after coitus during fertility period but not always necessary.Basically sperm is live for 3-5 days inside uterus or fallopian tube and ovum is live 12-24hrs.So you have to coitus within 5 days of exact ovulation date (means 12-17th day of regular cycle). Ovulation time is calculated 14 days before expected period date in regular cycle.Sperm ascends through vaginal mucosa after deposition of semen by contraction. Alkali media is friendly environment for sperm and helps in ascending. 100-200 million sperms are together inside vagina.Velocity of sperm is 2-3 mm/min and approx 45 min is taken to ascend from cervix to ampullary-isthmic junction.Liquid paraffin and oil are better to avoid as those may act as spermicide.I think you get proper knowledge.Be well." } ]
[ { "from": "human", "value": "Your question: \"I had my baby almost 3 months ago. I wanna know how fast can I get pregnant again? I had unprotected sex today & today I stopped ovulating. I read that I could get pregnant fast one day after ovulation. My husband didn't ejaculate inside of me but I'm still very worried" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.You can resume ovulation even in the first 6-8 weeks after having a baby, even if you are breastfeeding. You do not have to have a period since the delivery to have resumed ovulation either. So you are at risk for pregnancy if you are having unprotected sex.However, withdrawal is successful to prevent pregnancy about 80 percent of the time, so there is less of a chance of pregnancy if your husband did not ejaculate inside of you.I suggest you speak to your OB doctor about alternate birth control methods if you and your husband would want to wait longer to have another child.I hope i was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown" } ]
[ { "from": "human", "value": "For the past few months my boyfriend and I have been pulling out (I know, not good birth control but we are 26 and fully aware of the risk). A couple weeks ago, he and I had sex at my peak ovulation time. Recently now I ve been extremely tired, started getting nauseous and having sore breasts a few days ago and now (4 days before my expected period) I m having a very watery period which is unusual for me since normally my periods are thick with clots. Could I still possibly be pregnant even though I m bleeding?" }, { "from": "gpt", "value": "Hello,Unprotected sex with pull out method has failure rate near about 15-28%. Here, chance of being pregnant is quite high.Watery period 4 days before due date may indicate early sign of miscarriage. Here, you need to undergo one blood test for beta hcg & TVS scan to rule out conception product.Following test report, you need to consult with gynecologist for next line management. Practice safe sex in future.Good luck." } ]
[ { "from": "human", "value": "Dear Doctor, i have went to hospital in china to check why i am not pregenant, i have a 27day cycle of period and my ovalution sign come exactly on time. my doctor told me that my ovarian follicle doesn't get rapture, but it shrink in size and come out as period. i can't communicate more since they are chinese and their english is limit, i would like to know if my follicle are shrinking does that mean that i can't have baby without treatment, i need help, i have been trying to conceive now for 1 year and half. thanks suheir" }, { "from": "gpt", "value": "see ur follicles should grow until late 18 mm den rupture. .den u can conceive. ..so don't 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 fr early results" } ]
[ { "from": "human", "value": "hi i want to get pragnent i hav already 2kids of 7yrs n 4yrs now i want to plan for 3rd baby actually my husband is diabetic n my question is that it comes to my knowledge that diabetic husbands its hard to get pragnent or may b it occurs abortion can u plz guide me wat can i do with it?" }, { "from": "gpt", "value": "If your husband is diabetic, then, it might affect his semen quality. so, get a semen analysis of husband done and asses the situation. if it's ok and he is not having any erctile dysfunctionally, you can conceive naturally." } ]
[ { "from": "human", "value": "hello!I'm 35 yrs.old,5'3 in height and 60kls n weight.am suffering from PCOS and I want to get pregnant for the second time.My doctor prescribed fertyl 50mg, neoform 500mg and primulot. will these medicines help me to get pregnant?i also have high blood pressure..pls. advise.thanks.." }, { "from": "gpt", "value": "hi dear and thanks for our query.If you suffer from PCOS all the pills can help you to conceive faster .Fertyl 50 mg is very effective ,but during the use of it chances to have twins pregnancy are very high.If you suffer with high blood pressure better contact to have a visit before conception , with your follow-up cardiologist. All the best" } ]
[ { "from": "human", "value": "IAM 47 YEAR OLD WOMAN. MYSELF AMD MY HUSBAND HAD SEX AFTER TWO AND A HALF YEARS GAP.BEFORE 3 YEARS MY MENSURAL CYCLE WAS 30 DAYS. BUT FOR THE PAST TWO YEARS IT HAS BEEN CHANGED (ie)26,27,28,29 LIKE THAT MY LAST MENSURAL DATE WAS 17TH OCTOBER . WE HAD INTERCOURSE ON 10TH NOVEMBER. IS THER ANY POSSIBILITY OF GETTING PREGNANT?" }, { "from": "gpt", "value": "Hallow Dear,Your menstrual cycle though not very regular, is varying between 26 to 29 days; I should say fairly regular. In regular menstrual cycle, the egg is released 14 days prior to the next expected menses. The Egg has a life of 24 hours while sperms are active for 72 hours. Hence a period of about a week around the day of egg release is fertile period. Considering your period of about 28 days, your expected period was around 14 November and the day of egg release (ovulation) would be around 31 October. This calculates fertile period from 27 October to 4 November. Thus your unprotected intercourse on 10 November falls way outside the fertile period. Thus according to this calculation, you carry very minimal risk of pregnancy due to this intercourse. However, we have to consider your age factor. Your age is 47 years; nearing menopause. Variation in your menstrual pattern is due to the perimenopausal changes. During this period of life, the ovulation is very unpredictable and irregular. Not all the cycles are ovulatory. Moreover, the menses also may become irregular. Thus it really becomes difficult to calculate the safe period. Even if your menses are delayed, you cannot figure out whether these are perimenopausal irregularities or possibility of pregnancy. Hence, during this phase of life, it is always advisable to use reliable contraceptive like condom. I feel, with this menstrual history and history of intercourse, you stand very minimal, almost no chance of pregnancy. You should get your menses. However, if at all you do not get menses even 40 days after the last menstrual period; i.e. 26 November, perform pregnancy test on overnight first morning urine sample. I hope this helps you.Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I'm planning for pregnancy, I'm undergoing regular follicular scan, yesterday I had a follicle measuring 15x18mm, its 21th day of my cycle, I'm having regular intercourse, so I want to know the chances of releasing the egg and getting pregnant this month." }, { "from": "gpt", "value": "Hallow Dear, I can appreciate your keenness in getting pregnant. If the egg is around 18 mm in diameter, you do stand a good chance in ovulating in next 24 hours. So utilize these days for sexual relations maximum.If this cycle it does not work, please follow my advice.From day 9 onwards, submit yourself for ultrasonography for ovulation monitoring till the evidence of ovulation is noted. In this monitoring, please note the following conditions:1. Note the size of the follicle just before the ovulation. Follicles of diameter between 18 mm to 21 mm in size release the best quality eggs and have the best of the chances to get fertilized and complete a successful pregnancy. 2. Note the thickness of the endometrium (uterine lining). Endometrium of 9 mm to 14 mm thickness is most conducive for successful implantation of the fertilized egg (blastocyst). The life of an egg is 14 hours while the sperms are active for 72 hours. Keeping these facts in mind, you may plan your sexual relations. Around the day of ovulation, have intercourse at least alternate day.I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello Dr. Hi, my name is Stenicha, my boyfriend and I been trying to have a baby for over two years now... for some reason I don't know if I can't pregnant (I really don't wanna think this is the case) but I would like for you to give me some tips please...I also started taking New Chapter prenatal vitamins yesterday but don't really know all the details for me.... please get back to me.Thank you" }, { "from": "gpt", "value": "Hallow Dear Stenicha, Motherhood is every woman's natural instinct and you are no exception to it. For pregnancy, mainly following factors are responsible:1. Woman has to release egg. This can be ascertained by different examinations and investigations. Though ovulation detection kit is available for domestic tests, the best way to go for ultrasonography. Daily scan for ovulation monitoring from day 9 onwards till ovulation occurs is very useful. Along with the evidence of ovulation, it gives information about the size of follicle and endometrial thickness at the time of ovulation. Follicles between 18 mm and 21 mm size discharge the healthiest ova. Endometrium between 9 mm and 14 mm is most conducive for implantation of fertilized ovum.2. Patency and normalcy of the Genital tract can be assessed by hysterosalpingography, Laparoscopy and Hysteroscopy. 3. Semen examination to find out the quality and the quantity of sperms and some other factors in the semen. So please to your Gynaecologist and get these investigations done to find out the status of the normalcy of your fertility. Since you are trying sincerely for 2 years for pregnancy, in vain; you need to get these evaluations done. Based on the reports of these investigations, further management can be planned. With these reports, you may ask me Direct question for further guidance. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "im 28 yrs and my doctor advised to take fertyl-M 25 mg from day 5 of my period till the day 9.for how many days need to be in physical relationship.will it works.am i able to become pregnant?in how many days after using this tablets i may conceive.plz reply me soon." }, { "from": "gpt", "value": "Hallow Dear,Fertyl-M is a Clomiphene citrate product. It is given to induce ovulation in women who fail to ovulate normally, but have sufficient ovarian reserve of the follicles. You are very rightly taking these tablets fro day 5 to day 9 of the cycle. After day 9, you should ideally submit yourself for ovulation monitoring by ultrasonography. It has got two advantages:1. You can locate the day of egg release (ovulation). Thus you can plan your sexual intercourse accordingly. The egg has a life of 24 hours while the sperms are active for 72 hours. Hence from just before the day of ovulation daily or alternate days intercourse is advised. 2. Ultrasonography will reveal at what size did the follicle ruptured to release the egg. Eggs released fro the follicles between 18 mm to 21 mm size are most healthy eggs and they have high chance of successful pregnancy. 3. Also ultrasonography measures the thickness of the endometrium (uterine lining) at the time of ovulation. Endometrium of 9 mm to 14 mm thickness is most conducive for implantation of the fertilised ovum.Alternatively you can locate the day of ovulation by home kit. However, it has limited advantages. Considering these facts, you can plan the days of intercourse. In short, utilize the day of ovulation and then have sex at least on alternate days for next 3 days. If you do not want to go for ovulation monitoring at all (which is not advisable), you may start the intercourse 4 days after the last tablet of Fertyl and continue to have at least alternate days intercourse for next week. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hello Doctor, I am 29years old.Got married four years back. Has a baby boy of 3yrs.After pregnancy I never lost my additional weight. During early prgnancy i was 80kilos. By the end of pregnancy i was 94 and evennow I am the same. Iam suffering from PCOS post pregnancy.was on metformin hydrocloride 500mg twicw a day for a period of one year and more. I dont hv regular menstrual cycle n has excess facial hair growth and the skin round my neck is so darkened.Every now and then I get head ache.I had a master check up twice. but then all that I hv is PCOS n migrane.Now i hv endometric cyst aswell.To make my cycles regular i took krimson-35 for 3months. now i am getting my cycles regularly but then bleeding is very less.now i am taking benforce-m once a day and an iron supplement aswell. how do i become pregnant now. do i have ample chances?what is the best method to become pregnant?" }, { "from": "gpt", "value": "Hello dear,I understand your concern.In my opinion PCOD is one of the treatable causes of infertility.The problem in PCOD is absence of ovulation,male type of hair distribution like excess facial hair etc.So the ovulation induction drugs like clomiphene are helpful increases the chances of ovulation upto 70% to 80%.The laparoscopic ovarian drilling also offers best treatment for PCOD and increases the success rates upto 90%.you are on correct line of treatment.Continue metformin and benforce m.Adapt healthy lifestyle like exercise and healthy nutritional diet.Also get blood evaluation done to rule out diabetes,any thyroid abnormalities.I suggest you to disscuss regarding the laparoscopic ovarian drilling with your doctor.Nothing to worry.Avoid stress and anxiety regarding the pregnancy as they cause infertility and delay the pregnancy furthur.Relax.Hope this helps.Best regards...Dr.Srilatha" } ]
[ { "from": "human", "value": "Hi I have irregular cycles 21-25 days . I have been ttc for 6 months. I think I ovulated on CD12 (had follicle tracking) So my period is due today or tomorrow. Really feels like it is due , have cramps and pressure in my abdomen. No bleeding yet but after a bm this morning did have a creamy pink discharge . My question is really how long after spotting / CM like that would should bleeding start? Also if there is no further bleeding, could I be pregnant even though I feel like I'm having the ususal pre-menstrual cramps?" }, { "from": "gpt", "value": "Hello dear,I understand your concern.In my opinion the period might start spontaneously or within 1-2 days after spotting but it might be variable.As the ovulation had occurred on 12 th day the period might come on 26th day in case if there is no pregnancy.The presence or absence of pregnancy cannot be definitely predicted just basing on symptoms like cramps,spotting etc.I suggest you to do a urine pregnancy test a week after missed period for confirmation.Usually a urine pregnancy test done after a week of missed period gives accurate results.So relax and avoid stress.Nothing to worry.Hope this helps.Best regards.....Dr.Srilatha" } ]
[ { "from": "human", "value": "hi, i just want to ask if there is a possibility to get pregnant if me and my husband have an intercourse from Jan 13 -jan 22 .My last menstrual period was Dec 31 2011. We are planning to have a baby.. So is it possible during the said days..Thank you and looking forward for the reply..Have a good day" }, { "from": "gpt", "value": "Hello,Thanks to writing to us.If you have regular cycle of 28-32 days duration, then you have quite chance of being pregnant as you have involved in unprotected sex during your fertile days (Jan 13 to Jan 22).However, chance of pregnancy per cycle is 20-25%. You should try for at least 6 months before going to investigation of infertility.You can use ovulation prediction kit (LH kit) in the middle of cycle to predict ovulation and prepare for that day. It will be more helpful.Take folic acid and vitamin supplements for 3 months. Good luck." } ]
[ { "from": "human", "value": "I took Plan B approx. a week to a week and a half after I began my last period (Dec. 30). I had a light period Jan. 16. My husband and I decided to start trying to get pregnant during my next ovulation. My question is should I base my ovulation calculations on the Dec. 30 start date or the Jan. 16th? Will I be able to become pregnant within the next month?" }, { "from": "gpt", "value": "Hello,Thanks for writing to us.Ovulation occurs approx 14 days prior to next due date in case of 28-30 days cycle. As per calculation, you will ovulate on 16th Jan & if you do unprotected sex during this time or close to your fertile days, then you have quite chance (20-25% per cycle) of being pregnant.However, if you already took Plan-B around 10th day (a week and half of week after period) of cycle and started light period on Jan 16, then possibility of ovulation is quite LOW on that day.Your period may be delayed for 1-2 weeks due to hormonal imbalance. I suggest you to await for next period and plan for pregnancy after that.Maintain genital hygiene and take care. Good luck." } ]
[ { "from": "human", "value": "i am 29 and am trying to concieve since 2yrs,due to my irregularity of periods i cannot concieve,my doctor as told me i have pcod and hence have suggested me to have bigomet sr500, its been two months i am having the medicine, do i have higher chances now to concieve." }, { "from": "gpt", "value": "Hi there,Bigomet 500 mg twice a day has been prescribed to you to help stabilize the hormonal imbalance caused by the PCOD. It will help you regularize your period, but it takes time to work, using it for atleast 3 months is neccessary.Simultaneously life style changes of diet and exercise should also be considered.Apart from this you also need folic acid 5mg daily.Also since you have benen trying for 2 years now you need to be evaluated along with your partner for all causes of infertility.Getting a detailed check including an examination by a gynaecologist, Semen analysis, hormonal studies, dye test should be considered.You can also consider ovulation inducing drugs like clomiphenen if all the above tests come back normal, to help you conceive.Hope this helsp.Regards." } ]
[ { "from": "human", "value": "Hi, i have done my IUI on 19 sep and i was asked to take a pregnancy test on 10 oct. But since i got some brown discharge for few days i did take a pregnancy test and it was negative, so the doc has asked me to take Gestin tablet for five days and asked me to repeat the test after the 5 days. Can i still be pregnant. What does Gestin do." }, { "from": "gpt", "value": "gestin is just for harmonal support if u have conceived. its always better to take some harmonal support after IUI. Secifically when u have been given HCG injection for follicular rupture prior to IUI." } ]
[ { "from": "human", "value": "Hi, I had a miscarriage 4 weeks age ,my hcc went to below 5 after 13 days ,since last week I’ve been having breast pain ,now I have some brown discharge for 3 days ,yesterday I saw bright red spotting once then turn back to brown ,can I be pregnant again." }, { "from": "gpt", "value": "Hello,Thanks for writing to us.If you involved in unprotected sex soon after miscarriage, then there is quite possibility of being pregnant. However, chance is 20-25% in single cycle. Do one home pregnancy test to clear doubt.Other reasons could be old blood, endometrial tissue, pelvic or vaginal infection, hormonal imbalance etc.On positive test, you may need to undergo one TVS scan. Review with test report. Good luck." } ]
[ { "from": "human", "value": "Hi There! I am 30 yrs old, married for last 2.4 yrs, trying to conceive since two yrs by now, but not able to do so. Yesterday I went for a HSG test and the report says that there is irrgularity and beading , more marked distally near fimbrial end, suggestive of bilateral tubal block.All my previous reports are quite normal. Like my uterus is normal, ovaries are normal, cervical canal is normal, hormone levels are normal but still infertile. Please suggest." }, { "from": "gpt", "value": "Hallow Dear,Unless the tubes are patent, there is no chance of natural conception. However, your tubes are not just blocked, there is irregularity and beading in the tubes noted in Hysterosalpingography. This finding is highly suggestive of genital tuberculosis wherein the tubes are affected. Please get yourself investigated from a Gynaecologist for genital tuberculosis. Also look for presence of tuberculosis elsewhere in the body, particularly the lungs, by X-ray. Hysteroscopy will help to have a look at the endometrium for similar lesions. Laparoscopy will throw more light on complete pelvic health. If tuberculosis is confirmed, you will have to undergo antitubercular line of treatment. Tuberculosis can definitely be treated completely by treatment under observation; however treatment of tuberculosis is a prolonged treatment and for genital tuberculosis, you may have to take the medicines for at least 9 months. Along with the treatment, healthy high protein and high calcium diet with adequate Vitamins is necessary. Fresh fruits, fresh green leafy vegetables and fresh air to breath help speedy recovery. If tubes are affected by tuberculosis, the chances of natural conception are rather poor since though by surgery the tubal patency is regained, the tubal function is damaged. So after completion of the antitubercular treatment, you may consider Artificial Reproductory Technique for conception and pregnancy. One more suggestion, as per the WHO suggestions and our experience, every case of tuberculosis should be tested for HIV since tuberculosis increases the possibility of HIV infection six fold; so also HIV increases the possibility of tuberculosis six times. I feel you should concentrate first and more on getting healthy. Then later, attempts for pregnancy may be considered. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "i am 33 and my wife is 29 years. my Ht :160 cm weight 75kgs my wife : 153 cm weight 60kgs we are trying to have a baby, my wife had a missed carriage in april this year, now we have taken follicle study, tube test for my wife and semen analysis for me.my wife is diabetic from the day she got pregnant. the report for my wife indicates normal egg growth, and for me then semen count is 70 million/ml and progressive motility of 35%. kindly advise if do have any problem in getting conceived." }, { "from": "gpt", "value": "Hi there,Welcome to HCM,With a single previous miscarriage, you have a very good chance of conceiving and continuing the pregnancy till full term. Do not worry, 5mg folic acid should be taken by your wife daily.I do not see any cause for you not conceive. Miscarriages are very common especially in the first pregnancy. And there is a good chance you will conceive soon, so do not worry.If your wife had diabetes from the day she got pregnant then probably she is a diabetic, you should get her blood glucose levels checked and in control before she conceives. Hope this helps.Regards." } ]
[ { "from": "human", "value": "Ive had unprotected sex with a man im seeing 2 weeks ago, although he pulled out before ejaculation Leading up to my monthly period my breasts became alot more tender than usual, actually close to tears when touched. I came on my period on monday which is about right as they are not really regular. My lower back ached my head hurt and bad cramps (worse than usual) lasted throughtout the 5 days. This is also unusual as usually my period lasts for 3 days. I am craving food more than ever and have a gut feeling, could I be pregnant?" }, { "from": "gpt", "value": "It is not likely that you are pregnant since you had a period when you were supposed to. However, you do have some symptoms consistent with early pregnancy and it would be reasonable to get a home pregnancy test." } ]
[ { "from": "human", "value": "My boyfriend and I were fooling around and he came on me. Usually we play it safe. He cleaned himself up and then after 5-7 minutes (perhaps even 10) he fingered me with the same finger that had his semen on it. He had not washed it. That was on the 25th day of my periods. Usually I have a 28-30/ 32(rare cases) cycle. Could I get pregnant? I am not on any form of birth control." }, { "from": "gpt", "value": "Hisince your periods are regular and it happened on 25th day of your cycle less chances to be pregnant.Fingering with semen and pregnancy depends upon how many sperms are present and how deep the play and your menses date etc.i thnk in your case nothing to worry,.But in case of confusions you can always check youe ueine" } ]
[ { "from": "human", "value": "my lmp is 01.04.12. i want to concieve this month onwards. due to fever, my esr level is 80mm. my hemoglobin is 9.70 g/ dl. i am taking moxikind 625 mg from yesterday onwards for three days. if a concieved in this month, is there any problem after taking this antibiotic" }, { "from": "gpt", "value": "Hello,Thanks for writing to us.Moxikind 625 is quite safe (pregnancy category B) while you are trying to conceive and during pregnancy also. It has no harmful effect on growing fetus. Therefore, you wouldn't be worried much.Common side effects include: Diarrhea, nausea, vomiting, indigestion, stomach inflammation, skin rash, dizziness etc.Do periodic checkup to your doctor and get recover soon. Good luck." } ]
[ { "from": "human", "value": "i am 27yrs lady trying for baby for 7 months with no success. I have asked by my doctor to take the hormone test. My periods are regular.I have taken the hormone test at 2nd day of my periods.LH = 5.80mIu/mlFSH = 5.20 mIu/mlProlactne = 6.98 ng/mlIs my hormone levels are normal? My doctor said there is no dependence between LH and FSH.But i heard LH should be less than FSH. Please help" }, { "from": "gpt", "value": "Hi there,Welcome to HCM,Do not worry.Usually the FSH values are almost twice that of LH, if not so then we suspect the women to have a condition called PCOS and do additional hormonal tests and pelvic ultrasound.But in your case what really matters is if you have any other health concerns or not.You should be getting regular period, if your period are not regular then it is more likely that you have PCOS, also having PCOS will make childbearing more difficult. But with just one FSH, LH value you need not worry.Moreover all factors of infertility need to be evaluated after 1 year of trying, but since you have started the evaluation in 7 months you need to do all the tests including your pelvic ultrasound, blood tests including thyroid and prolactin levels. Your partner semen analysis is also essential. Only after complete analysis can a cause for infertility if at all any can be ascertained.Take Folic acid 5 mg while you are trying to conceive.Hope this helps.Regards." } ]
[ { "from": "human", "value": "Hi, am 32 yr married female trying to conceive.Conceived once in 2007 but due to some issues in baby growth i got the baby terminated.I have a bad habit of reaching to organsm on daily basis.Kindly tell me if this is creating any problem in me getting conceived." }, { "from": "gpt", "value": "Hello,Thanks for writing to us.There is NO relation between pregnancy and achieving orgasm. You should do it in hygienic way. Pregnancy depends on proper timing of unprotected sex with ejaculation inside vagina during fertile period.Good luck and take care." } ]
[ { "from": "human", "value": "I am 26 year old. I have been injected with Koragon 10,000 on 25th Jan and on 27th Jan Dr. informed me that rapture has taken place and advised to have relationship. I would like to know that how much time I have for relationship (ideally in how much time relationship should take place after Koragon or after rapture). Please help me." }, { "from": "gpt", "value": "Hallow Dear,After rupture of the follicle (ovulation), the egg is alive for 24 hours. Hence, these 24 hours are very important for conception. Try to utilize these two days. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "I am 25 year old. My periods use to occur after every 23-25 days. My last period was on 2nd December and I had an intercourse for the 1st time on 6th December and then again on 24th December. During Intercourse we have used condoms. I didn't get my periods till now. Is there any chance that I am pregnant?" }, { "from": "gpt", "value": "Hello,Thanks for writing to us.You did protected sex in safe period (both on 2nd and 24th December) and therefore, your chance of pregnancy is rare to nil.Period may be delayed for 1-7 days due to hormonal imbalance and mental stress. You may wait up to 1 week to get period naturally.However, I suggest you to undergo one home pregnancy test to clear doubt about pregnancy. In absence of pregnancy, you may require progesterone pill to induce period if it doesn't occur after 1 week.Be stress free, take regular healthy diet, practice safe sex in future. Good luck." } ]
[ { "from": "human", "value": "Iam 28years old trying to conceive past one year. I had laprocopy last year and diagonised for endometriosis in left ovary with right ovary being normal. I had HSG test 2 weeks back, this cycle and test result says Category 2A problem with both tubes patent. The resukt said free spill seen on both tubes. The fimbiral end of both tubes are mildly clumped with mild adhesions. My doctor has recommended for IUI for 3 cycles starting from next cycle. My question is with the fimbrial end clumping, would IUI be successful for me? if the tubes are open but still mildly clumped, would the tubes retrieve the egg from the ovary and would fertilisation happen naturally? Please advice." }, { "from": "gpt", "value": "Hello,I have gone through your query and would like to offer my opinion. Since there is free spill on both sides in the hysterosalpingogram, it is technically possible for transport of the ovum eventhough there is mild fimbrial clumping. IUI helps to accelerate the process. Yet, monitoring should be done for a possible ectopic pregnancy should fertilization occur, for there is a slight chance that the tubal motility may be delayed due to the clumping. Hope this helps." } ]
[ { "from": "human", "value": "hi doctor my age is 24, 7 months has completed fr my marriage, i m trying to get pregnant,we hav jzt decided for baby planning, but for 2 months my periods r very ireegular n my gynec has given me tablet ovulet. doctor advice me how to get pregnanat early as possible?" }, { "from": "gpt", "value": "Hello,Thanks for writing to us. Followings are my comments:1) Pregnancy depends on proper timing of ovulation & unprotected sexual intercourse. Ovulation occurs approx 14 days before next due date in regular cycle.2) Late or irregular period may be due to hormonal imbalance, mental stress, ovarian cyst, weight gain, irregular diet habit, thyroid disorder, pelvic infection etc.3) Above conditions should be ruled out and you need to take cyclic Progesterone pill (D16 to D25) to regularize cycle. You should also continue doctor's prescribed medicine.4) Ovulation prediction kit should be used in this context to predict ovulation and you should prepare for that day for unprotected sexual intercourse.5) You would need to do this for at least 6 months to 1 year to make sure that you have given the natural process a chance.6) Vitamin E, Zinc and folic acid supplements are very much helpful in improving fertility and chance of pregnancy.If with the above procedure, you fail to conceive, then you may need some initial investigation to narrow down the possibilities. These include:1) Fresh semen analysis for husband2) Ultrasound pelvis to check reproductive organs grossly.3) Hystero salpingography (HSG)-for tubal patency test.4) Hormonal test-thyroid profile, LH/FSH, Oestrogen & progesterone level.5) For ovulation- Day 21 progesterone level assay or serial ultrasound on day 12-16 for follicle measurement.6) For cervical factor- Post coital test & anti sperm antibody test.7) Blood sugar (PPBS) etc.Hope, it will be helpful for your information. Good luck." } ]
[ { "from": "human", "value": "my girlfriend and i somewhat had sex this past Sunday, basically my penis entered in her vajina, well i did not ejaculate in her but i did pull out before anything happen, could she still get pregnant, also would it be a safe idea to take the plan B pill? she also said that she felt a throbbing in her vajina on her way back home." }, { "from": "gpt", "value": "Hello,Thanks for writing to us.Pulled out or withdrawal method has high failure rate (15 to 27%) and precum or pre-ejaculatory fluid (excreted prior to actual ejaculation) may cause pregnancy if it occured during her fertile period.If you involved in sexual activity in the middle of her cycle (D12-D18) or fertile days, then I can suggest to take Plan-B within 72 hrs to avoid minimal risk of pregnancy. Otherwise, she may NOT need to take the pill.Lastly, I suggest her to undergo home pregnancy test if she misses her next period date.Review with the test result. Good luck." } ]
[ { "from": "human", "value": "my last period was 14/11/2011 and today is 21/12/2011. but i have used prega news pregnancy test after 4 days (18-december). but the result was negative. now i m feelings some pregnancy symptoms like nausea and dizziness. so m i pregnant? please help me." }, { "from": "gpt", "value": "Hello,First of all, I suggest you to REPEAT the home pregnancy test or undergo one blood test for beta-hCG to confirm pregnancy as initial test result may be sometimes inconclusive.Beside pregnancy, reasons of late period and above clinical features could be hormonal imbalance, over weight/ extreme loss, extra mental stress or anxiety, emotional upset, eating disorder, thyroid problem, PCOD etc.On NEGATIVE test, I suggest you to undergo one USG lower abdomen and hormone test to rule out other underlying causative agent and confirm the diagnosis. Kindly, consult with your local gynecologist and take advice accordingly. You may need to take hormonal pill to induce period.You should control body wt, avoid stress, take healthy low carbohydrate diet with avoidance of fatty food and sleep properly.Be well and take care." } ]
[ { "from": "human", "value": "i am having irregular periods since beginning.last period was on sep 25.till now dere is no period.we hav been tryin to concieve since 18 nov. don knw wether i hav concieved or not but from last 3 daz i m getting cramps in my lower back n abdomen n a bit of nausea.today had a mild fever.please suggest" }, { "from": "gpt", "value": "Hi there,If you are feeling uneasy and have not had period since September, consider doing a urine pregnancy test, to confirm/rule out pregnancy.If positive get a ultrasound done to date the pregnancy as you have had irregular cycles and the ultrasound will be more accurate in dating the pregnancy than the last menstrual cycle.Hope this helps.Regards." } ]
[ { "from": "human", "value": "doctor,i already had i child.she is 8 years old and it was conceived naturally but now when we are trying for second baby i am not able to conceive i consulted the gynaec she prescribed me ovacare forte .I want to know will this help me and solve the problem." }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Ovacare contains multivitamins and minerals and per-se doesn't do much for fertility. If you have been trying for more than a year, you should be evaluated by a gynecologist fully to know the cause, it could be tubal, womb, ovarian, cervical or male factor. The cause of infertility should be identified by ultrasound, blood tests, and semen analysis before treatment is started. Folic acid is the only vitamin that is essential to be taken by tablets when trying for a baby.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Zenab Tambawala" } ]
[ { "from": "human", "value": "my age is 49 i'm 5ft 4in 16 stone, i have inactive thyroid, i have misscarried 3 time, that why i went online for drugs to help me try again, but all of a sudden my period stop at the end of october, i have thease tablets called fertomid-50, i have no clue on how to take them, also there was no do's or dont that came with them, just the tablet on its own. what are my chances and how would i take them, cos i have now stop bleeding." }, { "from": "gpt", "value": "Hi there,Welcome to HCM,To stop having regular periods at 49 years would mean that your ovaries are not producing eggs and it is very unlikely that you will conceive.Fertomid is given to women with PCOS, but they are unlikely to work if you don't have any period. Moreover they have to be started from the second day of period and continued for 5 days, but since you are not getting your periods, you will not be able to use them. You need to get your AMH levels done which will tell about your ovarian function.The most likely way for you to conceive now, is by considering IVF (test tube baby). The result of AMH will determine if you can use your eggs or donor eggs may have to used.Please consult a fertility specialist to decide the next steps.Hope this helps.Regards." } ]
[ { "from": "human", "value": "Hi this is thilak, my age is 25 yrs iam undergoing a treatment for getting pregnancy. from my 2nd day of period dr gave me a tab elome for 5 days. 6th day she started me a folicule scan. on 10th day she suggested me an injection ovamax 5000 IU i.e today. please suggest when i can have a sex to get pregnancy." }, { "from": "gpt", "value": "Dear Thilak,Since you are under ultrasonography ovulation monitoring, it is very easy and simple for you to plan sexual relations. The egg is usually released when the follicle is between 18 mm to 21 mm size. In fact this sized follicles release best quality eggs. Probably, your follicle has reached that size, hence your doctor has given you injection Ovamax which will bring about ovulation and also help the pregnancy to stabilize if conception takes place. Attention should be paid to thickness of the uterine lining (endometrium). Endometrial thickness between 9 mm to 13 mm is most conducive for implantation of fertilized ovum. When you are given injection for ovulation, you will release egg(s) within 24 hours. So utilise this and next two days at the best for sexual relations which may help fertilization of the egg. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, my menses was supposed to come on 15 nov but I delayed it by taking 5mg of noresthisterone from 13 Nov till 17 nov. During the period, my boyfriend and I had sex and he ejaculated in me. Is it still possible for me to get pregnant as I'm on the noresthisterone pill?" }, { "from": "gpt", "value": "Hello,Thanks for writing to us.Last week of period cycle is EXTREMELY SAFE and doing unprotected sex with ejaculation inside vagina DOESN'T cause pregnancy at all. You also took Norethisterone pill from Nov 13 to Nov 17 and it will give some sort of protection also.You will NOT be pregnant in this case due to SAFE SEX. Be stress free." } ]
[ { "from": "human", "value": "Hello ! The thing is I am married since 2 years & I am unable to conceive. Doctors diagnosed it as PCO, I am under treatment. Now my periods were due on 16th oct but till now there is no sign.....& i started taking folic acid from last week whether thats the reason or i shud go for preg tests" }, { "from": "gpt", "value": "Hi dear, I have gone through your question and understand your concerns. Delay in the periods can be due to pregnancy or stress, hormonal disturbances like PCOS.Folic acid do not causes the periods to delay.I will suggest you to get a urine pregnancy test done to confirm the diagnosis and get further management accordingly.Hope you found the answer helpful. RegardsDr Deepti Verma" } ]
[ { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... Hi, I thought I finished my period and so me and my boyfriend were just messing around. We didn't have sex but his penis did touch my vagina at points. But then the next morning I found that I still had my period. Is there a big chance that I'm pregnant?" }, { "from": "gpt", "value": "Hello,I have gone through your query and understood the concern. You cannot get pregnant in the current scenario because 1. You are likely to be in the safe period since you just finished your period. 2. There was no penetration nor deposition of sperm on the vagina. During the fertile period, such deposition also can cause conception. So, do not worry. Hope your query has been clarified. Take care." } ]
[ { "from": "human", "value": "i m a 26 years old women and an advocate. we are planning for a baby for last 2 months. but did not succeed. before trying for a baby i had normal period no sickness etc. but after planning i fill very tried before my menstrual period. last month my period was 7 days late before last month i had a regular period. m taking folvite as suggested by my doctor." }, { "from": "gpt", "value": "Hello,Thanks for writing to us. Followings are my comments:1) Pregnancy depends on proper timing of ovulation & unprotected sexual intercourse. Ovulation occurs approx 14 days before next due date in regular cycle. 2) Late period may be due to hormonal imbalance, mental stress, ovarian cyst, weight gain, irregular diet habit, thyroid disorder, pelvic infection etc.3) Above conditions should be ruled out and you need to take Progesterone pill (D16 to D25) to regularize cycle.4) Ovulation prediction kit should be used in this context to predict ovulation and you should prepare for that day for unprotected sexual intercourse. 5) You would need to do this for at least 6 months to 1 year to make sure that you have given the natural process a chance. 6) Vitamin E, Zinc and folic acid supplements are very much helpful in improving fertility and chance of pregnancy.If with the above procedure, you fail to conceive, then you may need some initial investigation to narrow down the possibilities. These include:1) Fresh semen analysis for husband2) Ultrasound pelvis to check reproductive organs grossly.3) Hystero salpingography (HSG)-for tubal patency test.4) Hormonal test-thyroid profile, LH/FSH, Oestrogen & progesterone level.5) For ovulation- Day 21 progesterone level assay or serial ultrasound on day 12-16 for follicle measurement.6) For cervical factor- Post coital test & anti sperm antibody test.7) Blood sugar (PPBS) etc.Hope, it will be helpful for your information. Good luck." } ]
[ { "from": "human", "value": "Hi; I am trying (last 6 months) to pregnent but unsuccesful.I am 34 and my husband is 46.We are entering 12th year of succesful married life.I pregnent 4 time and delieverd 2 time without any madication but walk 6 k.m. daily in the mornning when last I pregnent(and deliever too). I am under the supervission of Dr. Mrs.u.k.jain(MS Gyn.).I have taken these madicines: Syrup gynaetone tab. fertyl super,surten 200(progesterone tab.) and productivity (and ovulation too) improving drugs.,productivF since Oct.2011.We lost our 10 years old son in an accedent and sufferring tenssion. life. Thanking you Doctor; Mrs.Sapna Singh;Cell No.0000 Chhindwara;MP;India" }, { "from": "gpt", "value": "Hello,Thanks for writing to us. Followings are my comments:1) Successful pregnancy depends on proper timing of ovulation day and unprotected sexual intercourse. Ovulation occurs approx 14 days before next due date in regular cycle. 2) I suggest to use Ovulation prediction kit in context to predict ovulation and you should prepare for that day for unprotected sexual intercourse. 3) You should continue above prescribed medicines with Vitamin E, Zinc and folic acid supplements to improve fertility and chance of pregnancy.4) If you fail to conceive within next 6 months, you need to undergo some investigations likea) Fresh semen analysis for husbandb) Ultrasound pelvis to check reproductive organs grossly.c) Hystero salpingography (HSG)-for tubal patency test.d) Hormonal test-thyroid profile, LH/FSH, Oestrogen & progesterone level.e) For cervical factor- Post coital test & anti sperm antibody test.5) Be stress free and take healthy diet. Control body weight and take sound sleep.For future query, you can directly approach me through" } ]
[ { "from": "human", "value": "Hi. My name is Alice. I had 2 2 day embryos transfered yesterday after icsi. Last night for an hour I felt feverish (couldn't get warm, but feeling hotish to the touch and achy. This lasted an hour or so and I then took some paracetamol which stopped it. Feel fine now and all night just very worried the embryos are damaged from excessive heat.Please tell me what you think." }, { "from": "gpt", "value": "Hello, and i hope I can help you today.Since you did not take your temperature, there is no way to know if you actually had an elevated body temperature at the time you felt this way.In addition, low-grade fever is not harmful to a pregnancy. Women get sick during pregnancy just like anyone else, and a short-lived febrile illness is nothing to worry about.Only a fever greater than 40 Celsius or 104 Fahrenheit can do any harm to an unborn baby, and that usually takes place as a risk factor for congenital hearing loss. As you only have embryos, and not a baby inside, there is really no risk to the transfer from what you experienced.I hope I was able to adequately answer your question today and that this information was reassuring.Best wishes for the rest of the pregnancy,Dr. Brown" } ]
[ { "from": "human", "value": "Hi i am 30 years old. This cycle i took fertyl 50mg starting 3 day for 5 days. Follicle monitoring done on 11 january shows follicle of size 18mm but endometrial thickness is just 5.7mm. Is this the side effect of fertyl. Will progynova 2mg help solve the problem. Last menstruation period date was 3 january." }, { "from": "gpt", "value": "Hallow, Fertyl is clomiphene citrate. It is basically used for egg release (ovulation) where natural ovulation is a problem. It is in particular useful in Polycystic Ovarian Syndrome where the follicles are maturing to varied extent and still the ovulation failure is noted. Clomiphene citrate is also having antioestrogenic effect. So it may hamper growth of endometrium. Hence, in women where Endometrial growth is low, gonadotropin hormones may be preferred for induction of ovulation. Endometrial thickness between 9 mm to 13 mm has proved to be most conducive for implantation of fertilized ovum or blastocyst. Ovulation occurring when endometrium is just 5.7 mm is likely to end in 'no pregnancy'.So long as the follicular size is concerned, it has been reported for many decades that the ova discharged from the follicles of size between 18 mm to 21 mm are the healthiest one and give maximum fertilization rate and continuation of pregnancy success rate. Progynova is a synthetic hormone replacement for oestrogen. It is used to build up the lining of the uterus in preparation for embryo transfer during a thaw cycle for women who do not ovulate regularly. Hence in your case, it might prove to be effective in building up the endometrium. However, you should not wait for the ovulation beyond the follicular size more than 21 mm. If it takes longer for the endometrium to grow, you may waste this cycle and start Progynova earlier in next cycle and have ovulation at proper follicular size. I hope this information is useful to you for further decisions. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi i am taking triquilar 21 oral contraceptives since six months .. but in this month i forgot to take one pill yesterday. after 24 hours i remembered that i missed out a pill.so what should i do?? should i take the missed pill plus todays pill together.i mean 2 pills in a day??" }, { "from": "gpt", "value": "Hallow Dear,Missing one pill during the whole cycle is permissible in contraceptive pills. However, if you realize it the next day, you may take one additional pill on that day. In all missing of 3 pills in one cycle are permissible. Yes, if you take missed pill and todays pill it is advisable. However, to avoid gastritis and nausea due to pills, take them at 12 hours interval. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "My wife has been advised to take 2 vials of Corion 5000 injection. Today is the 12th day of her last period and she has a 30-day cycle. Her ET is 5.1 (checked today), so the doctor advised her to take 2 vials of Corion 5000 injection today. Is it safe, and how/where is the injection administered?" }, { "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.Injection contains Human Chorionic Gonadotrophin HCG. It helps to form egg from a developing follicle. Egg is released after 24 to 36 hours of injection from ovary.So it is helpful. Also, safe for patient.It can be taken intramuscular or subcutaneous-below skin if it ids highly purified.It can be given on upper arm or thigh in muscle , or on thigh or abdomen below skin.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar" } ]
[ { "from": "human", "value": "im 25/f 5-4\" 70kg and im trying to conceive but im unable to. my doctor told me that my LH is very high (9.36) that is why i've problems in conceiving and she has prescribed me meprate and aldactone before periods and from the 5th day of my periods she has told me to take aldactone and diane 35? what are these medicines for and can i get pregnant while taking these medicines?" }, { "from": "gpt", "value": "Hello, and I hope I can help you today.Meprate is a kind of progesterone, which is a hormone your body normally produces after ovulation in the second half of your menstrual cycle. Aldactone is an anti-androgen that fights against high levels of male hormones in the body. It is usually used to treat acne and excessive hair growth. Diane 35 is a kind of oral contraceptive.So I think it is unlikely you will conceive while taking these medications, and you actually should avoid pregnancy while on Aldactone because it can cause birth defects of the urinary/genital tract.A high LH level is probably due to PCOS (Polycystic Ovary Syndrome) which has nothing to do with cysts on your ovaries, but instead is a disorder of ovulation that causes irregular periods and a high LH level. If that is your diagnosis, treatment with fertility medication is probably your best option.I hope I was able to answer your question today and that my advice was helpful.Best regards, Dr. Brown" } ]
[ { "from": "human", "value": "I have been trying to get pregnant but we only just started trying about 2 weeks ago. We had sex 3 times without a condom. Now for the past 4 days ive been experiencing lower back pain and abdominal pain. It feels like my period will be here tomorrow but it just never comes. But i also feel its way too soon to have any pregnancy symptoms." }, { "from": "gpt", "value": "Hallow Dear,The cardinal and first symptom of pregnancy is missed period. Though it is not absolutely clear from your history whether you have missed your period or not, the impression I got is you have not missed period. Even if you have missed period, the other following symptoms start appearing after about 10 days or so after missed period. These symptoms are:1. Nausea & Vomiting and Pica2. Frequent urination3. Breast symptoms: Engorgement with tenderness, dark discolouration of nipples and areola with increase in areolar size, Montgomery's tubercles under areola and secretions from the nipples. Pain is not a feature of normal uneventful pregnancy without any risk. Appearance of pain anytime during pregnancy is indicative of some risk to the pregnancy. If you have missed your period, you can confirm the diagnosis of pregnancy by performing pregnancy test on overnight first early morning urine sample 8-10 days after missed period. Earlier these tests may give false negative results. Alternatively, you may opt for Beta hCG test which gives reliable results even few days before missing period. Abdominal pain with low back ache is a classic feature of amoebic colitis which can be treated with Metronidazole. In this condition, the stools are stained with blood and/or mucous. I hope this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi, i m (24-Female) my TSh is 9.3. my weight is 82kg. suddenly i gained near about 10kg weight & hair loss problem.i m taking pills for hair treatment & lotion but my doctor advise thyofit 50mcg for hypothyroidisim. is there any problem creat in pregnancy. plz help me out. & advise something to loose weight" }, { "from": "gpt", "value": "HiWelcome to HCM.I think I have understood your concern.I will suggest you to get pregnant only after your TSH comes to less than 2.0. This will also have effects on reducing hair fall.High TSH - hypothyroidism can lead to physical and mental development problems in the child.To get control on weight you need to focus on certain things.I will suggest to adopt a healthy diet and regular exercise regime.include a lots of fruits, salads, vegetables in diet.Avoid deep fried foods, bakery products and refined sugars. Avoid substance abuse, if any. I hope this answer helps you.ThanksDr Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "I have one miscarriage & I have not any child.After my wash I am suffering from irregular period from last two months.And d doctor advised me to take mentone syrup, I M affired about my future that could I become a mother or not ?Iwant a child.Please tell me what I will 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 case, 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.Please do not apnic.I will suggest to get USG done. This will rule out or confirm PCOS which is a common cause of irregular cycles.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.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam" } ]
[ { "from": "human", "value": "Dear Doctor, I am Smitha Doddamani and 35 years old. I gave birth to two children in the year 2007 and 2009, both were boys, but both died after birth. I had gestational diabetes and blood pressure. Before I could think of second child, I went to Dr. Chitralekha in Columbiasia hospital, near Hebbal. She did so many tests and said that everything we perfectly alright and asked us to proceed for the second child. I conceived for the second time and I had smooth pregnancy, no gestational diabetes at this time, but still underwent tests often for it. Underwent scans for 5 times and everything showed normal till 7 month end. Again I went for my scan in the starting of the ninth month; there the scan showed that there was swelling in the babyâ??s heart. Doctor immediately asked me to get admitted and opted for C-section and removed the baby out. The baby was alright in every way, but there was something called acidosis growing in the body of the baby and the baby was shifted to Yeshwanthpur, Columbiasia hospital and kept under observation in ICU under pediatrician care. Baby died after 16 hours of birth and doctors were not able to find the cause of the death. They took the blood of the baby to do the test, they felt that it could be genetic disorder and did 170 tests on the baby, but everything came normal. Doctor I am very disappointed and dejected. I want to know if there is a way for me out if I conceive this time. I want doctor to take my issue as a challenge and treat me rather than giving up." }, { "from": "gpt", "value": "Hello,I have gone through your query and am very sorry for what happened and the trauma you had to go through. In my opinion, before planning another pregnancy, you have to get a couple counseling for genetic defects and if needed, karyotyping. Please contact a specialist in high risk pregnancy for proper evaluation and plan further management. You can use prenatal vitamins. If there was a postmortem on the baby, the result is needed for your further management. Hope this helps." } ]
[ { "from": "human", "value": "i had sex with my gf, wearing a condom, then removed it, we went around for a few hours outside, then we had sex again, again with a condom, but i started putting it on the wrong way, but after an inch realised, and flipped it over, and we has sex again, now im terrified some sperm from the first time got on the 2nd condon as i started to put it on wrong, and im scared she s pregnant, what are the chances of this? i read sperm die about a few minutes outside the body, and there was at least an hour between both times we had sex" }, { "from": "gpt", "value": "hello,Pregnancy is possible only,if unprotected sexual intercourse is done with ejaculation around ovulation time in regular period. Sometimes precum or prostatic fluid,secreted prior to ejaculation,causes pregnancy in low percentage.Condom has failure rate of 14-15%. It is better to wait 1 wk and if period not comes,do a urine/blood test for hcg to confirm/exclude pregnancy.It is better to take Emergency pill like Unwanted 72/I-pill within 72 hrs to clear doubt from mind and it is safe with effectiveness more than 99%.Practice safe sex by using safe period/OCP/Condom in correct method etc to avoid unwanted pregnancy.Be well." } ]
[ { "from": "human", "value": "hi this is AAAAAAA from china . i have been married for more than 2 years and has been living with my husband only for one year . planning for baby but i don t know what s wrong .i am 22 years old." }, { "from": "gpt", "value": "Hello,You need to do unprotected sex without any contraceptive pill or method around ovulation time (14 days prior to due date) or fertile days to maximize chance of pregnancy. You can use ovulation prediction kit (LH kit) to predict ovulation time.If you do not able to conceive naturally, then some investigations are required to rule out causes of primary infertility. These include husband semen analysis, pelvic ultrasound scan, complete hormone assay, thyroid profile, serial follicular study, tubal patency test, other serological tests etc.Here, you need to consult with infertility specialist for complete guidance about investigation & treatment procedure.Take vit-E, folic acid supplements with healthy diet, do regular exercise, avoid stress, maintain genital hygiene, take sound sleep.All the best." } ]
[ { "from": "human", "value": "Hi, I have been feeling pressure in my top right side of my stomach. The last 3 or 4 months my period has been very wierd. Either very heavy for a day or so or extremely light for around 4 or 5 day. I've had two kids and my tubes tied a year and a half ago. I took two tests that both said negative but i'm still feeling movement/pressure pushing feeling. I've also had very clear/watery discharge. Could I still be pregnant or is it something else?" }, { "from": "gpt", "value": "Hello,As your both tubes are tied, then possibility of being pregnant is almost nil. There are several reasons of irregular period. These includes ovarian cyst, pelvic infection, hormonal imbalance, stress/ mental upset, uterine fibroid/ polyp, over wt/ rapid loss, irregular diet pattern, thyroid disturbance etc.Here, you need to consult with gynecologist for relevant investigations after clinical examination like pelvic USG scan, hormone assay, thyroid profile, endometrial biopsy following D & C, blood sugar & prolactin level etc. Proper treatment depends on etiology.Take healthy diet with iron supplements, control body wt, maintain genital hygiene. All the best." } ]
[ { "from": "human", "value": "hi i am nisha i am 33yr old i had pcod problem and now it is rectified and my is having motility problem but counts are good and i did my first iui last week and daily my body temperature is raising from 97f - 99f what is the reason any chances of conceiving or not kindly let me know the reason" }, { "from": "gpt", "value": "hi Nisha,i think I have understood your concern.As such 99 degree f is just above expected normal 98.4 . Please get hemogram and urine routine test done. Also ESR, and Montaux test is recommended if you have evening rise of fever. This rise can not be directly the reason for not conceiving. Considering your PCOS history, I will suggest to indulge in a healthy diet and regular exercise regime. Start on B12 , Folic acid when you are trying for pregnancy, as it will help prevent various risks.I hope this answer helps you.Thanks Dr Purushottam Neurgaonkar" } ]
[ { "from": "human", "value": "hi.im 23 yrs old.i got married and i am going to complete 2yrs.im trying to get pregnant and d result ia negative.im taking treatment for d past 5 months.i am taking benforce and folinz regularly.i have putten 2 hcg injections and no use.i have taken duphstan nd ovulet tablets but no use.this month d doctor gave me ova shield tablets.this month i got my period at d same day.last month d doctor told u have more chances to concieve but ???.please give me some useful suggestions." }, { "from": "gpt", "value": "Hallow Dear,After going through your history, I have understood that in addition to improve your health, you are put on the medicines cause egg release (ovulation). Even after 5 months if these medicines are not giving you any result, I feel there is a need for thorough investigation to locate the cause of infertility. These causes can mainly be categorised in three groups:1. Failure to ovulate: It is assessed by different tests like ultrasonography ovulation monitoring, hormonal assays (FSH, LH, Prolactin, Oestrogen, Progesterone), study of the uterine lining (endometrium). Some times other hormonal imbalances like Thyroid also may affect the fertility and their evaluation also may be indicated. If there is no ovulation, you are given medicines to induce the ovulation. You are already on such treatment. After induced ovulation, most of the times, progesterone or hCG preparations are given to stabilize the pregnancy if it occurs. 2. Patency of the Genital tract; fallopian tubes in particular: This assessment is done by taking X-rays after putting in a radio-opaque dye in the uterus and tubes (Hysterosalpingography) and by directly visualising the internal genital organs through telescope (Laparoscopy). If there is any block, partial or complete anywhere in the genital tract, it needs to be tackled, mostly surgically. 3. Semen analysis for the quality and quantity of the sperms and semen as a whole.I would advise you to undergo all these investigations to locate the fault affecting your fertility and then accordingly have planned appropriate management instead of having just an empirical gunshot therapy treatment. I hope this helps you. DR. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Sir, My sister is psychatrist(Schrezophina) and is taking medicine for past 4 years aged 26. She got married 2 years back, 4 months back baby is formed in tube, so she went for Laproscopy surgery for removing the baby. That time doctors has removed the one tube, now she has only one tube. With this she want to pregnant, please confirm the possibility, since she is getting lot of pressure due to this and lot of confusions happened in the family. Still now she is taking psychiatric medicine. Please help us and guide what we should do further." }, { "from": "gpt", "value": "Hallow Dear,Please assure your sister that pregnancy is possible with only one tube also. It seems from your narration that her both the ovaries are in situ. One tube can pick up the eggs produced by either of the ovary. Even if she had one ovary, since that ovary produces eggs, there are possibilities of the pregnancy. The prerequisite is that her tube should be normal. She may get it tested later if she finds difficulty in conceiving. Otherwise she should shirk off the stress about getting pregnant. I hope this helps you and your sister. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "my last period was august 2011...that was when i actually had bleeding. It is now october 2011 and i have still not gotten it. I have had late periods before but i do not remember them being this late. My husband and I have unprotected sex and I am not on birth control. I am only 22 and i have never been pregnant. what are the chances i should take a pregnancy test?" }, { "from": "gpt", "value": "Hallow Dear, Your history suggests that there are good chances that you could be pregnant. Whenever a woman in childbearing age, otherwise having regular menses, misses her period, is having sexual exposure and is not on any birth control method, the first diagnosis is Pregnancy. You can confirm the pregnancy by urine pregnancy test performed 8-10 days after missed period on overnight morning first urine sample. Another alternative is to go for Beta hCG test which gives reliable results even few days before the missed period. I am sure this helps you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi doctor I had an abortion 7 years back when I was 16 unfortunately ! and since then I get yellowish white discharge , now I am getting married and want to have a baby am I at risk ? nobody knows about this abortion of mine , I am upset because I love babies , can I get pregnant again?" }, { "from": "gpt", "value": "Hi, Thanks for writing..If you have resumed your normal periods and had no infection following abortion, there is no reason for thinking that you will not conceive.. Medical abortion had lesser chance of infection as compared to surgical method. Since you have an yellowish discharge get a swab done to see for vaginal infection and take antibiotics according to the sensitivity.. Hope I have answered your query.. Good day.." } ]
[ { "from": "human", "value": "About 3 weeks ago, me and my boyfriend were fooling around. There was a hj/bj involved. He fingered me after he touched his penis (he did not ejaculate.). I dont know if there was any pre-*** or not. If there was, could I possibly be pregnant from the fingering? I started my period 3-4days after that (it was late.) but I'm still worried about it." }, { "from": "gpt", "value": "Hallow Dear,The very fact you had periods after the sexual ventures you have mentioned, you are not pregnant due to those acts. Missing a period is the first cardinal symptom of pregnancy. You have not missed a period and hence you are not pregnant. I hope this satisfies you. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "Hi Doctor, i am trying to conceive for the past 2 months.. but when i did HPT all came negative also there is no sign of periods.. last month i got my periods at 43rd day.. this month its been 40 days and still no periods. I am afraid now. After we started to try for the baby my periods went irregular. Could you pls suggest anything?" }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, 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] Congratulations for thinking of parenthood.2]As you have irregular cycles it can be due to lack of egg formation or PCOS. This leads to delayed cycles and negative HPT.3] I will suggest to get USG done to know any structural problem with uterus and ovary, and to rule out PCOS.Husband's semen analysis and Your tubal patency test after menses- HSG- hysterosalpingography, will make the picture clear about the situation.4] If needed you can take tab FERTYL to help egg formation,follicle study to guide you about day of egg formation, and you can have timed sex activity or IUI on that day.5]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.6] Avoid deep fried foods, bakery products, and refined sugars.Avoid substance abuse, if any.7] Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam" } ]
[ { "from": "human", "value": "Hi Dr, I am 26 F; my last period was on 29th March. Normally I have regular period. I did urine pregnancy test which turned was negative. I don’t have any pregnancy symptoms. I saw very light pink spotting on 19th May which lasted for 2 days only (visible only when I used tissue paper). Again from 23rd May until 27th may I saw brownish spotting (visible only when I used tissue paper). Then on 29th and 30th I saw light bleeding (not enough to soak the pad). I was horrified and went to see OB. He did quick scanning of my womb. I saw white line like thing in my womb and asked OB about that. He said it was my period which was stuck in my womb. To find the reason behind this he said he needs to perform blood test to see if I had any hormonal imbalance. But the blood test report was normal. OB said he was not able to determine if I was pregnant but gave medication for my period withdrawal. He said that the medicine won’t affect baby even if I am pregnant. My question is could I still be pregnant or was the light bleeding I had my period? Per my OB that was not my period. I want to have baby so I am scared to take the medicine he gave to me. Some people said we need to have full bladder when ultrasound is done to see everything clearly. For me my OB did the scanning without full bladder. Could this be the reason he did not see things in my womb? Thank you ." }, { "from": "gpt", "value": "Hi, Thanks for the query. I understand your concern. Yes slight bleeding can occur even in pregnant state... such bleeding needs to be evaluated &treated earliest. In early months of pregnancy... such bleeding indicates less pregnancy hormone progesterone. Yes yiu are just 6 weeks pregnant at present... and absence of full bladder may cause error in reading... unless he had used a vaginal probe. Blood beta hcg testing /repeat usg scan with full bladder or vagunal probe would give you confirmed report. Till then you should take rest.. avoid exertion or psychological stress.Hormone progesterone supplement can be started in consultation of treating gynecologist. Thanks." } ]
[ { "from": "human", "value": "Hi,My name is gerney and I'am 26years old tryed years and years see if i can get pregnant so i still cant get pregnant ,so now i want try OVA-MIT so i don't know if it a good idea and how i can take this pills .or how many days after my period i can take it thank you for your time ." }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, 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] Please do not panic.2] 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.Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.3] I will suggest to get basic USG, and tubal patency test done -like HSG.And also get Semen analysis .4] Day 10 to 20 of the cycle are most fertile days of the cycle, try to have sex at least on alternate days in this period.5] I usually suggest to my patients to take Tab Clomiphene 50 mg daily from day 2 of the cycle for 5 days, and do follicle study fromdays 10. This gives you exact day of egg formation. Around that day you can have sex or do IUI on that day.Please be relaxed and calm, all things wil sail smoothly.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam" } ]
[ { "from": "human", "value": "my wife kidney transplanet patient.operation done in 2008 .dr advice to get a child last one year we tried she has no pregency my wife has good foliculars in 14th day 1.9-1.9 cms ET 8mm.also be i have furms test normal.sice 2004 my marrage done the kidney problem identified in first pregency .we have no child .now she take lot of medicine for kidney.why did delayed she concive late." }, { "from": "gpt", "value": "HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, 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] Please do not worry.2] If she has regular cycles, day 10 to 20 are most fertile days of the cycle. Try to have sex at least on alternate days during this period.3] I will suggest to get semen analysis done and tubal patency for her- HSG if permitted by nephrologist, as it involves use of the dye or by doing laparoscopy.4] Along with follicle study, IUI can be planned.5]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 , as suggested after kidney transplant,per day. Avoid deep fried foods, bakery products, and refined sugars.Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam" } ]
[ { "from": "human", "value": "hello doctor My wife was treated with tumer 18 month back on the left ovary. Recently after trying to conceiving for last one year we consulted doctor and found that the left fallopian tube was blocked , Doctor has adviced top take placeutrex inj one emp. i.m on alternate day. will it help us ? Plz suggest." }, { "from": "gpt", "value": "Hallow Dear, Placentrex injection contains extract of placenta. The manufacturers claim that if clears the adhesions. However, the effect of these medicine is questionable. It is empirical medicine. Mild adhesions may resolve. If after these injections the block does not resolve (which is a more possibility), better go for reconstructive surgery of the tube. That will give you more reliable and definitive results. I hope you got the message. Dr. Nishikant Shrotri" } ]
[ { "from": "human", "value": "hi mam, i'm 23 years old got married 3 months. I wanna to get pregnant faster i'm getting my periods regularly now but minimum flow and getting spotting 15 days back is this an ovulation time? I got pcod 1 year back i took crimson tablets is there any problem to conceive? Pls reply me thank u." }, { "from": "gpt", "value": "Hello dear,i understand your concern.In my opinion there might not be any problem in conceiving if your cycles are regular.The cause for minimal flow like thyroid abnormalities should be ruled out.Also as you have a history of PCOD previously an ultrasound might be needed to check for the PCOD status.First and most important is avoid stress and anxiety related to pregnancy because they cause hormonal imbalance and delay the conception further.If ultrasound and thyroid profile are normal then nothing to worry.Practice regular intercourse to increase the conception chances.Best regards...Dr.Srilatha" } ]
[ { "from": "human", "value": "Dear Sir/Mam, My wife 32 week pregnancy we went on routine checkup 34 week found fetal ascties on baby.In FBS showing rubella +ve . In last week due to pain delivered,with in 3 hrs baby expired. Docotor says may affect next baby also. plz. help us." }, { "from": "gpt", "value": "Hi there,Very sorry to know about your loss.If the cause of this baby's death is due to rubella then you need not worry about next pregnancy, because once your wife has had the infection, she will develop immunity to it.So next time she will not get a new infection.Rubella damages pregnancy when it the women has the infection for the first time during pregnancy. If she has already developed immunity to it she need not worry about it. Her next pregnancy will not be affected by rubella.Hope this helps.Regards." } ]
[ { "from": "human", "value": "hi, i,m 31 years and i had fibroid surgery in January, and my doctor said all my tubes were blocked but he open on of them. but now i cannot fall pregnant. i was given fertomid 50g last month but my menstruation is back. how many times must i take the pills to fall pregnant? thanks" }, { "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.First of all I will suggest you to do tubal patency test HSG - x ray. It will help to clear doubts about tubal patency.Secondly semen analysis of your partner needs to be normal.Thirdly with tablets like fertomid I will suggest to do follicle study from day 10 of the cycle. And get Injection HCG 5000 I.U. when follicles reach 18 mm size. This can be repeated for 3 cycles if needed.Indulge in routine exercise and healthy diet regimen. Avoid fried foods, Salty foods, Refined sugars Include more portions of fruits , vegetables and salads in diet.Also start with folic acid , B12 supplements right now.I hope my answer helps you.Thanks.Wish you good health." } ]
[ { "from": "human", "value": "Hi, my contraceptive implant ran out on the 16/10/15 and I had intercourse today not realising it had ran out. Could I get pregnant? I have never had regular periods either so that doesn t help. I m booking in to have it redone as soon as but I m wondering if it has a bit of leaway for days after. Thanks" }, { "from": "gpt", "value": "HiWelcome to HCMI have gone through your query, I will try to give you suggestion which will be helpful to youit is difficult to diagnose pregnancy with symptoms, i would suggest you to wait for your periods, if it does not appear, i would suggest you to go for urine pregnancy test with morning sample, after week of missed period. These kits are highly accurate. This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor.I hope this suggestion might be of some help to you. Take care." } ]
[ { "from": "human", "value": "i got married before 4 years and i have PCOD. now i started taking amway nutrilite product after consulting with our home town docter. now some are saying that is just for general health not specially made for fertility. so i want to know that will this products help me in conceiving? please help me out." }, { "from": "gpt", "value": "Hi there,Welcome to HCM,Nutrilite is a nutritional supplement and improves overall health if your diet is not balanced. For PCOS, it may not be particularly helpful.For PCOS you need to take specific treatment. The most important advice with PCOS treatment is diet and exercise, women with PCOS, if loose atleast 5 -6 kilos are known to have regular periods, which tremendously increases their chances of conceiving.Medications such as metformin and clomiphene are helpful.Hope this helps.Regards." } ]
[ { "from": "human", "value": "Hi Doc, I am 34yrs with a 5yr old son and TTC the second. I have had PCOS for a v long time but was not on any medication until we decided to go for another baby. I take Metformin and Ovacare as a daily dosage. We are TTC for the last fw months but not sucessful. Just wanted to know if all will be ok and we will be successful ??? :) Thanks Priya" }, { "from": "gpt", "value": "Hello dear,i understand your concern.In my opinion the main problem in PCOSis absence of ovulation leading o infertility.So along with ovacare,metformin a ovulation induction drug like clomiphene citrate can be tried.This is effective in 40-50% of cases.This can be tried upto 4-6 cycles with increasing dose.Another treatment is surgical called laparosopic ovarian drilling where the cysts are punctured laparosopically and this effective upto 80-90%.So discuss regarding the above things with your doctor.Relax nothing to worry.Avoid stress and anxiety as they might delay fertility further.PCOS is one of the treatable causes of infertility.Dr.Srilatha" } ]
[ { "from": "human", "value": "Hi me and my girlfriend were messing around and she gave me a handjob and then I ejaculated. I cleaned it up with a napkin and got a tiny bit of semen on my Fingers. I then rubbed her vagina but before I did that my Fingers were dry from wiping it off. Is there any possible way she could get pregnant?" }, { "from": "gpt", "value": "Dear to get pregnant single drop of semen is enough if get inside of vaginal orifice, one drop of semen holds millions of sperms, day 9th to 16th day of the periods is fertile period so be careful always. Regards,Dr.Qasim" } ]
[ { "from": "human", "value": "hi doctor. we are planning for pregnancy last month april 2011 we tried but this month i got my period but it was late, even i had pregnancy symptoms..and i had some urine infection. last month we travelled about 600kms was it affected for my pregnancy pls answer me" }, { "from": "gpt", "value": "Hi, Thanks for query. I understand your concern. Stress of travel &urine infection or psychological stress out of anxiety to get pregnant, can cause delayed period. Pregnancy like symptoms can suggest possibility of loss of pregnancy. Before planning for pregnancy- -The urinary infection must be copletely treated. -Assessment of normality of sperm count & ovulation would be ideal. - Ovulation day can be known by LH surge test & unprotected sex from the day of +ve surge test for 5 consecutive days offers maximum cinception rate. -Home pregnancy test after 8 days delay in periods OR blood bets hcg testing of blood around expected date of pwriod .. can confirm pregnancy. Thanks." } ]
[ { "from": "human", "value": "hi i am on 13 th day of my cycle ,did my transvaginal and the dr told that on the left ovary a follicle of 17mm has developed . i am on second try with hormonal stimulation taking clomophene and puregon shot. today puregon shot is over but i have cycst in rt ovary and 2 or 3 small follicles developed in the rt ovary ...r there any chance to conceive this month" }, { "from": "gpt", "value": "Hallow Dear,You may get injection of hCG now to cause ovulation. Ovulation of the follicle of 18 mm size has got good results for successful pregnancy. Then you should utilize next few days for trying conception. Along with, they must have mentioned the endometrial thickness. 10 mm or more thick endometrium is ideal for implantation of pregnancy. Hope this helps you. Dr. Nishikant Shrotri" } ]

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