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[ { "from": "human", "value": "If I've had CHRONIC (not cold) urticaria. Are there any risks in getting pregnant for myself and or a baby? I already have 2 kids. I didn't get chronic urticaria anywhere near my previous pregnancies, but just recently, 2.5 years after my second child. On the fence about a third & want to know about any red flags..." }, { "from": "gpt", "value": "hi there, I have understood your concern and I will suggest you the best possible treatment options.Please getin touch with your treating skin consultant and gynecologist. Please give clear idea to dermatologist about your pregnancy planning and please let your gynecologist know about the medicines given by dermatologist.Pregnancy is a bit immune lowering condition,so you need to consider this. Else, start with Folic acid and vitamin B 12 supplements.You can very well. go ahead to get pregnant.I hope this answer helps you.thanksDr. Purushottam Neurgankar" } ]
[ { "from": "human", "value": "i have been trying to have a babay and i have done folicular study and took clomifine citrate and my gync said i will concive becz my egg was released ni was told to be with my husabd on specific datesbut still i got my period , i was treated for pcod and my husband have 50% sperm motily im 24 yrs n he is 28 and i wanted to kow wheter i will be able to cncive or noti hav been married for 7 months now" }, { "from": "gpt", "value": "WELCOME TO HCM... FOR PRIMARY INFERTILITY AND FOR PCOS THERE R SO GOOD HOMEOPATHIC MEDICINE. AS WELL FOR OLIGOSPERMIA AND LOW MOTILITY HOMEOPATHY MEDICINE WORKS WELL. THINK TO START HOMEOPATHIC MEDICINE BYE AND MEET FOR BETTER HEALTH ... SMILLING ALWAYS IS BEST MEDICINE..." } ]
[ { "from": "human", "value": "Me and my hubby often do sex whenever we get time...but i dint get pregnant though we do not used protection..but earlier i used Ipills/ emergency pills/oral pills a lot .so i got afraid of taking it regularly ....so now we dont take protection....Is it a matter of Infertilty or do i skip the period of !0th -18th day of my cycle..do reply me urgently.." }, { "from": "gpt", "value": "Hi, Thanks for your query. You should use a regular contraceptive method of your choice. Don't use so much I pills/emergency pills, it may be harmful develop hormonal problems and menstrual irregularities. It may be because of infertility or because of pregnancy. Consult a gynecologist for urine, blood test and USG to rule out the cause. GOOD LUCK. Take care." } ]
[ { "from": "human", "value": "I am on depo provera. What are my odds of being pregnant? I have had a one time occurance of pinkish discharge on April 9th 2013, my nipples are leaking and i am having light cramps. I just had the mirena IUD removed and went on depo provera on March 27th 2013. I have not had a period since i had the mirena iud in place in Sep. 2010 after having my third child." }, { "from": "gpt", "value": "Hi, Thanks for your query. Menstrual disturbance is a side effect of depo provera injection. You are not pregnant. Consult a gynaecologist for irregularities in period and to rule out pregnancy. Pinkish discharge,nipple leaking and cramps all are the side effect of progesteron. Don't worry. Take care." } ]
[ { "from": "human", "value": "He Doctor,My wife is 29 years old !! we have been trying for a baby for last 3 months, but no results, initially her TSH level was on higher side.. now it is under control after medicines (3.35). Her mensuration periods are very normal with 25 days cycle. Recently we did the Follicle test done on her 2nd day of her mensuration period. Results were FSH 5.21 S.LH 3.06 and Prolactin level 38.02. After this test were done doctor prescribed B-LONG tablets and have also asked to get her HSG test done.. She is too scared to get this test done. Also is this test required at early stages. Please suggest what options we have." }, { "from": "gpt", "value": "Hello, 50% of fertile couples take longer than 3 cycles to conceive  and so you should not consider it a problem.It can take even healthy couples 6-9 months or even longer to conceive sometimes. If you haven't been able to conceive after 12 cycles then it's time to investigate with your doctor but you're a long way off from that now. With 25 day cycles, you should ovulate around day 11 and you would be potentially fertile 3 days before and 1 day after (so day 8 to 12 ).Having sex every other day during that time frame gives you the best odds. Other than that, try to relax and enjoy the process of baby making. Nothing seems to slow down conception more than when a couple turns conception into chore and stop enjoying each other. Quit smoking and alcohol if any body of you is doing it. Your hormone levels are perfectly all right. Ask your wife to remain lying after sex for at least 30 minutes after sex so that sperms get better chance to go in. There is no need for any HSG or anything other test at the moment. Let nature help you and it would definitely do so. Thanks" } ]
[ { "from": "human", "value": "Sir/Mam ,My name is Bhuvi ,33 Yrs,having PCOD since I was 17yrs old. Currrently I am suffering from overweight i.e. 103 kg with height of 5\"3 inch. I have one girl child of 5 yrs old and after her birth I have gained my weight to 23 kgs and haven't been able to control it. My mistake was that I never went for proper consultation and followed up any diet and now things are worsened as I have been detected with high B.P. and I feel lathargic all the time. lately feeling very nostalgic and don't feel like eating anything and i am always feeling uneasy.Is it because that I started having GLYCOMET 500mg SR on my gyne consultation. Plus I am taking Amlokind at of mankind for my B.P. one time in a day. To have regular periods I am also taking Diane-35/sometimes Krimson.Problem is my husband and i want another baby in the family and we have been trying from past 2 yrs and I am unable to conceive.I want you to guide me how should I start and what medicines I should follow so that I conceive in this year itself because I fear of my getting older for taking another chance might harm my pregnancy." }, { "from": "gpt", "value": "Hi Bhuvi. Thanks for asking in Healthcare Magic. Yes your weight is an issue and you have to reduce it. Your nausea is due to both Metformin and Diane. Diane contains ethinyl estradiol, an estrogen and cyproterone acetate an anti androgen with progesterone actions. Progesterone causes nausea. Diane is more suitable in PCOD with weight gain and androgenic symptoms. Metformin causes nausea, metallic taste and anorexia (loss of appetite). In PCOD, the menstrual cycles are anovulatory. Also they are irregular. Diane regularizes the period. Metformin improves insulin action and also reduces weight. It also improves the chances of ovulation. To improve your chances of conception, you should reduce your weight, take Metformin regularly. Also rule out thyroid problems. Do not worry about conception. Drugs like Clomiphene Citrate are given along with HCG to stimulate ovulation. Your treating Dr will know about these drugs. If this fails then procedures like IVF, GIFT, ZIFT and IUI are available to improve your chances of conception. I hope this is helpful to you." } ]
[ { "from": "human", "value": "usually my periods delays for 15 to 20 days. i got married 1.5 years before and don't have any child yet. before marriage when i consult a doc in Pakistan she advised me few tests and ultrasound as well. when reports came she informed me that my right ovary is 1.5 cm enlarge. she gave me dine1 for three months and primolut n also for 3 months. after that my reports were okay. now again after 3 years i m fACING the same problem. van u suggest me anything or what is the next step? plzzzzzzzzzzzzz inform me as soon as possible." }, { "from": "gpt", "value": "Hello. Thanks for writing to us. It seems that you are having a hormonal imbalance or polycystic ovaries. You need to get yourself properly investigated by your gynecologist including some blood tests and ultrasound scan so that specific treatment can be started. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "Hi my name is Sarah and m havng pblms in my follicular growth i ve been having treatments for 5months my follicle sizes are ok after having pulls but still unable to conceive.3 months back i had my tubes tested through HSG test both were blocked but during the test my left tube opened but still no résults can u suggest some diet plan for the follicle growth and what should i do next" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. If the follicle size is good and one of your tubes is patent then the chances of pregnancy are there if you time a regular intercourse at the time of ovulation. You need to take diet rich in antioxidants and L- arginine for conception. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "Hello,My husband and I are trying to conceive. I have PCOS and am on my 3rd round of clomid 50 mg and HCG shot. Sadly, we found out this month that my husband also has low sperm count. So my OB decided to changed the start date of my clomid to day 3. I am now on CD 5. I have been a little more uncomfortable as far as \"achy\" ovaries. Today we had intercourse and it actually was uncomfortable for me. I thought it was odd as that has never happened to me before, but just now I noticed I am spotting again bright red. Should I be concerned enough to bother my OB tomorrow or is that a common side affect?" }, { "from": "gpt", "value": "Hello, Achy ovary is possible with clomid as its mechanism of action is to induce multiple eggs at a time. But spotting is not due to clomid,it might be ovulation spotting only. If it was just a spotting and no bleeding or pain right now you need not bother your OB. But if it is unbearable pain,or frank bleed then you need to show up your OB immediately. Regarding low sperm count of your husband you can consult your OB for the medication to improve the sperm count. Don't worry, all the best. Take care. Dr, Rishma Lakhani" } ]
[ { "from": "human", "value": "hi i have been trying too get pregnant for 2 and a half years now after my 1st son i fell pregnant quick with him but now im struggling too get pregnant again but iv started having alot of discharge now and its getting really bad my boobs are always sore and im bloating alot but i have just researched discharge and it says it can bloke tubes i am very worried not as i have had discharge for nearly 2 years but got worse as times gone on and changed in couler alot please help .." }, { "from": "gpt", "value": "Hello, I would advice you to get a check up done from your gynecologist to rule out local infection which can be a cause for discharge,if it is so then you need to take a course of antibiotics to clear the infection. Second advice would be to go for a thyroid function test since you say you are bloating up,as abnormal thyroid levels can also lead to infertility. Meet your doctor with the reports,and follow her advice on further management . It is not a big problem so don't worry it will get solved soon. Take care. Dr. Rishma lakhani" } ]
[ { "from": "human", "value": "I am 23 years old and trying to conceive. My period was 2 days late and I experienced some pregnancy symptoms ie; sore breasts... I have been experiencing pain when I sneeze and moVe a certain way, I attributed this to my ovarian cyst, then on the 3 day of my missed period I start bleeding and I am having excruciating pain especially near my ovaries, it hurts to stand and pretty much do anything. It's a sharp pain. I was wondering, if this bleeding and pain is just my period or Is iT a ruptured cyst? I also feel weak and dizzy. And is there a possibility I could be pregnant, even with the blood flow?" }, { "from": "gpt", "value": "Hi, Thanks for query. You should consult a doctor,because your symptoms suggestive of ruptured ovarian cyst. You should go for urine test,USG and laproscopy and blood test to rule out ruptured cyst with pregnancy. Ruptured cyst should be treated immediately. You can be pregnant with blood flow. GOOD LUCK. Take care." } ]
[ { "from": "human", "value": "hi i just wanted to know if regestrone tablet to delay periodscould increase the thyroid levels..coz my T4 level is 4 and T3 level is 3 and TSH level is normal.Just wanted to know if i can get pregnant with these levels of thyroid or will it be difficult" }, { "from": "gpt", "value": "hi there, I have understood your concern and I will suggest you the best possible treatment options.Yes , regestrone is a progesterone hormone tablet and is used to postpone or delay the messes. But it has no any effect on the functioning​of the thyroid gland.With your present thyroid levels you can very well go ahead and consider getting pregnant.Start with Folic acid and vitamin B 12 supplements with your treating gynecologist help. I hope this answer helps you.Thanks.Dr. Purushottam Neurgankar" } ]
[ { "from": "human", "value": "doctor i;m marride woman after marrige 2 years ago i was pregnant but i took madicine after i want to pregnant i'm trying but still i'm not pregnant i did my all test my test was good but my doctor said yr egg is not good working and before 3 month she gave me madicine now i finish my madicine and again my period start than my doctor said yr egg is not fertilized she gave me injection but again my period start today now i dont know what i do i;m vry worry can u help me pzzzz" }, { "from": "gpt", "value": "Hi and welcome to HCM! Thanks for posting your query here. So many conditions affect the fertilization of egg. How about the egg or ovum release? In general it is released from the ovary and is transferred to the uterus. If the egg is not fertilized it results in menstruation. To fertilize the egg a motile and viable sperm is necessary. Female factors like cervical mucus condition, any vaginal infections, vaginal pH will affect the sperm viability within the uterus. Male factors like hypospadias, ejaculated semen volume, sperm count, motile or immotile sperms, the pH of the seminal fluid will determine the fertilizing capacity of the sperm. Timing of intercourse-maximum chances of fertilization in the fertile period and the entry of sperms into the uterine cavity will also determine the fertilization of egg. Please check the conditions what I mentioned above and definitely you will get a clue for the diagnosis. Hope this is helpful to you. Regards" } ]
[ { "from": "human", "value": "hi, i have a 9 years old daughter and now my husband and i have been trying to conseive with out luck.i went to see a guene who told me i have cycsts and i had them removed and started to take fertomids but still nothing and now i was told that i have polycystic ovarian syndrome and im taking Gluconorm 850 does this mean im diabatic or it will assist me in ovulation." }, { "from": "gpt", "value": "hello welcome to health care magic regarding your query,you are suffering from PCOS(poly cystic ovarian syndrome) and according to gyneacologist you are using fertomids and gluconorm.. fertomids(clomifene citrate) is used to induce ovulation...gluconorm(repaglinide) is also used for induction of ovulation so that you can be pregnant again.. some patients of PCOS also suffer from diabetes and for this reason your doctor also prescribes gluconorm.. gluconorm not only decreases glucose levels in the blood but also induce ovulation.. regular consultation with your doctor is necessary..hope you understand my suggestion and answer. hope you become pregnant again,, thank you Dr.siddartha" } ]
[ { "from": "human", "value": "I am 34 an trying for a baby I have been pregnant four times before all by accident two live birth and two abortions I had an iud with no hormones removed 40 days ago and we have ha intercourse several times a day since but I'm not pregnant I'm worried I've damaged myself from the abortions...all four previous pregnancy s were with a different partner...help put my mind at rest please?? :/ I have used recreational drugs a few occasions before I decided to try again..." }, { "from": "gpt", "value": "hello welcome to health care magic.. You are planning for pregnancy...and i didn't understand your problem,,you have 2 live children or not.. usual causes of abortions are imbalance in your hormones, infections to you while you are pregnant, genetic problems affecting the growth of baby..etc.like that so many causes .. if you are planning for a pregnancy then consult your gynecologist and he/she verify your status,hormonal imbalance etc..and he /she will tell you the do's and don'ts...please follow their instructions and you will definetly become pregnant and give a healthy baby.. regardind recreational drugs you did not mention the drug what you are using.. with that drugs also pregnancy will be affected..so beware of those drugs.. hope you understand my suggestion... i hope you will become a pregnant soon.. thank you Dr.siddartha" } ]
[ { "from": "human", "value": "Hi doctor, me and my boyfriend have been trying for a baby for nearly 1 yr now. Today I've noticed when I got out the bath that the end of my nipples were white ? This made me think I was pregnant, i have a 3 yr old so i know what to expect. my boobs were killing me 2 weeks ago but a test was negative. Today I went and bought another test it is still negative, I'm confused ? My left nipple is now leaking clear liquid why is this? Could I be pregnant?" }, { "from": "gpt", "value": "Hello, Thanks for posting your query on health care magic. Since two of the pregnancy tests are negative, less likely you are pregnant. Milky discharge from nipple could be due to hyperprolactinemia. I recommend you to get your blood tested for serum prolactin levels for definitive diagnosis. Hope this helps. regards, Dr Nilofer" } ]
[ { "from": "human", "value": "Hi, im a 45 year old female. I have been trying to concieve for 2 months now, and have missed my period once, due again on friday.. Ive been feeling a slight dragging sensation in my lower stomach, along with some over emotional tendencies. However, i have taken 2 pregnancy tests, both of which have been negative. Should i leave it longer and take another test, or Should i go to the doctors?" }, { "from": "gpt", "value": "Hi, You are not clear in your statement. You are 45/F, trying conceive for the last 2 mths, missed your periods once, then you say due again on Friday. The point is when was your last your last LMP. If you are pregnant the pregnancy test will show positive only 40 days after your LMP. If you do pregnancy test prior to that the results will not be a conclusive one. Best wishes" } ]
[ { "from": "human", "value": "My girlfriend and I had sexual intercourse but we had sex on her period day i didnt use a condom.after a few weeks i asked has she had any symptoms she said no no tender breasts no fatigue no nausea no anything and shes suppose to get her period tomorrow is it possiable she can still be pregnant if i didnt cum in her and she hasnt been feeling any symptoms" }, { "from": "gpt", "value": "Hi, thanks for query. first of all in my opinion always use a condom it will not only protect you from pregnancy but from STD also,so never do sex with out condom. there is no safe time to do sex without condom,chances of pregnancy always be there. because you have sex in period day and not ejaculated inside chances of pregnancy are very less. wait for next period if it not come go and consult gynae to rule out pregnancy. don't wory. take care." } ]
[ { "from": "human", "value": "Hi I am getting my LH sugar negative ? why so My last period was on 29th March and my cycle is about 31 days.so accoring to ovulation calculator my ovulation is on day 17th (14th april) and most fertile day 16-18 (13,14 &15 april)but all these 3 days my LH sugar was negative . Can you please guide me on these matter" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. It is not necessary that you must ovulate in every cycle. If the LH test is negative it means this one is going to be an anovulatory cycle for you. The delayed ovulation is also a possibility. An ultrasound scan will help in confirmation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "hi. doctors and all the specialists. i am very curious after last night when me and my girlfriend were on bed together. actualy i am pretty concernd whether she'z going to get pregnent or not. what happnd last night when we both sleepin together. all of sudden she took ma penis and started rubbing in her vagina. although at time i am about to ejaculate, i quickly had removed ma penis from her vagina. thats for sure that i havent inserted my penis inside her and also i didnt left my sperm her inside. but what i am scared of while rubbing my penis onto her vagina might sum of my precum or little amount of spern kind of liquide form which is not recognisable touched her vagina. is it the case where i need to do sumthing. or i am safe" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. Just touching of precum to the outside of vagina has very minimal chances of causing a pregnancy. A penetration is necessary along with deposition of sperm high up in the vagina for a successful conception. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "I m a 25 year old female.. i got pregnant in february and had an abortion in april.. after tried conceiving from june but nothing happened.. then met the doctor got the tests done and found out i m hypothyroid with tsh level 9.62.. i m on thyronorm 50 mcg from august 6.. my periods was irregular but now this time it seems to have come for 30 days which used to be 35 to 40 days cycle.. this time also i did not get pregnant.. i believe my tsh would have come back to normal.. last time when i got pregnant i had taken siphene for 5 days.. This time also can i use siphene 50 mg and try conceiving?" }, { "from": "gpt", "value": "hi, thanks for query. Siphene is a ovulation inducing drug used in pcos for anovulatory cycle.it is having effect on hypothalamus and pitutary also,may be its effect on hypothalamus and pitutary gland regulate the level of TSH harmone also. You can take siphene because your period are irregular means anovulation are there so siphene is useful in your case. consult a gynae. GOOD LUCK. take care." } ]
[ { "from": "human", "value": "hello doctor i was married 6 month only.last month my wife say i have tired, vomit and lot of hungry.so i have checked my doctor ,but doctor say no perganant,my wife menstruation stop 10days after only i checked.Afterthat i continue with my sexual activites .The next day she say menstruation started again. when i sex with my wife the next day menstruation started again my wife.it had irregularly came menstruation .pls advice thanks" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. It seems that your wife is having irregular periods. This happens most commonly due to a hormonal disturbance. A complete hormonal profile needs to be evaluated after proper blood tests to find out the cause. Please do not worry and consult a gynecologist for proper treatment. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "Hello sir....i am suffering from pco problem in ovaries..so doctor advised me to take krimson-35 with metformin, after using this tablet there is a side effects of vomiting sensation, slight giddyness,back pain...is thr any chance of getting pregnant while using this tablets? i am very eager to have baby due to this problem i am suffering with depression....is thr any solution?" }, { "from": "gpt", "value": "Hi there,Welcome to HCM,Krimson 35 should not be used by you because it is not suiting you and you are having side effects due to it. Also because you are eager to conceive and since it's a contraceptive pill it will prevent you from conceiving.It is very unlikely that you are pregnant while on krimson, less than 1% chance of it.Moreover in women with pcos who would like to conceive other options such as clomiphene, inositol should be considered. Krimson would not be the ideal drug for them.Hope this helps.Regards." } ]
[ { "from": "human", "value": "I had sex with my girl friend while her periods...i.e on 5th day.....does she can become pregnant .....If so also....tell me natural way...How to abort it........" }, { "from": "gpt", "value": "Hi, thanks for query. Sex during period can cause pregnancy reasons are- 1)sperm can survive for upto 5days in vagina and if ovulation occur early as 10th day chances of pregnancy there. 2)if it is not a period but it is ovulation bleeding chances of pregnancy is there. 3)if her period is irregular time of ovulation not fixed,chances of pregnancy is there. 4)delayed period and early ovulation can cause pregnancy. 5)take emergency contraceptive as early as 72hrs. 6)always use condom. don't worry,if period not come consult gynae. GOOD LUCK." } ]
[ { "from": "human", "value": "Hey doctor I'm a 27 years old female and my periods have been irregular and they started when I was 19.I want to concieve I would love to conceive twins and I'm taking folic acid tablets,I have had my periods twice this month,I would live to know what are my chances of conceiving let alone conceiving twins! Please help" }, { "from": "gpt", "value": "You will first need medication for regularising your periods. Then you may need medication to help with ovulation induction.At present conception may be difficult with irregular cycles. I suggest you see your doctor for investigations.You will need blood hormone tests and imaging studies to determine the cause for the irregular cycles." } ]
[ { "from": "human", "value": "Hi,I was diagnosed with pcos a year ago and was prescibe Obimet(metformin) thrice a day.Its been a year now ,but still haven't conceived. My husband was initially diagnosed with low sperm count and is also on Vitamin supplements ie Oligocare and QGold as prescribed by DoctorIs it recommended to continue the Metformin for so long. We have been trying to conceive for 2 years now with no result till date.Please advise.Thanks" }, { "from": "gpt", "value": "Hi, As you have couple infertility, it would take some time for conception to occur as the parameters in both of you have to attain normalcy. With PCOD, apart from Metformin, you may also need Clomiphene for ovulation induction and follicular monitoring with timed intercourse or IUI. You can use Metformin as long as needed with good effect. It is essential that your husband attains reasonable semen parameters, otherwise ART may be needed. Please consult an experienced infertility specialist for further management. Maintain a healthy body weight and eat healthy. Good luck." } ]
[ { "from": "human", "value": "Hi m suffering from pco m periods have been irregularly irregular since start my gny asked me to tak asmita for 6 min now we want to have a child he has prescribe me clofert 50 and blong f tab to be taken on 3 day of period for 5 days pls let me know cant i conceive naturally n r ther any chances of conceiving twins .doc pls help i m depressed with my pcod problem" }, { "from": "gpt", "value": "Hi, At the outset, please do not get disappointed. PCOD is the commonest cause of infertility and hormonal imbalance observed in the reproductive age group and it responds very well to management. Before initiating any treatment, you should get completely investigated; a hormonal profile, glucose tolerance test, tubal patency test, ovarian reserve, serum DHEAS levels, serum prolactin levels and thyroid profile are needed. Your partner also needs to be assessed. You may need priming with dexamethasone or Metformin before induction. If you are overweight, please maintain a proper diet and exercise and regulate your body weight within the normal BMI (19-25). Natural conception is possible; twin pregnancy may sometimes occur with hyper-stimulation of the ovaries and this is why regular monitoring is done during induction. Wish you good luck." } ]
[ { "from": "human", "value": "Hi Dr,Im hema aged 24.Im trying to conceive for past 4months.I had endometrosis (chocolate cyst) and underwent Laproscopy.After that i took FEMILON to regularize my periods.After that my dr put me on clome(1st month) and anastom (next month) to start my ovulation induction.I took duphaston 10Mg (one tab a day) for 10 days after my follicular scan.I normally get my periods in 2 days after i stop taking duphaston.But this time this is my sixth day and stil i havent got my periods.Aso i have painful breast at times. Can u pls tell me what could be the reason for these?" }, { "from": "gpt", "value": "Hi Ms. Hema, As you are on ovulation induction, the first thing to be suspected is pregnancy. You should take a pregnancy test with a fresh early morning sample. If it is ambiguous, go for the blood pregnancy test and a trans-vaginal sonogram and report to your consultant for further management. Your symptoms may be premenstrual as well and are not specific for an early pregnancy. Wish you success." } ]
[ { "from": "human", "value": "HiI have just married three months back. We both like to have baby. So I like to get pregnancy. But I had the problem of abnormal menses. I have consulted the doctor. She told me to take glyciphage sr500 and m2 tone for two months. But my worry is, if I take it continuously for two months, is it any chance to get pregnancy now. Please advise" }, { "from": "gpt", "value": "Hi, thanks for asking in Healthcare Magic. Your menstrual problem may be due to Poly Cystic Ovarian Disease (PCOD). It is due to hormonal imbalance and is characterized by irregular periods, anovulatory cycles, increased androgen production, disturbances in thyroid function and insulin resistance. Glyciphage is Metformin given to improve insulin action. M2tone is a herbal preparation also given in PCOD. M2 tone is claimed to induce ovulation. Metformin also stimulates ovulation by improving estrogen action in addition to its action on insulin. Ovulation means release of egg from ovum. This egg fuses with the sperm, forms zygote and gets implanted (attached) in uterus and develops in to fetus. Failure in ovulation will delay your conception. Since both Metformin and M2tone stimulates ovulation your chances of pregnancy will improve on taking these drugs. Also, you have to take them regularly to conceive. Stopping them will delay your chances of conception. I hope this is useful to you." } ]
[ { "from": "human", "value": "Hi doc. Well im confused because me and my boyfriend are trying to have a kid and i was waiting to see if i get my period the 10th of this month but i missed 5 days already an than on the 5th day i started bleeding lightly? And from last month in march i only had bleeding for two days and spotting. Could you please help mi understand?" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. Since your periods are overdue and you are having a slight spotting, this could be an implantation bleeding. You need to get your urine tested to find out your status of pregnancy. The treatment will then depend on the test result. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "Hai doctor I have got irregular periods. will i be able to conceive? I have consulted the doctor and she took all tests and the result was normal in all cases. the doctor asked me to take ovofar tablet from the day 2 to day 6 of my periods. My pregnency is a big question mark to me. Can i know will i conceive or not?" }, { "from": "gpt", "value": "Hi. thanks for asking in Healthcare Magic. As long as your menstrual cycles are ovulatory, the chances of your conception are high even if your periods are irregular. Ovafar is Clomiphene citrate. It is given to induce ovulation. It is given every monthly. It is started as 50 mg dose and given for 5 days usually from the 2nd day of the cycle. If the response to 50 mg is not satisfactory, then your Dr will increase the dose to 100 mg, the next month. After 2 to 3 months the dose can be increased to 200 mg. If this is not successful then one of the following ways can be adopted. 1. Combination of Clomiphene with Human Chorionic Gonadotropin on the last two days. 2. Menotropin for 10 days followed by Human Chorionic Gonadotropin on the next day. 3. Pulsatile administration of GnRH analogs like Nafrelin. The success rate of the above methods are around 90%. If these fail, then assisted reproductive techniques like In-vito Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Zygote Intra fallopian Transfer (ZIFT) and Intra cytoplasmic Sperm Injection (ICSI) are available to improve your chances of conception. I hope this is useful to you." } ]
[ { "from": "human", "value": "I was told in Nov. 2012 that i had Adenomyosis. I have had alot of trouble getting pregnant and i just found out in March that i am pregnant. : ) I have my first appt. with my doctor in a week . I was just wondering is there anything i should be concern about with being pregnant with my first child and having Adenomyosis?" }, { "from": "gpt", "value": "hi, Thanks for query. congratulation for your pregnancy. Don't worry now you are pregnant with adenomyosis. study said it is difficult to become pregnant with adenomyosis. but when you get pregnant with adenomyosis don't worry some says in pregnancy progesteron level is very high in pregnancy it will decrease symptoms of adenomyosis because it is a disease of high oestrogen level. so consult your doctor and continue your pregnancy under doctor supervision. everything will be fine. take care." } ]
[ { "from": "human", "value": "HalloI am trying to get pregnant, we went to the doctor and the doctor prescribed pills to help me fall pregnant, we had unprotected sex 2 weeks before my period was due, my period came a day late and the first day was basically nothing, then the second and third day was normal and then basically nothing again, i also have tender breasts, nausea vomiting backache and I urinate more than normalPlease help" }, { "from": "gpt", "value": "Hi, Thanks for query. You should consult a doctor and get your urine test,blood test and USG. done. The symptoms is because of pregnancy because you have sex around your ovulation time. These symptoms is because of less period,so first you consult than take any medicine. take care." } ]
[ { "from": "human", "value": "hi I am married since september 2009 but I didnt able to concieve as yet before 9 months I went to the doctor n she took my pitutary test it was normal but I had high prolectin but now I have normal prolactin but I have fibroids n I am taking one parlodel and one folic acid tablet so wht do u suggest me how can much chances to concve as early as possible" }, { "from": "gpt", "value": "hello..thanks for trusting the health care magic doctors for ur health related issues.high prolactin n fibroid causes irregularities in period.as u told that it prolactin level reaches normal level, that's a good thing but u have fibroid, which is one of the cause of irregular menses due to that it will causes difficulty in conceiving. but u can conceive even in presence of fibroid, if ur menses gets normal n fibroid will decreases in size.for both u can take medications,so that ur menses becomes normal n fibroid will decreases in size. they will help in conceiving." } ]
[ { "from": "human", "value": "Hello my name is Yahaira and I am a little worried because I have not gotten my period. I am 3 weeks late, I have brown spotting discharge, cramping, back pains, and weight gain. Would you know what is going on with me? Am I pregnant? Did I miscarraige? Or is it something else?" }, { "from": "gpt", "value": "Hello Welcome to HCM... I am really sorry for your worry but I'm definitely going to help you out.. Thanks for posting your query here.. I being a surgeon, we encounter so many such cases day in and day out. I read your question completely and have understood it well enough.. I will analyze all your points and provide necessary information.. 1. How were your previous cycles? Delay by 3 weeks is definitely not normal but is sometimes seen in few patients that come to us. 2. The symptoms that you tell brown spotting, cramp, back ache doesn't 100% suggest pregnancy. This can be seen as a normal disease ailment.. 3. We cannot comment about miscarriage at this stage..Please note the following few facts.. A. Please get an Urine pregnancy test. UPTVarious kits are available and can be done in your home itself. No need for any doctor to read this test.. Two possibilities, if it's negative then chill, you'll be fine soon.. If positive then, yes it's a confirmed pregnancy.. B. If UPT is positive then don't stop there. Get a radiology obstetric scan done. This will tell us, if there's Intra uterine, or ectopic pregnancy. Exact date. And many other things. C. Miscarriage or incomplete abortion etc. We can see later how to go about after all these.. Hope this helps you, in case you need further assistance, please let me know. Take care and God bless.." } ]
[ { "from": "human", "value": "I took Plan B emergency contraceptive on March 24 (Cycle Day 7) and again on March 26 (Cycle Day 9)... Copper T IUD came out on the 24th and we weren't too careful. My partner and I spoke about it after the fact and we decided that we are ready to become parents so taking this dreadful pill was more a mistake than the intercourse. I bled on April 5th (lightly) until April 8th. My boyfriend and I are now trying to conceive and I am wondering how these pills will affect my cycle (I am regular and my cycle varies from 27-30 days). We have had intercourse daily since the 9th and today my period was due, but did not arrive. My questions are: I took a pregnancy test about 10 minutes ago and the result is negative... is it possible I could have ovulated late and could be in the process of conceiving now --- or did plan B destroy my chances of conceiving this cycle?Was the April 5th bleed my period and should it be considered cycle day 1? Or should i still expect a period?How will my ovulation be affected? They say 14 days before your next period is your most fertile time... when should we be diligent in trying?" }, { "from": "gpt", "value": "Hi, It is most likely that your cycle is disrupted this time and the chances of ovulation are poor owing to the use of the emergency pill. the bleeding you had was the breakthrough after the pills. You may receive your normal cycle either as expected or a little later. If you do not get a period 10-14 days within your expected date, you should consult your doctor for an assessment. It is true that 14 days before the next cycle is the day of ovulation and is the most fertile time for conception. Hope this information is useful. Good luck." } ]
[ { "from": "human", "value": "hello doctor, my wife is having PCOS Condition. our gynecologist advised us to take an injection of fertigyn - 5000 units on the 16th day from her mensuration . in addition to this she's also having evatone - 2 mg tablets per day. here recent follicular study said that her ovum is not yet matured.is it safe to get this medication ... please advice" }, { "from": "gpt", "value": "Hello,Ovulation is either absent or deficient in PCOD. Fertigyn helps to accelerate ovulation while Evatone contains estrogen that is helpful in building up the endometrium suitable for implantation. Your doctor may try different combinations to ensure ovulation and this may take time. When such medications are being taken there is the possibility of hyper stimulation of the ovary and this should be closely monitored. Also, loss of excess body weight is very much useful in correcting the hormonal imbalance. Hope this information is useful to you. Good luck." } ]
[ { "from": "human", "value": "hi !i am a mother having three children through c-sections. my age is 40 and 2 months. i got re-married and now trying to conceive for the last one year. my husband's age is 34 and he doesn't have any issue. but i am not able to conceive naturally. last month i got my IUI done but it failed. right now after getting complete scan, i came to know that my AMH level is 0.3, uterus is pretty gud. in today's scan, it was revealed that only my right ovary had released eggs but my left ovary didn't have any follicles. doctor has prescribed me Ovigyn and fertisure. i dot want to go for donor egg conception. please help me and guide can i succeed in having another babay and if yes, how?" }, { "from": "gpt", "value": "Hi, In the present scenario, the best option that is ideal for you is to go for IVF as you have very little ovarian reserve and it would be a waste of precious time to try natural means of conception. You should see a reputed infertility specialist and get further management. In view of your advancing age and with a history of previous three caesarean sections, I would never advise you to get pregnant again, but, taking your situation under consideration, you may go ahead for this one more time. Hope this information helps you. Good luck." } ]
[ { "from": "human", "value": "Hi..Iam a married woman since 7 months. I had PCOS problem. for that I took Bigomet SR 500 and Diane 35 tablet for around 6 months. From then I used to get proper periods along with the normal bleeding.But after my marriage once in october I got periods aftr 15 days of my last period.then same thing happend on jan end. thn in feb and march I dint get my periods. thn i got it on march end. thn again on april 12th i got my periods with heavy bleeding. Now I stopped taking those tablets.We are planning for a baby now. What should I do next for the same??" }, { "from": "gpt", "value": "hi, Thanks for your query. you are having irregular period,you should consult doctor because for concieving regular period is very imortant. You are having PCOS so you should take treatment,than only you are able to concieve. if these tab not suits you go for another treatment option. GOOD LUCK. take care." } ]
[ { "from": "human", "value": "Hi Doctor, I m on Follicular study on 12th day Rt Ovary 19, 16, left ovary 23, 15 and Endomentrim 10.2 mmwas given HUCOG 5000 on 12th day14th day Rt Ovary 19, 16, left ovary Both ruputured and Endomentrium is 13 mmDoctor prescribed Tab Susten 100 mg for 10 days to insert vaginally every night from 14th day and has advice me to keep relationsAm i on the right track, what are the chance of conceiving in this cycle" }, { "from": "gpt", "value": "hi, thanks for query. your follicular study show rt.ovary size is not appropriately increasing and it is not rupturing but lt.ovary size is increasing and it is rupturing also your endrometrium thickness is normal. your doctor advise correct to keep relation,chances of concieving in this cycle are there. so hope for the best. good luck. take care." } ]
[ { "from": "human", "value": "Hi we are trying to conceive, and on Clomid therapy for months already. My Cycle is 29 days. I just got my period yesterday exact date I was suppose to, but still no flow... my period does not look like blood, I'ts dark brown and then a little red blood comes out, not alot though only on top of the pad..I'm not getting cramps or anything like I usually do , I always have terrible cramps when I have my period that sometimes I cannot get out of bed, but now none. I tested negative when I tested yesterday. I guess I am still hoping I'm pregnant. Thank you" }, { "from": "gpt", "value": "Hello dear ,,,,,hope you get pregnant soon Dear a cycle of 29 days is normal ,,,,dear you mentioned you got your cycle yesterday and its not like usual ok,,,dear the cycle pattern is not always the same ,,,,try three morning urine preg test if negative you are not pregnant Gear in addition to medicines few other things also imp make sex around ovulation ,,you can know about your ovulation by ovulatin induction kit,,or by daily record of morning body temperature the day its more then normal is your ovulation Yaur position is also imp ,,dnt use conventional method Next low calcium high potassium in femal body favour pregnency so take lot of bananas and less dairy products Eat yawns Ask your husband to take coffee before love it increase sperm motility Take folic acid tab getting chances of preg increase by 25percent If still not conceived do your and your husband detailed check up Hope so my answer satisfy you stay blessed" } ]
[ { "from": "human", "value": "hi ..i had a miscrg 6 month ago,did a torch test in which i got rubella IgG (3.61) ratio, n CMV IgG (1.647) ratio, doc advised me to avoid pregnancy for 6 month,n didnot gave me any medicine. and now i had a torch test again with rubella IgG (2.73) AND cmv IgG (3.96) ratio.now whats next for me. can i concieve now or i have to wait further." }, { "from": "gpt", "value": "Hello Naghma Thanks for your query. Please understand that IgG is immunoglobulin G which is elevated in response to an old infection. THe values of IgG do not indicate any recent infection. To know whether you are positive for Rubella and CMV, you have to get Ig M test done, which is immunoglobulin M, which is indicative of a recent infection, if it is elevated. If your IgM levels are increased, you need to avoid pregnancy till you are vaccinated against Rubella and immune to it. Your current values do not mean anything, they merely indicate that you are already immune against the diseases. Please get Ig M tests done, and if negative, you can definitely proceed for pregnancy after proper pre conceptional counselling. Take care." } ]
[ { "from": "human", "value": "I've been trying to conceive for almost two years now. I will be 36 in a couple of months. My height is 5'5\" and weight is 70 kgs. My reports are normal and my gynecologist has placed me on duphaston from day 17 through 26 of my cycle to provide luteal support in case there is a pregnancy. My problem is as soon as i start Duphaston, i have lot of side effects such as severe body ache, fatigue, and mood swings and also temperature is elevated. I've been on it for several cycles and feel confused whether i should be taking it or not. Please advise." }, { "from": "gpt", "value": "Hi, Thanks for your query. Duphaston(dyhydrogesteron) is a progesteron used to support pregnancy. as such side effects are less but if you have so much of side effects or your test are normal stop using it with your doctor advice. you can use other type of progesteron with your doctor permission. take care." } ]
[ { "from": "human", "value": "hi... i am diagnosed with pcos... and i am taking now oosure and pioz... i was suppose to get my periods on 8th but got it by 14th of this month.. i have irregular periods... but i started my oosure and pioz last month and without taking any other medicine i got my periods now... can you tell me when i will get pregnant... and is there chance for my egg to mature" }, { "from": "gpt", "value": "Hi, Thanks for your query. Oosure(myoinisitol) is using for ovulation at 14th day of menstrual cycle and induce ovulation also because in PCOS cycles are generally anovulatory. Pioz(pioglitazone is antidiabetic drug use to decrease the symptoms of hyperinsulinaemia which is present in pcod. Because with these two drug symptoms of pcod decrease and chances of ovulation increased or cycle become more regular and chances of pregnancy increased. GOOD LUCK." } ]
[ { "from": "human", "value": "My boyfriend had some cum on his hands I don't know if it was on his fingers or not but there was some on his hands. Anyways, he poked my vagina area as if he was fingering me but he only did it once and I had yoga pants on, underwear, a pad (which is plasticy and sticky on the bottom) and a tampon in. Is there anyway i could be pregnant?" }, { "from": "gpt", "value": "Hi and welcome to HCM... I thank you for posting your query here and I'm definitely going to help you out.. I being a surgeon, we encounter so many such cases day in and day out.. I read your question completely and have understood it well enough.. I will analyze all your points and give the best possible explanation.. 1. Semen on hand. Semen Penetration into vagina leads to pregnancy.. 2. Yoga pants, underwear and pants on. But poking of hand into vagina. To be honest, there's absolutely no way you can be pregnant with this scenario.. 3. With all these things on, there is no way that the semen and hence sperm could have entered in! And hence I suggest you not to worry about it at all.. 4. Just forget this.. We come across so many such cases. And I can say with certainty that, you are safe. 5. There would have been a question mark if you had not wore any of the mentioned things. Now, it's impossible.. Just chill.. Hope this helps you, in case you need any further assistance, please let me know.. Take care and God bless." } ]
[ { "from": "human", "value": "hello, i am having sore breasts, lower abdominal pain,constipation, can see pulse in my stomach area above navel, haemoglobin level 9.5 (mild anaemic they said). if i am pregnant i would be in my 33 week. is have had my periods in all the months though it was irregular like usual. i have done 4 urine test- one each in 2nd and 3rd month and 2 recently. all were negative. i feel my stomach is bloated. can i be pregnant by any chance? please help." }, { "from": "gpt", "value": "Hi and welcome to HCM!Thanks for posting your query here.If the urine test is negative there are no chances of being pregnant. The symptoms your are saying about seems to be GI problem -Dyspepsia-where there is fault with the digestion. This is causing bloating, constipation and lower abdominal pain. The lower abdominal pain is because of constipation. It could be relieved by taking laxatives in the night. Cremaffin, dulcolax or lactulose can be used. Bloating of the stomach can be relieved by taking omeprazole or pantoprazole one tablet daily. If the problem persists please visit a gastro for further management.Regarding your periods-how irregular is not mentioned by you. A low Hb value-anaemia- may cause irregularity in the periods. This can be corrected by any oral iron preparations. One capsule a day will increase the blood Hb significantly.Hope this is helpful to youRegards" } ]
[ { "from": "human", "value": "Hello doctor, my name is riddhi and I'm married last two year and my age is 24 and my husbvands age is is 31. Actually when I get newly married. We don't want any baby so ee are using condom bt last 7 months we were trying for a baby bt no result will come. I think that this problem is arise because of I'm using condom that's y I'm not conceive a baby . Plz help me what can I do, we both are physically fit and heathy. I'm also get checkup with doctor, adoctor told u are absoulty fit and fine plzcdf help when I conceive a baby when I get good news." }, { "from": "gpt", "value": "Dear customer, If you want to have a baby and trying to conceive then you should try unprotected sex and do not use any more condoms , pills or any other birth control method for atleast 2 years continuously. The best time to conceive baby is 14 days prior to the start of next menstrual cycle and you should have more sex during this time. You may have the ovulation kit purchased to know the exact time of ovulation and have sex at this period. If you fail to conceive in 2 years then you should haave the various tests done after consulting your doctor. Thank you" } ]
[ { "from": "human", "value": "Hi, my name is Cassandra and I am 16, almost 17 years old.I have an extremely irregular period that comes MONTHS apart... It could be anywhere between 2-6 months apart. I believe my last one was either November or December 2012 and it is now APRIL 2013! I'm worried because I've heard and read many different possible causes. I just want to know if there is any possible reasoning for this... I want to have children eventually but I'm extremely nervous that what I'm experiencing won't allow me to.I am also a type 1 diabetic, since september 2009.Thanks!" }, { "from": "gpt", "value": "Dear Cassandra, I hope these words will relieve some of your nervousness and be usefull to you: Abnormal blood sugar levels can cause your cycles to be irregular and consequently may affect your chances of getting pregnant, but the good thing is, once you have optimum blood sugar controll, you are as normal individuals. By optimum blood sugar controll I mean fasting levels not more than 90 mg/dl and the 2 hours postprandial not more than 140 mg/ dl. ( you can divide by 18 to convert to mm/l ), and the HbA1C not more than 6. If you are having irregular cycles inspite of optimum blood sugar controll, there are many other causes and the first thing to start with is to measure these hormone levels at the second day of menstruation (either spontaneous or induced by drugs): FSH, LH, TSH, Prolactin. Finally loosing some weigh and optimizing your BMI (Body Mass Index) may be of very good help. I wish you best of luck Cassandra.. Dr. Ahmed Bahaa." } ]
[ { "from": "human", "value": "I was on bcp for 7 months after stopoed them i got my period after 5 months gap which continued full moth my doc give me medicn now i want to become pregnent bt i got spotting problem just after 3 weeks of my one month long period.now my period or spotting are continuing from last 11 day till today i m worried plzzz help me doc thanks" }, { "from": "gpt", "value": "Hi, You seem to be having a hormonal imbalance precipitated by your birth control pills. If you wish to conceive, you should get an evaluation with a specialist and get treated to regularize your cycles first. If after 6 months of regular trying with normal cycles, you are unable to conceive, you should get further investigations. Maintain a healthy weight and healthy diet. Take care." } ]
[ { "from": "human", "value": "Hi, I need advise as in Jan 2011 have had miscarriage and since then was trying to conceive but unfortunately did not, however I recently met the doctor again and asked me to undergo blood test and ultra sound and the result showed everything was ok and he advised me to take ova mit and I followed the instruction as prescribed and a month later, i missed my period like two days and started seeing light blood spot after urinating with bad pain and the following day started bleeding, i doubt that was miscarriage but i did blood test and will my physician soon, howeverI was supposed to take the ova mit tablets for 3 month period, do I still have to continue with the dosage even if the miscarriage occurred?" }, { "from": "gpt", "value": "hi, Thanks for query. Ova mit is used as ovulation inducing drug,you should not continue the drug because in my opinion you should give at least 1yr gap for next pregnancy. If this drug is ovamit(multivitamin) than continue with that drug,there is no harm in using it. Good luck. Take care." } ]
[ { "from": "human", "value": "I got an ultra sound scan done of pelvic and abdomen . Everything looks normal except for the fibroid in uterus.this is what the report says uterus: anteverted and normal in size, shape contour with uniform echo texture. A mural fibroid measuring 1.6/ 1.4 cm is seen indenting the endometrium.subserous fibroid measuring 0.8/0.5 cm and 2.8/2.2 cm are also seen.endometrial thickness is 0.6 cm. I want to know what the implications are? Will I be able to conceive? Can I deliver a baby?" }, { "from": "gpt", "value": "Hi, Thanks for your query. you are having fibroid mural and subserous type which are not harmful in pregnancy and not causing any infertility. The submucous and intramural type fibroid are harmful for pregnancy and causing infertility,after myomectomy chances of pregnancy increased. You are able to concieve and deliver a baby,so please go ahead.don,t worry. your uterus normal in size and shape with uniform echtexture so no problem in concieving and delivering a baby. So don,t worry.GOOD LUCK.and plan your pregnancy." } ]
[ { "from": "human", "value": "hey i am 38 years old. my tubes are blocked and i mean both, i don't want surgery to be done to me. I am 250 pounds and i am wondering if the weight has anything to do with my tubes being closed. i just had a baby 2009, and want to have another one but my doctor keeps telling my i cant unless i take a surgery p.s i know its too much information but i really could use your helpthanx" }, { "from": "gpt", "value": "Hello, Thanks for your query. There is no relation between tubal block and obesity. Tubal blockage could be due to adhesions because of pelvic inflammatory disease or previous surgeries. For RECANALIZATION you should undergo surgery. Laparoscopic recanalization could be risky because of your weight. All the best. Hope you get pregnant fast. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards, Dr Arif" } ]
[ { "from": "human", "value": "I am 2-3 days past ovulation , trying to conceive...woke up on day 2 past ovulation with extreme stomach cramps , then was moody all day. toda is 3 days past ovulation, and i have had a horrible headache all day.... and woke up this morning with severe leg/ calf pain. i had charley horses with my last baby when i was pregnant , but this was just leg pain as if i had done extreme exercising but i hadnt done a thing...was wondering if there is any way i could be pregnant?" }, { "from": "gpt", "value": "Hi, The stomach cramps may or may not be related to ovulation; there may be associated intestinal or urinary infection too and this has to be ruled out. The cause of the leg pain could be anything from an electrolyte imbalance to arrested circulation, which again needs assessment. So, it would be wise to see a physician and get advice informing the doctor that you are trying to conceive. Take care." } ]
[ { "from": "human", "value": "hi doctor, i m 32 years old. was diagonised wit multiple fiberoids 7 yrs back. i underwent UAE twice and a myomectomy in may 2009 . i got married in the year 2010. it was found out there is cyst measuring 2.5 cms x 5.5cms in my right ovary . i was given one zoladex 3.6mg injection every month for three months. the doc said tat the cyst size has reduced and i can try to conceive.we are trying for the past eight months. i am eager to get a child. my periods are regular but the flow is very much heavy and it lasts upto 8 days. pl help." }, { "from": "gpt", "value": "Hello, I would be happy to help you with your question. Given the history of fibroids and persistent heavy cycles as well as attempts at conception that are approaching a year, you need repeat evaluate of your uterus with an ultrasound. Given that the fibroids can also cause blockage of your tubes, it would also be worth considering a test called a hysterosalpingram to assess whether or not the tubes are blocked. It is not unusual for couples to take up to a year to get pregnant, but in your case, there are reasons to do this evaluation sooner. I hope that this helps. If you have more questions, please click on \"ASK ME A QUESTION\" link above to directly ask me a question!" } ]
[ { "from": "human", "value": "I have musterbate almost 12 hours before and after that I have urinated almost 5 times. After that I have done a dry sex with my girlfriend where only the genital area contact was happened and almost no penetration.After that I musterbated outside keeping safe distance from vagina and after 4 minutes I cummed. Is there any risk of pregnancy?" }, { "from": "gpt", "value": "Hi and welcome to HCM.. I thank you for posting your query here and I'm definitely going to help you out.. I being a surgeon, we encounter so many such cases day in and day out. And I suggest you not to worry about this.. I read your question completely and have understood it well enough.. Well, I will analyze all your points and provide necessary explanation.. 1. Masturbation 12 hours before, this definitely reduces the semen quantity and hence sperms. And urination has no role in preventing pregnancy... 2. Dry sex. No Penetration. Well, in this scenario. There is absolutely no chance of pregnancy. 3. For successful fertilization, there should be adequate amount of semen ejaculated inside of the vagina. This didn't happen in your case and hence suggest you not to worry about it.. 4. Safe distance from vagina during ejaculation. This again tells that there Was no way, the semen would have entered inside of vagina. And hence, no chance of pregnancy.. Well, that's it my dear friend. Do not worry.. Chill out.. Hope this helps you, in case you need any further assistance, please let me know. Take care and God bless." } ]
[ { "from": "human", "value": "hi, iam trying to conceive n iam 31 year old.I had entire check up with all the possible tests for fertility which all came back normal.Bt i got a negative TB of the uterus test which used my period blood as sample.Later i had a blood test for Tb gld test which and skin test which both came back negative. Kindly guide me do i need to go for the TB course.Also iam 5.3 and weigh 72...do i also need to check my weight ,Thanking you" }, { "from": "gpt", "value": "Hi and thanks for the query, Infertility requires a detailed clinical assessment of not only the female, but the partner. TB however could be a cause of infertility, but actually contributes a very small percentage to that. Tests evaluating infectious, hormonal, inflammatory, anatomic causes should be evaluated. The male factor i infertility contributes to over 1/3 of these. The sperm count and other parameters in the make also need a critical evaluation. I suggest you book an appointment with the infertility specialist, preferably with your partner for a critical planning and scheduling of the evaluation and management scheme. Excessive weight could play a very mild role in contributing to infertility, very very mild, but controlling your weight is a good aspect of health care to protect you from other metabolic diseases. Thanks and hope this helps, Luchuo, MD." } ]
[ { "from": "human", "value": "hi,I am swati , age-25 yrs. n trying for baby frm last 3 years dr. diagnose due to pcod m not able to concieve . before 2 month dr suggest me to go for LOD on 2nd of feb n my surgery was successfully done and then i was trying for baby but not able to conceive dr. prescribe me adova for 5 days , fertisure F, and ovacare forte...kindly guide me what to do.." }, { "from": "gpt", "value": "Hi Ms. Swati, Fertisure F is a nutritional supplement, so is Ovacare forte while Adova is prescribed in breast cancer treatment and also in prostate diseases. I do not understand why your doctor has given you the medication. PCOD responds very well to treatment, so be positive. If your tubes are patent you may be induced for ovulation and monitored with timed intercourse. If you are overweight try to reduce some weight as this has significant effect on the return of spontaneous ovulation in PCOD. You may need Metformin if you have insulin resistance. Please consult an infertility specialist for further care. Good luck." } ]
[ { "from": "human", "value": "Hi .i have been trying to concieve for the last 6yrs wit no success. Finally last yr i decided to see a gyno n i was diagnosed with pcod. He put me on hyponid n m2tone for 3mnths den on metformin n m2tone bt i jst used for one months coz it gave me terrible side effects. He has now put me on ovacare 2*2 for 3mthns wich IV started today. Tho my pz r not regular. Wat r my chances? Will i concieve soon? Thnx" }, { "from": "gpt", "value": "Hello dear, Thanks for the query. Lifestyle modifications is the best treatment for PCOS, hence if you are obese, it's very important to lose weight. Metformin is used for treatment of INSULIN RESISTANCE. In PCOS there is usually anovulatory cycles, if you lose your weight ovulation will occur. Hope I answered your question, Kindly reply me if you have any further queries or any comments. I will be very happy to help you. Sincerely, Dr Arif" } ]
[ { "from": "human", "value": "Hi,pls help me..i think i ate overdose folic acid = 5mg. me n husband plan to have baby this month but a month ago after my last period,i take folic acid because some said it's good to take earlier before pregnant. Now, my period this month is late. normally cycle is 28 or 29 day.today enter 31 day. i'm curious.why i'm not having my period.am i pregnant?" }, { "from": "gpt", "value": "Hi, Thanks for query. Your period is delayed,wait for some more time to do pregnancy test at home. You should not worried about folic acid,it is advisable to take 3 month before you are planning to concieve. So don't worry.You had no overdose of folic acid,it is useful in neural development of foetus. GOOD LUCK. Take care." } ]
[ { "from": "human", "value": "Hello dr,My husmand has an autoimmune disease (arthritis) and he is on prezolon 2o mg per day from february 2013. We are trying to conceive, does prezonolon have side effects on his sperm? He controlled his sperm last year and it was normal(count 60mil/ml, total number of mot.sperm. the 1st hour 30,6 mil/ml, total motility 1st hour 51%, totaal count 90mil, normal morphology 17 % (normal: more than 14%) .He should control his sperm again or there is no need to do that? How much does prezolon coyl affect his sperm? We will be able to conceive? Than you very much for your attention" }, { "from": "gpt", "value": "Hi, Thanks for your query. Your partener is on prezolon since feb.,because its a steroid and study shows that it affect sperm count. In semen analysis motility should be more than 60%,analysis varies from lab to lab. I think you should consult a doctor for preznolone use,because it affect sperm count. You are able to concieve with under supervision of a doctor. So don't worry. take care." } ]
[ { "from": "human", "value": "hai,i m 25 years old.I m married..trying to get pregnant.I have been having my gray hairs from 20.it started spreading more now almost 20% of my head is gray..I m having blood clots in my periods..I thought i was anemic and took iron tablets for 2 months..then i went for a blood test my blood level was in mid range normal ( Hemoglobin , folic acid )& my vitamin B12 is also normal,but my MCV is 77 and my MCH is 25.3 which is slightly low than normal. Does this mean i m Thalassemia carrier..Can i hav a healthy baby...If i conceive...plz suggest me how to increase my health to prevent anemia?" }, { "from": "gpt", "value": "Hello, I would be happy to help you with your question. Premature greying of your hair is genetic and not associated with any problems related to conception. Second, if you have heavy periods, this needs to be evaluated by your doctor with an exam, ultrasound, and additional labs to workup your anemia. If you have heavy bleeding, this is more likely an explanation for the bleeding than thalassemia. If you correct your bleeding and you are still anemic, then this testing would be indicated. I hope that this helps and good luck - Please ask me if you have specific questions!" } ]
[ { "from": "human", "value": "hi, im 35 and i have a history of ovarian endometriosis,i got pregnant 2years ago naturally and lost thd baby at 8 few days after 8 weeks, no heart beating although we did hear a week earlier, could not conceive normally after that,my tubes were closed, i tried IVF 2 months ago, i got pregnant but lost the baby at 8 weeks, same thing no heat beat at 8 weeks although we could hear it at 7weeks,every thing was fine with no indications of any problem, what i need to check before trying again?" }, { "from": "gpt", "value": "Hello, I would be happy to help you with your question. I am sorry about your prior loss. If the only two pregnancies that you have had are the two miscarriages, then there might not be a problem at all. While we start to worry when a couple has had two unexplained miscarriages, the definition of \"recurrent miscarriages\" is three unexplained first trimester losses. So, while you have obviously had some major difficulties, there really is not much of an indicated workup. But, your doctor should consider: 1. An ultrasound 2. Labs related to diabetes, thyroid disease, and something called antiphospholipid antibody syndrome I hope that this helps and good luck - Please ask me if you have specific questions!" } ]
[ { "from": "human", "value": "hai sir,my foliculare study is done on 8 th day.. the reading was 5mm ET. iam taking hormone injection (follitropin beta 50) and now i am in tension because of this reading.i took 3 injections with dose 50 and i neeed to take 2 more injection on 9 th and 10 th day... the dose of thease two injection has incresed from 50 to 100 for 9 th and 10 day..please advice me that my current reading will help me to get pregnant ?.. there is any chance that folicle size will increase ... and how many days it will take to develop ,," }, { "from": "gpt", "value": "yaa...there are very good chances that after these 2 doses your reports will improve....follicular size will increase. Continue follicular monitoring...On 14th-15th day your follicular size will be good enough to get a HCG injection....just wait n watch......" } ]
[ { "from": "human", "value": "Hi, i am 37 and have finally decided for a third baby. I have two girls 8 and 4 which I got pregnant with first time. I have taken the morning after pill quiet a lot in the past two years as we weren't sure about third baby. I also had a c section with my last. We have been trying for past two months and new result. Is my fertility effected with morning after pill, section etc" }, { "from": "gpt", "value": "Hi, Before you start trying to conceive naturally, it would be advisable to have a complete evaluation with a specialist who would make sure that you have not developed any hormonal or tubal complications secondary to the emergency pill usage and the caesarean section. if you are found to be normal, it may take sometime owing to your age, but, please allow yourself at least 6 months before you turn to other methods of conception. Wish you good luck." } ]
[ { "from": "human", "value": "I had taken two tablets of aspirin (325 mg each ) on Feb 24 . The second tablet was taken in the evening of Feb 24. I took a home pregnancy test on Feb 25 at around 2 PM and another around 7 :15 PM on Feb 25. They both showed positive very clearly. Just to confirm I took another home pregnancy test on Feb 26 around 2-3 PM that again showed positive. All the tests were checked for expiry dates and done and read within stipulated time. I took these tests after 18 days of my missed period. I am yet to see my OB/ GYN but meanwhile I was wondering if ASPIRIN might have played a part in showing false positive results of HPTs. I am on no other medication . Please advise.- AAAA" }, { "from": "gpt", "value": "Hi, False positive pregnancy tests may be observed when medications containing human chorionic gonadotropin are administered as when performing ART procedures. Aspirin does not interfere with the results. With three consecutive positive results, you are pregnant and there should be no doubt about it and you can get a trans-vaginal sonogram for further confirmation. Please consult your doctor for further support. Good luck." } ]
[ { "from": "human", "value": "My girlfriend and I had protected sex about 4 days ago.She is not on birth control. I had also urinated twice right before sex. I did not ejaculate so we just decided to call it quits because we were both tired. After we were fooling around a little bit and I ended up inserting my penis into her vagina for about 5 seconds. I wiped off any pre-ejaculate before doing this. But is it possible that there was still some on my penis and that she will get pregnant because of this?" }, { "from": "gpt", "value": "Hello and welcome to HCM.. I thank you for posting your query here and I'm definitely going to help you out.. I being a surgeon, we encounter so many such cases day in and day out.. I read your question completely and have understood it well enough.. Well, I will analyze all your points and provide necessary explanation.. 1. Unprotected sex and not on birth control.. Well this causes pregnancy only if there is proper ejaculation of entire semen into the vagina. This is not true in your case. So chill.. 2. Urination doesn't have any effect on pregnancy.. Forget it.. 3. Did not ejaculate you say.. How sure are you? If you are 100% sure then even im 100% sure that your girlfriend will not be pregnant! 4. 5 seconds entry into vagina without ejaculation again suggests that there was no entry of sperm into vagina.. And hence, no chance of pregnancy.. 5. Do not worry my dear friend, everything is normal and she can not be pregnant by any slight chance. I'm 100% sure of this.. Hope this helps you, in case you need any further assistance, please let me know.. Take care and God bless you." } ]
[ { "from": "human", "value": "Hello. We have been trying to conceive for over a year now. I came off birthcontrol over Oct 2011, and have not practiced any for of birth control since. Since then I have had very irregular periods (cycles: 96 days, 49 days, 107 days, 36 days, 39 days, 96 days). I tested with Ovulation kits to make sure I am ovulating for the past three cycles, and I got positives on around day 22-24. My gynea has sent me for bloodwork to test my hormone levels, and the results came back normal . I don t know the exact values. A week ago my GP sent me for bloodwork as well (unrelated to my fertility issues). I asked for the results to be sent to me, and the results of the thyroid were: TSH = 2.7 FREE T4 = 17 Are these levels adequate to conceive? I am otherwise healthy 30 year old, never been pregnant, don t drink or smoke, 1.6m tall 62kg s, currently not on any medication." }, { "from": "gpt", "value": "Hi, As you have very irregular periods, that in itself could be causing the failure in conception. I would be able to comment better if you can provide all the hormone reports and any other tests done. You should have a trans-vaginal sonogram to see if the ovaries are normal. Tubal patency needs to be tested. Your partner should be assessed. Your TSH level is normal but T4 is slightly on the higher side. Your BMI is high normal. Your ovulation status should be ascertained and intercourse timed and ovulation induction is done if natural ovulation is inadequate or absent. Please get back with reports if you need further opinion or consult your doctor for further suggestions. Good luck." } ]
[ { "from": "human", "value": "HelloMy age is 29 I'm trying to conceive but my periods r irregular I have pcos history but now it is OK my USG ,hsg test r OK follicular monitoring done for two cycle in first cycle 18 day ovulation without medicine. In next cycly 14 day ovulation with medicine.I am suffering for mild side back pain over a month and feeling muscele stretch kindly suggest me for the next so that I got positive result" }, { "from": "gpt", "value": "Hi, Thanks for the query. As you are ovulating regularly and as all tests are noraml, once check for semen analysis of your husband to rule out the male factor. Sometimes ovulation induction can lead to hyper-stimulation. You have to rule out that and pelvic inflammatory disease as possible causes for your pain. If all are normal, you plan unprotected intercourse around the time of ovulation. This time possibly you will get positive result. For more details you can ask me through: Take care." } ]
[ { "from": "human", "value": "I am trying to conceive for 6 months, and I am having irregular cycle, lasting 36 days in average. I went to see a doctor and I made a hormones screening test. My progesterone level was abnormally low like for the time the test was done (17th day of cycle). Other hormones showed normal level. The doctor gave me norethisterone 5mg to take them from 10th to 25th day of cycle once a day. I need an advice from second professional person about the effect this medicine would cause, before start taking it..?" }, { "from": "gpt", "value": "Hi, Thanks for query. Norethisterone is a progesteron(synthetic),as your progesteron level is low doctor prescribed you progesteron to increase the level of progesteron in your cycle.So you are able to concieve. Yes there are some side effect and contraindication of a drug ,so just ask your doctor. OR don't worry take medicine you will be fine. Take care." } ]
[ { "from": "human", "value": "Hello, I am 36 year old mother (with a 6 year old daughter and have been TTC for 2 years with failure. yesterday i visited a well known Gynacologist - he told me I have PCOS and prescribed Cyclo Progynova. i have normal 28 days cycle and have no acne or Hersutism or any of the PCOS symptoms.. I do not understand why take this drug, as this is a Hormone replacement Therapy.. why take it ? and what is the use ? i do not want to just disturb my system and take unwanted drugs when not needed.. should i go for a 2nd opinion or should i take the Cyclo Progynova as recomended." }, { "from": "gpt", "value": "Hi, Thanks for query. Cyclo Progynova is a drug used in Harmone replacement therapy. You have not mentioned your height and weight. You should go for harmonal test for PCOS. you should consult some other doctor for your problem. You should not take any drug without your investigation,as you say your periods are normal. Good luck.Take care." } ]
[ { "from": "human", "value": "Hi doc, we are married for 2 years now and now planning a baby. my periods were due around the 4th of march and did not happen till date jan. but i had been facing been in the lower belly for many times in these days. In fact i checked for the pregnancy test but it was negative. but yesterday evening the periods started which was much lesser than regular. i took meftal spas for relieving myself from pain. it was later followed by a strange material outflow for once. this was a mix of thick brown blood and some white substance...kind of the layering substance which i couldn t understand. kindly suggest." }, { "from": "gpt", "value": "Hi, Thanks for query. As you say your period are not regular,chances of pregnancy are also uncertain because your ovulation time is not fixed. Pregnancy test sometime be false negative,but may be you are pregnant. May be meftal spas cause contraction and may be that white material is early sign of pregnancy. but don't worry,whatever happened is happen,go to some gynae,get USG done. Took treatment for your irregular periods Everything will be fine. good luck take care" } ]
[ { "from": "human", "value": "I took 5000iu HCG shot last month it didn't rupture the follicle. This month I am scheduled to take the 0000iu HCG shot on my 12th day of the period. Past three months my follicle over grows an becomes a cyst and washes away. I am currently also taking 20 tablets starting on 20th day of my cycle called Duphaston 10mg. Will the 0000iu HCG shot help me get pregnant ? What are the chances of having my follicle rupture?" }, { "from": "gpt", "value": "Hello, Thanks for your query. There are so many factors for follicle rupture, it should be of matured follicle say size of 18-20mm, and good endometrial thickness, and there should not be premature LH surge. So as scheduled try this cycle with 10,000IU HCG. And I presume you and your husband have been evaluated with all the possibilities for Infertility. Wish you good health. Regards, Dr Arif" } ]
[ { "from": "human", "value": "i got my period on 26th feb 2013, and in march its late on 30march for 2 days only .in the month of feb 2013 i have taken -Fertomid 50mg for five days on 5 th day after over of periods. in march month i was thinking that i am pregnent. but i shocked on 30th march. because in entire period my cycle was of 25 days. my age is 32 years . i want to conceive as early as.now i take second round of Fertomid 50mg , today is 3rd day . please help how i can conceive & my ovolution period." }, { "from": "gpt", "value": "Hi, At the outset, let me tell you that induction of ovulation is done under the guidance of an experienced doctor and follow up monitoring through the cycle is necessary. If you have done that, as you take the medication, your ovulation status will be monitored by a follicular study and timed intercourse would be advised along with any injections to enhance ovulation. You may have to wait for 6 cycles to see if you can conceive with this procedure. Also, there would be a stepping up of doses based on your response. Take care." } ]
[ { "from": "human", "value": "I am on day 30 from my last period. TTC from 6 months. I have been given progesterone supplements (intra vaginal insertion ) for supporting pregnancy. I have still not taken a pregnancy test . My pelvlic scan showed a 13mm endometrial thickness. What are the chances that i might be pregnant? I have a history of mild PCOD ." }, { "from": "gpt", "value": "Hello, Thanks for your query. Its a good endometrial thickness, but pregnancy can only be confirmed after PREGNANCY TEST OR SERUM BETA HCG estimation. Just wait till you miss your period, all the best. Wish you good health. Regards, Dr Arif" } ]
[ { "from": "human", "value": "Its been 3 year of married life. I had an abortion at my 10 week of pregnancy bcoz the cardiac activity of the baby was not developed & again had a Ectopic pregnancy on last Apr-12 & a tube was removed.Now since 3 months i am trying to conceive under medication. I have taken Clomipure 50 from 3rd to 7th day & Fertisure F, MCBM69 daily.Kindly suggest me is my condition is normal to conceive." }, { "from": "gpt", "value": "hi, thanks for your query As you said you had misscarriage once and tubal pregnancy once and tubectomy done for that. First of all you have not mentioned your age,that is very important. I will suggest this for you - 1) Not plan pregnancy for at least 1yrs. 2)Do not worried about getting pregnant or not,stay calm. 3)Take folic acid when you are planning for pregnancy at least for three months,before you concieve. 4)One tube is more than sufficient to getting pregnant. 5)When you had abortion,your all test was done? 6)Are you treated for your abortion. Everthing will be fine,you will definetely get pregnant,GOD bless you." } ]
[ { "from": "human", "value": "hey, just wanted to get pregnant, married 5 months ago, i do hv irregular periods before marriage, n after marriage they became worse, now taking duphatson since last cycle, frm 14th day of my cycle for 14 days twice a day as gynae prescribed, also taking glucophage 500 mg twice a day, yesterdy i got my periods, em obese, 110 kgs with 5.7 height and 25 years old. my ultrasound report says sugestive of polycystic ....help me ..." }, { "from": "gpt", "value": "Hi, Polycystic ovarian disease is a symptom complex with irregular or absent ovulation, obesity, hirsutism, insulin resistance and infertility. Nevertheless, it responds very well to treatment and conception is very well possible. You should get a proper protocol work up that includes hormonal profiles, glucose tolerance test, tests for tubal patency and a trans-vaginal sonogram. Assessment of the male factor also is done simultaneously. The medication you are receiving at present is good, but you would need ovulation induction, cycle monitoring and timed intercourse for conception. You have to reduce weight as this definitely helps in correction of the problem to a good extent. Wish you success." } ]
[ { "from": "human", "value": "I had sex for the first time yesterday, & we used a condom. I looked at the condom afterwards & it had a tear in it, but he said he ripped it off. But he also didn't ejaculate at all, & said he wasn't even close. I got my period today, which would be the day after we had sex. Is there any chance I could be pregnant, I'm freaking out." }, { "from": "gpt", "value": "Hi and welcome to HCM.. I am really sorry to hear this and I suggest you not to worry at all!! I thank you for posting your query here and I'm definitely going to help you out.. I being a surgeon, we encounter so many such cases day in and day out.. I read your question completely and have understood it well enough.. I will analyze all your points and provide necessary explanation.. 1. Sex for 1st time and used a condom. That's great, please continue using condoms, it prevents STD too.. 2. Tear in condom but no ejaculation.. If your male partner is so sure that he did not ejaculate then, chill my friend. There's no chance you'll be pregnant.. 3. I can say, with 100% certainty that you won't be pregnant.. Take it from me. 4. And periods after one or two days. Then, it's self explanatory and 100% confirmed that you can not be pregnant. Generally, ovulation occurs 14 days prior or after menstruation cycle in 28 to 30 day cycle. So, going by this logic, you should have ovulated 14 days before you had sex. And remember, ovum or egg can survive maximum for 2 to 3 days!! Hence there was no ovum only to fertilize even if he had ejaculated entire semen inside your vagina. 5. So chill.. And do not worry.. Hope this helps you, and in case you need any further assistance, please let me know. Take care and God bless you." } ]
[ { "from": "human", "value": "Hi, i was with my doctor last week because of too long bleeding and she prescribed me Prodafem to take for 10 days. my worry is, I'm trying to get pregnant, will this be a problem taking Prodafem? Please help! and also my clearblue fertility monitor have be saying fertile for 6 days now and never show a pick fertile, could this also be problem from PRODAFEM?Thank you very much!" }, { "from": "gpt", "value": "Hi, Prodafem is progesterone used for control of prolonged and/or heavy bleeding and is safer over Norethisterone when pregnancy is contemplated, but , the drug must be used at the doctor's discretion. The fertility monitor you are using is meant to detect LH levels and it may be affected by the medicine at higher doses only. The fact could be that you did not probably ovulate this cycle so far. Please get further suggestions from your doctor. Take care." } ]
[ { "from": "human", "value": "i am 31 years old. i am plannig for pregnancy i used naturogest 300 mg for nearly 20 days as per my physician suggestion but did not get pragnancy. i am having severe body pains and i got period but its not normal is this due to use of naturogest..now i stoped using that pill and wanted to know whether i have to use any medecine to nutalize that naturagest pill effect . kindly help me out" }, { "from": "gpt", "value": "Hello, Thanks for your query. Its progesterone side-effects, its very benign, just dont worry your periods will be alrite without any further medications. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards, Dr Arif" } ]
[ { "from": "human", "value": "Sir what are the chances of pregnancy me and my gf had sex just 1 day after her periods got over Did not ejaculate anything inside.she took an I pill too after 52hrs approximately.She experienced brown discharge 3 4 times at that time and now its been 14days ahead and no signs. We are really worried. Can u please help." }, { "from": "gpt", "value": "Hello, Soon after a period, a woman is in her safe period unless she has very frequent cycles (2-3 weeks). So, chances of pregnancy are almost nil. Moreover, she has ensured herself double protection with the emergency pill. The pill contains excess hormone to disrupt the normal hormonal milieu of the body and this is the cause of the spotting observed. Her cycles may remain disturbed for a month or two. If she does not get a period 10-14 days after her expected date,you should visit a gynecologist for further management. Take care." } ]
[ { "from": "human", "value": "Hi I am 40 old and want to conceive a child I had an ovary removed due to an emergency 8mm cyst that got twisted I still have a period I had blood work done result are to high and the other is low hsg and blood work on hormone count do you recommend any fertility drug I should take for my chances to increase on getting pregnant I miscarried at 8 weeks last nov 2013" }, { "from": "gpt", "value": "You will need follicular monitoring to determine whether you are ovulating.If you are producing good eggs then you may need to try IVF. As it is,your chances of producing good eggs are half with only one ovary.So the function of the ovary is important. Get an AMH level done." } ]
[ { "from": "human", "value": "Hi..I'm 16 and I had unprotected sex on friday night I'm on the loestrin pill because I was allergic to mycrogynene. I'm on this loestrin pill 3 months, last wednesday I forgot to take the pill that morning but took it a few hours later when I got home but I take my pill everyday at the same time. It was my first time having sex and he came in me, we did it for only 5 minutes but since friday my stomach is full of cramps and making loud noises. There now I went to the toilet and I see some spotting. Iv been worrying since friday maybe that's why I feel sick, if I was pregnant which I better not be my life is over :( I'm so silly I should of wore a condom but I'm taking my pill consistently and correctly everyday. Help" }, { "from": "gpt", "value": "Hi, As you have been regular with your pill intake, you need not worry about failure. As you have taken the pill after a few hours, there should be no worry. Spotting is usually observed at first intercourse as the hymen is ruptured. This subsides in a few days.You can safely wait for your period and only if you miss it, which is very unlikely, go for further tests. Take care." } ]
[ { "from": "human", "value": "hi.. im yurekha from chennai.. I would like to conceive but this time also im getting my period pain before an week.. Its like i would get periods anytime.. but its postponding.. my actual period date is on march 11th.. usually i use to get my periods 2 to 6 days b4. sometimes 8 to 10 days before.. i had my miss carr last december.. pls let me about the mild period pain im getting now.." }, { "from": "gpt", "value": "Hi Ms. Yurekha, If you have had regular cycles prior to this, you should get pregnancy excluded first. You should get a trans-vaginal sonogram and see a specialist for a proper appraisal of your situation. It is important that the cause of your previous abortion is known as it could have an influence on your future conception. The cause of your pain could be anything from a premenstrual cramp to the pain of early pregnancy. Only an examination could identify that. Wish you good health." } ]
[ { "from": "human", "value": "Hi. I ve been trying for over a year now to have a child and am 28. Doctors results are in tomorrow to check if I m ovulating. I had a hard time coming off the pill . My periods due in 6 days - I ve been having a number of symptoms on and off all week. Between bloating , cramping pain like period that goes and comes , headaches , white discharge , and tiredness. Don t want get my hopes up again but does it sound possible I m pregnant ?" }, { "from": "gpt", "value": "Hello dear, Thanks for the query, please be OPTIMISTIC and hope for the best. Sorry to tell you, but I feel your symptoms are like Pre-Menstrual, anyhow get your ovulation test done, and get your husband (SEMEN ANALYSIS) also done, don't blame yourself, the problem could be with your husband. Sincerely, Dr Arif" } ]
[ { "from": "human", "value": "hello.... i m female married of 7 months...... i want to conceive.... i hav a problem of PCOD ....of which i m undergoing treatment.... my grandmother said a tip ...a cottonball saoked in glycerine into the vagina for 2-3 days before ovulation ......will release some water like....and will be easy in conceiveing,...... can u guide me about using glycerine into the vagina........ i will be thankful for ur answer....." }, { "from": "gpt", "value": "Hello dear, Thanks for the query, unfortunately there is no such treatment which will help you in conceiving, except it may help you in good penetration (intercourse). You should get your PCOS corrected, and get your periods to OVULATORY cycles. Hope you get pregnant soon. HAVE HOPE IN LIFE AND FAITH IN GOD. Sincerely, Dr Arif" } ]
[ { "from": "human", "value": "Hello, married since 3 years.. Trying to conceive since then..For about two years i had homeopathic medicine.. but did not get any positive results.. hence we opted for holopathy medicines.. For about 2 and half months am taking the following medicines..(Meprate and Glycomet)..Please advice me what effects will these medicines have in me.. are there any chances in getting pregnant and how long should i take these medicines for getting pregnant.." }, { "from": "gpt", "value": "Hi, Firstly, I would suggest that you see an infertility specialist who can assess you properly with all the necessary investigations before initiating any sort of treatment. Meprate is medroxyprogesterone, a hormone used to treat progesterone deficiency states. Glycomet is metformin, an anti-diabetic medication used when insulin resistance is suspected as a cause of anovulation. By maintaining the blood glucose levels, this drug aids in inducing ovulation. They may be taken until your doctor insists. Medroxyprogesterone may be changed to something safer while metformin can be continued. Please get further suggestions from your doctor. Take care." } ]
[ { "from": "human", "value": "Hi . I am 33 years old and trying to concieve,I had a miscarriage in september,..The doc said this could be ectopic bt it was jst 5 weeks so before anything could be done it was all cleared. My periods have resumed albiet for 2 - 2and half days as compared to 3 days earlier. Should i be worried about this?..what are the tests that i sould do now to ensure that i am safely try now...my beta hcg on follow up after two months was at 0.01 mg...i would like to do tests to ensure all is ok..including fertility . please suggest thanks.( i have urine infection problem too..do you think that may get in way?" }, { "from": "gpt", "value": "Hi, It is very sad that you had an unwelcome outcome of your pregnancy. The cause of that miscarriage should be thoroughly evaluated in order to prevent future complications. There is not much to be worried about the duration of bleeding so long as they are regular and without any further complaint. The beta-hCG level is normal. You should see a specialist and go through a series of investigations that could include a trans-vaginal sonogram, complete hormonal profile and tests of tubal patency. Urinary infection has to be cleared before attempt at conception is contemplated as this can lead to infertility. Please see your doctor for further suggestions. Take care." } ]
[ { "from": "human", "value": "Hi, My name is Krystal and i am 13 years old. My boyfriend and i sometimes spend the night with each other and the last time i went over there i gave him a blow job and he \"touched\" me and im soo worried that i might be pregnant! could that possibly get me pregnant? PLEASE give me your advice!" }, { "from": "gpt", "value": "Hello Krystal, I thank you for posting your query here and I'm definitely going to help you out.. Welcome to HCM.. Do not worry Krystal, this fear is common and I can say that you are safe! Don't worry.. I being a surgeon, we encounter so many such cases day in and day out. I read your question completely and have understood it well enough.. Please note these following things.. 1. You did not have Penetration. And there was no way he ejaculated into your vagina. In that scenario, there's absolutely no way you can end up in pregnancy. Never. 2. Blow job again will not lead to pregnancy.. So do not worry about it. Just chill out.. 3. Touching again won't cause pregnancy even if it's your vagina. Basically, the penis has to be unprotected, then go into vagina, ejaculate completely inside of the vagina and same time you should have ovulated. And then, there's chance of pregnancy. Your history is no where near to all these events. So do not worry.. 4. The scenario that you have told, I can say with certainty that you can not be pregnant. 100% sure of it.. 5. So suggest you to stop freaking out and be happy.. Hope this helps you Krystal, in case you need any further assistance, please let me know. Take care and God bless you.." } ]
[ { "from": "human", "value": "I had a birth control implant Implanon in my arm that was supposed to only be there for three years. but was there for five, I just had it removed a week ago and was curious as to how long it could possibly take to get out of my system and conceive a baby. I would assume it wouldn t take long at all because it was 2 yrs past due for removal and had probably had little to no chemicals left for my body to absorb but im not a doctor and don t know how that stuff works. Please help as we are very excited to try and have a baby and are very curious to a rough estimate as to how long it could take to get pregnant?" }, { "from": "gpt", "value": "Hello, I would be happy to help you with your question. You are right, implanon is supposed to remain in place for only 3 years, but there is a certain amount of hormone present that is still active for some time after that. Over the last 2 years (you did not indicate) I would assume that you had some resumption of normal cycles? Once you are having regular cycles (which might be delayed if there is still hormone in your system) then the chance of conceiving every month that you try is about 15-20%. 85% of couples will conceive within the first year off of birth control. If you have irregular cycles, you need to talk to your doctor. I hope that this helps and good luck!" } ]
[ { "from": "human", "value": "iam in my infertility treament and HSG report says that features suggestive of mild d extrorated uterus.Bilateral block(?Temporary)at fimbria.what does it mean I also have chocolate cysts in my left ovary . what treatment should i take to get pregnant.i am 31 years old.Is there any chances of getting pregnancy.suggest me any hospital which is in india near to tirupati" }, { "from": "gpt", "value": "Hello Thank you for your query. The HSG report says that your uterus is mildly deviated to the right, which is of no issue for conception. THe fimbria, that is the distal end of the tube is blocked. HSG cannot determine the cause of block. CHocolate cysts in ovary means that you are having endometriosis, in which there is collection of old menstrual blood within the ovaries, forming cysts and leading to adhesions, tubal blockage, destruction of ovarian normal function and hence infertility. Please consult a leading infertility specialist in your area for detailed workup. YOur ovarian reserve needs to be checked. You require a laparoscopy to confirm tubal blockage and if possible have surgery to open the blocked tubes Your partner's semen analysis is a must. Go through this link and choose a relevant hospital based on local reviews : Take care." } ]
[ { "from": "human", "value": "hi my name is Meagan my period cycle is not good if i miss one month i always get it the next month so im usually 2 months late at the most, sometimes when i do get it, it will last like 8 days and it s blood but its like water has been mixed in with it and its really runny, other times it will be really heavy, and sometimes not all the time i will have big clots of blood coming out of. Sometimes i will have the worse period pain ever esspecially in my lower back and it literally feels like im dying other times it will be fine. Me and my partner have been trying to have a baby for the past 2 years now but we still havnt been able to conceive.Went to the docters they havnt found anything wrong with me so im just looking for other answers you may have for me." }, { "from": "gpt", "value": "Hello thanks for your query. You are definitely suffering from irregular periods. That could be a problem in conception. Please let me know what tests and investigations have been done so far, so that I can guide you for further treatment. Common causes of irregular cycles are stress, anxiety, emotional upheaval, frequent travelling, rapid weight gain or loss. Thyroid disorder, adrenal disorder, high prolactin levels should be ruled out. Polycystic ovaries are a common condition which leads to irregular cycles and difficulty in conceiving. Your partners semen analysis should be done. Endometrial lesions should be ruled out. ovulation should be tested by a cycle or two of follicular monitoring. Fallopian tube patency should be assessed. Please consult an Infertility specialist at the earliest, and have a complete work up take care" } ]
[ { "from": "human", "value": "There was a boy who tried to have sex with me but he wasn t protected so I said no. He made contact for a VERY short time and never came in me. I ve heard he could have secreted, though, and there s a pregnancy possibility. I ve never had sex before, so I m scared and paranoid, for sure. I took the Next Choice pill like 5 days after it happened and I have light bleeding . I took a pregnancy test today and it said I was not pregnant. Am I just paranoid?" }, { "from": "gpt", "value": "Hello, Pregnancy is possible if unprotected sexual contact occurs around the ovulation period, even with a pre-ejaculate as it contains sperms. The emergency pill is mostly effective when taken within the stipulated time only. The pill contains high dose of hormone and can cause breakthrough bleeding as a hormonal disturbance is created. You should see a doctor if you do not get a period within ten days of your expected date and exclude pregnancy. In future, practice safe intercourse. Take care." } ]
[ { "from": "human", "value": "hi. i wanted to know if i could be pregnant. i had my first day of period on 17th feb 2013. on the 7th march 2013 i had foreplay with a guy. i gave blow job to the guy and he ejaculated on the floor. 10 mins after ejaculation ,we both got naked and he started rubbing his penis on my clitoris and vagina and ejaculated on my breast i wiped it off immediately. i could feel he was little wet and even i was. we rubbed for 2-3 minutes. it was 18th or 19th day on my cycle when this happened, and my cycle is usually 28 or 30 days. when i went home i washed my vagina with water, 1 hour later i saw traces of blood on the undergarment(i usually spot during ovulation ). and i consulted a doctor and 4 hours after the act, i took a emergency contraceptive pill. are there chances of me getting pregnant. we din not have any penetration or intercourse. please reply." }, { "from": "gpt", "value": "Hello, I would be happy to help you with your question. Given the lack of vaginal penetration AND the fact that you took emergency contraception, then the chance of pregnancy is small ( I hope that this helps and good luck!" } ]
[ { "from": "human", "value": "I had sex on the 8th of march, the 11th of march, and the 13th of march (all with protection) however on the 8th of march we were both very intoxicated so i have no idea if the condom broke/slipped off at any moment and he jumped up at one point and told me he had to change his condom so there is a posibility that something happened. on the 13th, i noticed a very light, pink bleeding that lasted for about an hour and then stopped (before sex). the next day it was heavier, but not like a normal period, and then the next day it was very very light, i used a tampon and it was brown colored and not very much. after that day it ended completely the next day. about 2 weeks later i took a pregnancy test (clear blue) it said negative, a couple days later i took the other test which also said negative. It would be about 3 weeks after the first incident. I have been nauseaus,I have headaches , dizzy, tired, my boobs are sore to touch, and my nipples and areola seem a bit darker. Is there a possibility of pregnancy, should i get checked out? should i wait until i miss my period and test again? or am i just freaking myself out?" }, { "from": "gpt", "value": "Hi thanks for your question. Pregnancy test turns positive one week to 10 days after missed periods.So first wait for your periods,if your periods are delayed by more than one week repeat pregnancy test to confirm or rule out pregnancy. Hope this answers your question." } ]
[ { "from": "human", "value": "I am TTC with my husband. Only problem is when I get a positive OPK after we have sex I find that I am sore and the tissues feel irritated and raw. Which makes it difficult to have more sex as the soreness puts me off. Is there anything I can do to prevent this as we would like to be able to have sex once a day during my fertile period...." }, { "from": "gpt", "value": "Hello, The cause of soreness is most likely due to lack of lubrication or too much pressure. This can be alleviated by using lubricant creams,but, please remember that certain creams are harmful to the sperms. It is sufficient if you can have unprotected intercourse on alternate days during the fertile period. Some precautions that can be taken are-do not move and lie in a supine position if you have an anteverted uterus and in prone position if you have a retroverted uterus for at least half-an-hour after the act. You may visit a specialist for further suggestions. Good luck." } ]
[ { "from": "human", "value": "Hello – my wife and I have been TTC for a little over a year now with no success. We decided to go to Fertility Center of IL; her results all came out positive, even tho she has one ovary (left one). My results came from the SA test were 47.7 Million (Count), 62% ( Motility ) and 2% (Morphology) – I was told my sperm morphology is low as the avg is 14%. I was also told to take CoQ-10 and Fish Oil. Would this really improve my Morphology? And if so, how long until we would be able to conceive? I would really, really appreciate some answers!! Thank you!!!" }, { "from": "gpt", "value": "Hello Thanks for your query. Sperm morphology — the size and shape of sperm — is one of the things checked in a semen analysis for male infertility. Sperm morphology results are reported as the percentage of sperm that appear normal when semen is viewed under a microscope. Normal sperm have an oval head with a long tail. Abnormal sperm have head or tail defects — such as a large or misshapen head or a crooked or double tail. These defects may affect the ability of the sperm to reach and penetrate an egg. However, having a large percentage of misshapen sperm isn't uncommon; in fact, if your sperm sample contains only 4 percent \"morphologically normal forms,\" it's considered normal. Morphology is just one piece of a fertility analysis and, by itself, does not determine fertility. Other important factors checked in a sperm analysis are: Semen volume Total sperm number Sperm concentration Vitality of sperm Motility of sperm If a semen analysis shows irregularities in any of these areas, a wait-and-see approach is generally tried first. Another semen analysis is usually done after four to six weeks to see whether sperm quality has improved on its own. If there are still abnormalities, tests may be necessary to look for an underlying problem. Common causes include Infections High fever Usage of illegal drugs Alcohol consumption Congenital testicular abnormalities Varicocele – Enlargement of veins within the scrotum Toxin exposure causes reduced sperm motility Cigarette smoke causes abnormal morphology Organic solvents causes coiled tails An assessment by a Urologist is a must for diagnosis and treatment. Even with abnormal sperm morphology, motility problems or a low sperm count, it's important to remember that an abnormal semen analysis does not mean you are infertile. Many men with low semen analysis values are still able to father children. It just may take longer, a year or more. If you and your partner aren't able to conceive through sexual intercourse, assisted reproductive technology such as in vitro fertilization may be an option." } ]
[ { "from": "human", "value": "Hi My wife and myself are desperate to get a baby. She has ovulated and yesterday egg has been released (Dr confirmed this via scan). Dr has asked us to have intercourse for the next 3-4 days. Today, however hard i tried, i couldn t ejaculate. So i masturbated and immediately (within a second), took the sperm in hand and put it in her vagina . Is there any chance of pregnancy by this way ?" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. If you have deposited the sperm in her vagina then the chances of pregnancy are there but not very high. With the natural method of conception, the sperms are deposited high up in the vagina near the uterine opening. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "human", "value": "Sir, I and my wife s married life is more than 4 years old. We have not tried for a baby during this years. When last November 2012 we have tried positively for a baby, the periods of my wife delayed 10 days. After than two months we have not tried positively. Again we have tried in month of February 2013 but in this March her period delayed 13 days. But every months her period started in regular interval. I want to know what is the problem happened to getting her pregnancy and the remedy is." }, { "from": "gpt", "value": "Hello, Firstly, you should give yourself some time-like 6 months with continuous trial for natural pregnancy without using any contraceptive methods and timing the intercourse to around the fertile period around ovulation as your wife gets regular periods. If pregnancy dose not occur during such period, see an infertility specialist for further assessment and support. Occasional delay in the periods is normal and can be due to stress, hormonal disturbances and trauma. Take care." } ]
[ { "from": "human", "value": "i am unmarried of age 24yrs ,iam having polycystic ovaries. As per doctor's advised I am continuously taking krimson 35 since last august 2010. Now doctor told me to stop taking medicine.Now i have no problem. I want to ask that, is it can reoccur again and is it creating problem during conceive. Shall I get married immediately?" }, { "from": "gpt", "value": "Hi, Thanks for the query. I understand your concern. Yes, polycystic ovarian disease creates problem in conception .. as pcod involvs absence of ovulation ( that is essentual for conception) . But you had taken Courses of Krimson -35 . There is possibilty of correction of ovulation problem. You should get your ovulation study done to confirm the normality. Try for conception (unprotective sex around ovulation day) Thanks." } ]
[ { "from": "human", "value": "i am married and trying to conceive, unfortunately not yet. we consult a doctor scaned my wifes vagina , she having regular periods, no sugar, slim, 47kg 28 year old, doctor priscribed GLUCOPHAGE 850MG daily one to improve ovulation . i chcked on google and its using for type 2 diabetics shall i have to continue this ?" }, { "from": "gpt", "value": "Hello, PCOS is a common disorder in women of reproductive age, affecting 5–10% of premenopausal women.Women with this syndrome may present with menstrual irregularities, chronic anovulation, infertility, obesity and hyperandrogenism. Insulin resistance and compensatory hyperinsulinaemia are prominent features of PCOS . Metformin won't restore ovulation in all people. it is more likely to do so in those that are overweight, as they have more significant insulin resistance. Long term use can also lower androgen levels which can help, but full effect can take 6-8 weeks. In general, in a lean PCOS patient, it is usually less likely to restore ovulation. If you are trying to conceive, you need to consider other alternatives than just metformin alone. Since you are lean and slim,I have my doubts regarding the use of metformin in you. You should discuss with your doctor regarding this. Metformin  reduces insulin resistance of peripheral tissue and allows muscle and adipose cells to utilize glucose at normal insulin levels. Since type 2 diabetes associated with overweight and diabetes and PCOS patients have marked insulin resistance,this drug is commonly used in both conditions. Thanks" } ]