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[ { "from": "human", "value": "dears,,,, i was having an ectopic preg. last year , i made laproscopy without removal of the tube. since last august i was trying to conceive but every month the period was not coming on its time and at last i discovered that i am having pcos ..my doc. had prescribed me glucophage .. and merional this is the third month to use merional .. iam waiting my period today as every month since using merional it comes on 20 th .... i cant wait to have pregnancy .. and if not what could be my next step .. and i am afraid of having ectopic again" }, { "from": "gpt", "value": "Hello Thank you for your query. Firstly, you should consult an Infertility Specialist. PCOS leads to irregular periods and irregular ovulation. Hence, you might need treatment in order to ovulate and conceive in the form of ovulation inducing drugs and / or injections. Moreover, you need to have your fallopian tube patency assessed, as that might lead to infertility, specially since a previous ectopic can damage or block the tube even if it was not removed. Your partner's semen analysis needs to be done. All said and done, consult a Specialist for detailed work up and treatment Take care." } ]
[ { "from": "human", "value": "Hi doctor i have a big question Okay so me and my boyfriend were trying to get pregnant for a while we have tried 3 times and fail this last time we tried was weird my last period was on December 28 2012 I supposed to get my period at the end of January or so but I didn t I was late for 3 weeks and got it on February 13, 2013 for 4 days which was weird cuz my period always last for 6 or 7 days and yes it was dark red like normal when are my fertility days to get pregnant? This last time we had sex when he got up of me something was leaking it looked like water I don t know if it was his sperm or it was me please help me!!!" }, { "from": "gpt", "value": "Hello Thank you for your query. The leaking fluid you describe is seminal fluid, which liquifies after some time, and might appear watery. Regarding your fertile days, if you have a regular 28 day cycle, ovulation occurs on day 14, so for 2 days before and after it, are your fertile days. If your periods are irregular, you cannot count the fertile days in this manner. You should use Ovulation Predictor kit or follicular monitoring for knowing precise dates. Also, you should get yourself investigated for irregular menstrual bleed. It could be early pregnancy which miscarried, stress, anxiety, weight changes, thyroid hormonal fluctuations or polycystic ovaries. The consultation is all the more important since you are trying to conceive. Take care" } ]
[ { "from": "human", "value": "Hi.. My name is Bindiya and i am 32 years of age. Last month my egg ruptued on 21st day of after getting my periods. Usually i ll get my periods in every 27 days. Is it necessary that every month the egg ruptured period will be same as 21st day?.. Many people suggested me to postponed my periods by taking postponed tablets to get conceive? Kindly guide me to get conceive soon.." }, { "from": "gpt", "value": "Hi, Thanks for the query. You didn't mention how you verified the ovulation. Usually after ovulation it will take around 14 days for the onset of periods. But according to your previous cycles 27 days cycles, you should have early ovulation. So you better consult gynecologist, undergo follicular study to track the ovulation and plan unprotected intercourse around the period of ovulation. This can increase the possibility of pregnancy. Don't use pills for postponement, that is not correct. Take care." } ]
[ { "from": "human", "value": "Hello doctor, We have one normal baby girl of 8 years old and we are planning for next baby from the last 7 years but not succeed still now. 5 times my wife get pregnant but pregnancy were not reach more than three month after 2 to 3 month babies heart bit not found, our both all reports like, semen test, torch, blood reports, even leproscopy, genetic reports all are normal. What will be the problem ? , what kind of medicine we try?" }, { "from": "gpt", "value": "Hi, Thanks for the query. Once check for the positivity of antiphospolipid antibodies in your wife. If that comes positive she has to take steroid treatment for few months. Then your wife can go for ovulation induction with your doctor's advice and you plan intercourse around the time of ovulation. After conceiving let her continue the pregnancy with the support of progesterone and aspirin etc. By these the possibility of future fetal loss can be prevented to some extent. Take care." } ]
[ { "from": "human", "value": "Hi, I am married for 1 year and 6 months now, trying to conceive but not sucessful yet. I underwent few tests and they were all normal. Now am advised to have Fertyl 50mg from 3rd to 7th day of my menstrual cycle. I want to know the reason why i cud not conceive still and will fertyl be helpful. I want to conceive as early as possible. Kindly advise." }, { "from": "gpt", "value": "Hi, The reasons for delay in conception could be many. The timing of intercourse should correlate with ovulation, ovulation should be normal, tubes should be patent, uterine factor, cervical factor should be favorable, there should be normal male factor and so on. Fertyl is given to induce ovulation when natural ovulation fails or is low and irregular. Even with natural ovulation, induction will help enhance the process. Please follow your doctor's instructions and have a complete evaluation for speedy and good result. Take care." } ]
[ { "from": "human", "value": "Hello, I have been off and on the pill for the past two years. I missed a pill about day 13 on my cycle. My boyfriend and I still had unprotected sex. I had also been taking my pills at very different times during the day. It is about a week before my expected period and I am lightly spotting and have cramps . What are the chances I could be pregnant?" }, { "from": "gpt", "value": "Hi, Thanks for the query. As you didn't use the pill in prescribed schedule, the complete protection cannot be expected. The symptoms you are experiencing could be withdrawal effects of the pill. But now the possibility of the pregnancy cannot be excluded completely. In that case the spotting you are experiencing could be implantation bleeding also. So, you better wait till your expected date of periods and if you miss the periods, go for pregnancy test once. Take care." } ]
[ { "from": "human", "value": "Hi, my name is Kasturi. I and my husband have been trying to start a family, but our very first attempt at it has been a failure and we are both quite depressed as I could not conceive after having intercourse on my 10th, 14th and 18th day of MC. My husband feels it may be because of him suffering from jaundice three months ago, while I feel it may be due to the anti-depressants I had to take some months back. Kindly help. Many thanks." }, { "from": "gpt", "value": "Hello Kasturi Thanks for your query. Get a semen analysis of your husband. As far as anti depressants are concerned there is nothing to be concerned. Chances of conception is 20-25 % every cycle even if everything is normal. So you both need not worry and keep trying. Chances of having healthy baby at the end of one year of trying is as high as 85%. Good luck. regards, Dr Nilofer" } ]
[ { "from": "human", "value": "hi, i m 31 yrs old female.i shifted to canada 1 yr ago..we ve been trying for a baby for a year.my Dr. gave me prenatal tablets which i have been taking for 8 months.every month my menstrual cycle exceeds and last time it ws 35 days.i calculated my ovaluated days from this site..but the problem is my cycle varies.my question is does any kind of brown discharge/light spots or feels like period is a symptom of ovaluation? or i shifted from asian country so does different foods/wheather accountable for delaying concieve a baby? plz reply me as soon as possible, thnx" }, { "from": "gpt", "value": "Hello Thanks for your query. Shifting countries does not lead to infertility. Your cycles are delayed, so you need to be investigated for that. Causes could be stress, anxiety, recent weight gain or weight loss, thyroid disorders, polycystic ovaries etc. If you have been trying for a year now, I suggest you consult a good Fertility specialist for a complete work up and evaluation. Also, you need to continue taking prenatal vitamins. Also, sometimes, during ovulation, you might feel mild period like pain or have slight spotting, but these are not reliable, specially with irregular cycles. take care" } ]
[ { "from": "human", "value": "hi me and my partner have been trying for a baby and i have a strong feeling i am pregnat but recently a day after my period was due i started bleeding a fair bit but not as heavy as normally because i did bleed wih my last pregnant with my daughter and i was pregnant and i didnt show up till i was 7 weeks pregant plus when this happened they said i had miscarryed but if that was true i would have been 4 weeks pregant so i wanted to know i am i pregnant" }, { "from": "gpt", "value": "Hello, As you are trying for pregnancy and you had less than normal bleeding, you should get a urine pregnancy test done or for more confirmatory evidence, get a blood test for pregnancy hormone that is b HCG done As, implantation bleeding around the time of expected period is common. hope this is helpful to you. Dr. Mrs. Sumeet Baheti" } ]
[ { "from": "human", "value": "i am42 yrs lady with diffuse adenomyosis of my uterus.my uterus size is 8*6 cm at present,I hav my embryos frozen .Is it feasible to transfer the embryos into my uterus right now?what about the implantation potential?Is it better to opt a surrogate mother to transfer the embryos?" }, { "from": "gpt", "value": "Hi, I think you will have to undergo repeated ultrasound to see the endometrial thickness. You can take estrogen for the growth of endometrium and when it reaches a thickness more than 8.5 mm , you can take 3 or 5 days of progesterone according to the embryos frozen and then transfer can be done. If your endometrium doesn't grow normally and it is very thin or if there is history of recurrent miscarriages, you can opt for a surrogate." } ]
[ { "from": "human", "value": "I am trying to get pregnant and have started taking femara and oviderel to help. Last month I never had a period with flow, but I had spotting for 7 days and towards the end the spotting was bright red. Pregnancy test was negative, we started another cycle of femara and ovidrel . I am now on day 19 of my cycle with bad cramps and bright red bleeding . This seems to be the start of my period with how I feel and the normal flow except it is day 19. I feel like I am not going to be able to get pregnant if we don t figure out why I am having irregular periods. What should be looked at for figuing this out and what could be causing this?" }, { "from": "gpt", "value": "Hi, Thanks for the query. Better to undergo ultrasound once to rule out possibilities like poly cystic ovary disease or any other structural abnormalities. Hormonal evaluation should be done, including thyroid profile, prolactin levels, estrogen, progesterone, FSH, LH etc. With this primary workup the possible causes for your irregular periods can be made out and treatment can be given accordingly. Take care." } ]
[ { "from": "human", "value": "I had sex yesterday with my boyfriend, it wasn t unprotected as I am on the combined pill . But I had my period last week, and I took the pill on Sunday. It says you are supposed to take the pill for seven days to be completely protected. But we had sex on the sixth day and he ejaculated inside me. Last night I had a dream about all of my friends being pregnant. And this morning my stool is not solid, but it s not diarrhea form, it s quite soft. I was just wondering what you thought about all of this." }, { "from": "gpt", "value": "Hi, Thanks for the query. The chance of pregnancy is less, as you had intercourse in the first week of the menstrual cycle. During that period there is less possibility for ovulation in case of regular periods. When you think of something that can come in our dreams. And consistency of the stools can change depending on many factors. So you continue the tablets. Any if you miss your expected date of periods just go for pregnancy test once to rule out the possibility. Take care." } ]
[ { "from": "human", "value": "I am a 27yo female, my periods have been irregular all my life and since I have been recording them (about 7 months now) they are anywhere from 35 to 51 days . I have been TTC my second child and have had swollen breasts mainly the right one, with mild pain every now and then. I have been cramping for over a week (which I do not normally have with my period) my period tracker is telling me that my period is three days late and I have had mild thrush on and off through out the last two days. This was my main sign for my first pregnancy as I do not normally suffer from thrush and I remembered my mother daying shse had it with her first pregnancy. I have tested negative today on a first response home pregnancy test . I have also been tired everyday at 3pm for the last 5 days. And a lot more hungry than normal. If I am not pregnant what else could be causing all these symptoms?" }, { "from": "gpt", "value": "Hi, Thanks for the query. Most of your symptoms are non-specific and can be seen in many conditions like premenstrual phase, infections etc. So you better wait till your expected date of periods and if you miss the date, then go for pregnancy test. If possible you can prefer blood test for pregnancy which will give more accurate results compared with urine test. If test comes negative, you better consult gynecologist and take treatment to regularize your cycles and for ovulation induction, which can possibly help in getting pregnancy. Take care." } ]
[ { "from": "human", "value": "Dear Mam/sir , My Name is neetu Datta (38). I have a daughter who is 12 yrs old. delivery was by C- section. one year after the delivery I conceived again but due to some reasons there was miscarriage ,After this me didn t try to conceive again till 2005. none for last 7-8 years we are trying w/o any luck so far. in 2007 I was operated for endometriosis which was successful. on the advice of doctor ,I also got the HSG done to check of the tubes are fine and even that was also reported to the fine But despite of many tries, I couldn t conceive. Finally we decided to go for IUI(2009), but still no luck.all the test on my husband were also O.K. very recently also we got the IUI done again, but still no result. I am writing this to you to get your valuable advice in this case. I will be very grateful if you can give me an appointment to meet you and discuss the case. I have heard a lot about you. Request you to consider my case. Last week I had gone to AIIMS, and was suggested to get AMH (ANti Mullerian Hormone) test done. I got this test from Dr. Dang s lab (Delhi-Hauz Khas). Result is : 0.37 ng/ml Infertility work up baseline TVS Right Ovary size 17.9 * 13.3 * 16.8 cm AFC 5 Vol 2.4 Laft Ovary size 17.8* 14.6*15.4 cm AFC 3 Vol 2.1 kindly suggest if can be improved with medication , and whether I will be able to conceive naturally? Thanking You Neetu Datta" }, { "from": "gpt", "value": "Hello Neetu Thank you for your query and for your detailed history. Firstly, your chances of natural conception are quite less. You have already had surgery for endometriosis, and HSG is not always reliable. Your tubes could have suffered a damage, which is best confirmed by a diagnostic laparoscopy. ALso , endometriosis surgery affects the ovaries, leading to decreased ovarian reserve. Age 38 also causes decreased efficiency of ovaries to produce eggs. This is reflected in both your AMH, which is very low, and your AFC, which is low too. With these values, it would be foolish to wait for natural conception. ALso, your husband's semen analysis needs to be done. YOu have two options - either straightaway go for IVF ( in vitro fertilization ) or go for a diagnostic laparoscopy and maximum 1 -2 more cycles of IUI if findings are normal, and then IVF. Please consult a leading Infertility specialist in Delhi take care." } ]
[ { "from": "human", "value": "Hi, I am Madhu. I am trying for my first baby. I did my follicle test and ovulated on the 17th day. I had physical contact during my fertile period. Now my doctor has prescribed susten 200 which I have started taking from yesterday (1st March-26th day). Today I am getting abdominal pain . Is this due to the medicine or the indication of next period? Will I conceive?" }, { "from": "gpt", "value": "Hello, Susten is a natural progesterone and does support healthy conception and pregnancy. Progesterone plays a major role during the two weeks after ovulation because it supports embryo implantation. When the egg is released during ovulation, progesterone is secreted by the follicle that used to contain the mature egg. This follicle now becomes the corpus luteum and produces progesterone for the next 14 days of the menstrual cycle. This part of the menstrual cycle is called the luteal phase and it should last for 14 days. During this time the lining receives the fertilized embryo. By supplementing with progesterone, it is possible to support pregnancy and prevent miscarriage by supporting the luteal phase of the menstrual cycle. Your pain abdomen doesn't seem to be due to susten and it could be due to impending periods. However,Just wait and watch and pray to the god that pregnancy,if there,gets sustained. Even if you happen to fail this time,there is nothing o get disheartened as you will get plenty of opportunities in future. Thanks" } ]
[ { "from": "human", "value": "Hi mam I lost my pregnancy due to weak growth of baby.done torch test.igg-200, rubella igg-160.38, cytomegalovirus virus igg- 15.17.all r very high.docter prescribed torch nil tab for 3month.nw it s almost 2 months over.i want to know how much time it will take to cure.is this 3 month is enough.i wish to get pregnant as soon as possible." }, { "from": "gpt", "value": "Hello there, Thanks for writing to us. After a missed abortion, you can plan for next pregnancy after a gap of 3 months. The torch test results which you mentioned are all IG- G reports, which indicates infection in past and is not significant. The most probable cause of early pregnancy loss is chromosomal abnormalities. You can plan for next pregnancy after a gap of 3 months and you should start taking folic acid tablets pre-conceptionally. Hope I have cleared your doubts. Dr. Mrs. Sumeet Baheti" } ]
[ { "from": "human", "value": "may be, i am 23 years old woman and i hv been married for two years now! after trying for a baby for a year i had a miscourage at 10 weeks, now it been a year since miscourage that i m trying for a baby! im also dealing with everyday headach wich dnt go away and my doctor priscrib me all the kind of medication , nothing is working.i had even a cutscan and mri etc...pls help me i want a baby for my husband" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. Since you have had a miscarriage earlier, there should not be any problem in getting pregnant again. You should time regular intercourse with your husband on every alternate day during the fertile period of your cycle-from day 9-18. 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 Doctor,I am looking for Gynacologist advice I am 35 yr old and have a 8yr old daughter,my husband is 40yrs now. We are planning for 2nd child now from the past 1 yr but in vain. This october 2012 I was diagonised this THyroid on border line. Doc advice to take Thyronorm 50mg . Now the throid levels are normal After sex the semen spills out of the vagina even after keeping a below under the hips and spill is around 2-3 times after intercourse. Kindly suggest what is the best measure or method to ensure pregnancy occurs." }, { "from": "gpt", "value": "Hello there, Thanks for writing to us You need to continue thyroid medication. You need to consult a gynaecologist and need to get tests done to find out any other factor for infertility, like semen analysis, tubal patency test by HSG, baseline USG. Depending on the results of the tests, you would need so e treatment for conceiving. Hope this is helpful to you. Dr. Mrs. Sumeet Baheti" } ]
[ { "from": "human", "value": "Hi, I am 33 years now . I am married for the last 11 years got a kid after 5yrs with treatment in 2006 ..No IUI and No IVF . after that got ecotopic pregenency in 2007 and left tube removed. Now for the last one year i am trying for second kid.All my blood reports ,AMH, HSG reports are normal.Still i am not seeing the positive result. We decided to go for IUI from now onwards.Can somebody suggest this would help or not and what could be my problem." }, { "from": "gpt", "value": "Hello, I would be happy to help you with your question. I think that you should still be concerned about the remaining tube. For the same reasons that you had the ectopic in 2007, your other tube might be diseased as well in a way that was not detectable on HSG. There should be consideration of a laparoscopy to look at the other tube, and to assess for adhesions. I only suggest this because IUI is expensive, and if the remaining tube is not functional or there are adhesions, then it will likely not work or you will be at risk for a recurrent ectopic pregnancy. I hope that this helps and good luck!!" } ]
[ { "from": "human", "value": "I am 29 years old. I had IUI last month (12th day) and the result was negative(Got periods on 30th day). Again planned for IUI this month, Also taken OVOFAR 100mg tablet for 5 days and had 3 Menotrophin (GMH HP 75) injections on my 5th, 7th and 9th day. On day 9 - follicular study I have got only one follicule about 17mm in left ovary . I expected atleast two follicules, What is the reason for only one follicule?" }, { "from": "gpt", "value": "Hello, You begin with many follicles ( regardless if you are fertility meds or not) each containing an egg and competing for dominating position and hormones. Around cycle day 8, one becomes the dominating follicular and will be the one that ovulates. Most of the other follicular have dies or are too small in size to have a chance to ovulate. These remaining small follicular stay around to support the dominating follicle  by producing hormones for it and the lining. This is the nature' s way and nobody can predict on which side of ovary,you are going to ovulate. It is perfectly normal to have one follicle and why it happens,no body knows. Thanks" } ]
[ { "from": "human", "value": "I am married for about 4 months.i am getting periods in 45 days 50 days by last one year.i had a problem of PCOS.i dont know its still present or not.On march 19 i got my periods after that i didnt.i consulted a gynec.she gave me dupahsaton 2 tablets 3 times for 5 days.after finishing tat on 4th day i got periods.what is my chance of ovulation this month?.am i get pregnant?" }, { "from": "gpt", "value": "Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and a ultrasound for your uterus and ovaries to find out the cause of irregular periods. It can be due to some thyroid disorder or may be polycystic ovaries. If anything is abnormal, it can be treated. You can track your ovulation by repeated ultrasound. It will tell you if ovulation is happening or not. If ovulation is not happening, you can take some medicines like clomiphene for ovulation. Talk to your doctor regarding this." } ]
[ { "from": "human", "value": "Hi I am 34 and have been trying to concieve just over a year in that time I had a miscarriage so took a break as my cycles went a bit wonky, this cycle I decide to try soy isoflavones cycle days 2-6 a dose of 80mg day2/3 120mg 3/4 and 180mg day 5, I was fine taking them and got a positive opk day 12 (I have a normal 28/29 day cycle now) had positive for 4 days, day 14 I woke really Ill, I was feeling sick before I even got out of bed, that day I was sick, had really bad headache all day, couldn t have bright light on in the evening, stomach was bloated anything touching it felt uncomfortable, had low abdominal, back and hip pain, and maybe it was feeling Ill buy I was very emotional, I didn t eat much but forced a bit down but I can t remember moving my Bowles that day and urine was very dark, had very strong positive on opk, do you think I could of had ohss, I ve not really seen it with soy isoflavones more so with ivf treatment?" }, { "from": "gpt", "value": "Symptoms are suggestive of ohss,but can't be confirmed until you get a sonography done a few blood tests done,I would advice you to meet your doctor and follow his advice. It might be just stress related also but get a check up done once. Take care." } ]
[ { "from": "human", "value": "Hello I am a 31 year old centrally obese female with PCOS . I have done HSG and found to have patent tubes . My husband s semen count is also good. I have been on, metformin , folic acid and siphene 50 mg for the last 6 months without any folliculometry done to detect if the dose was okay. Recently I changed my physician and he did a folliculometry on the 13th day of my last cycle only to found out that there was no sign of any egg formation. My periods are regular now (though it was very irregular before taking metformin and folic acid) at around 34 days cycle. My new doctor gave me 45 pills of ovares to take and then then to increase the dose of siphene to 100 mg for five days and go for another folliculometry. I am afraid as to whether I will ever be able to concieve or not.......I am very worried. Please help" }, { "from": "gpt", "value": "Hi, PCOS responds very well to properly assessed treatment and so, do not worry. There are a few things you can do. Reduce your body weight by at least 5-10% as brings a significant improvement in your hormonal status. Do some regular daily exercise. Avoid fatty and fried foods; instead include more fruits and fresh vegetables in your menu. The dose of Clomiphene can be raised up to 150 mg. per day if lower doses do not induce ovulation. Proper monitoring of the cycle is necessary. Since you have regular periods after Metformin, you are likely to respond to Clomiphene alone. Please follow your doctor's instructions. Good luck." } ]
[ { "from": "human", "value": "Dear doctor, I would like to ask if is it possible for me to get pregnant if my boyfriend and I were just dry humping for a few minutes. He was wearing an underwear while I m not, and we were pretty sure the tip of his penis did not touch my vagina at all. Moreover, his underwear was quite thick as it is double layered. Throughout the whole session, he did not ejacuate at all but he might have precum which he is unsure as well. It has been a week, this happened last friday. And 3 days ago I started losing my appetite and feeling bloated, I also burped a lot at night when I was on my bed using my laptop. I have never lose my appetite and burp a lot prior to menses before. Maybe I did but I didn t pay attention to them last time. As I have went through many researches online, it seems like the symptoms of early pregnancy and PMS is very similar, which is why I am very worried and scared. I feel like vomiting whenever I am nervous these days. I think I may be too stressful or because my period is coming as I have not missed my period yet. I remember my previous period was on end of January, so it will probably start soon as I have seen brown discharge early this afternoon. Please help me! I would like to know if I am pregnant or just period is coming?" }, { "from": "gpt", "value": "Don't think that you might be pregnant from what you describe but can't be confirmed until you get your periods ,so wait for your natural cycle,don't get stressed everything would be fine.It might just be PMS,nothing else. Don't worry. Take care." } ]
[ { "from": "human", "value": "Hi, I am 23 year s old & married, trying to conceive from past 1 year my doctor told me to do follicular study and the result for 10th day was right ovary 22X20, 18X15 mm. left is small and Endometrium is 9mm, and doc told me to take lupride injunction, 8 feb was my date but i dint get periods and 10th feb i checked my pregnancy but it clearly showed negative and my doc told me to check again,,, is there any chances will be there???can i check again? and also i have irregular periods .... please can anyone suggest me" }, { "from": "gpt", "value": "Yes if still you did not get your periods do a pregnancy test you might be pregnant. If negative go for a sonography to know why didn't you get your period. For irregular periods get a thyroid test done and a sonography. Meet your doctor with the reports.and take medications for regularising he epriods, one of the reasons for not concievingmight be irregular periods itself. Don't worry All the Best." } ]
[ { "from": "human", "value": "Hi I am 27 years old It has been 4 years since our marriage . but still I am not able to become pregnant when we consulted a doctor she performed a HSG in which the results was Left corneal block, right fimbrial block, no free spill of contrast both sides... I just want to know whether there are any chances for me to become pregnant normally without any other surgeries" }, { "from": "gpt", "value": "Very little chances of you becoming pregnant naturally as the path through which the egg travels is blocked on both the sides. So you need surgery to open up that path and then try foe pregnancy. All tge best" } ]
[ { "from": "human", "value": "hi last month my preiod delay for 45 days and i hav a little abnormal flow i went to th doctor and she suggested me ultra sonography i find a little big cyst in my right overy , so my question is can i try for a baby this month my ovulation time while i tk the medicine cycloreg as prescrib by my doc plz suggest me am very tension and desperat to tk a baby." }, { "from": "gpt", "value": "You might concieve this month,depends on the size of the cyst,as you are on cycloreg medication it would regress,Just get a sonography done if you get the periods this time,after the periods to confirm whether cyst has gone or not. And if you miss your periods then the good news is here. So don't worry and relax. All the best,take care" } ]
[ { "from": "human", "value": "trying to conceive from 7months.Had an HSG .results came back normal.Right now am on clomid ,the very 1st cycle on clomid from day 5 to day 9.And a premarin on day 9th and 11th.Today s day 12th and am having severe pelvic cramps and back pain and also severe thigh pain.I usually get very bad cramps and pain 6-7days before my period s due.This is happening for the very 1st time." }, { "from": "gpt", "value": "Hello Welcome HSG may cause pain lower abdomen but you have not mentioned the month in which the procedure was done.Premarin is a conjugated estrogen so it is better to take evadiol which contains estradiol valerate .Estrogens are taken from 6th to 9th day of the cycle along with clomiphene citrate which is given from second to 6th day of the cycle.You can take tablet meftal spas for the cramps and thigh pain under doctor's prescription.Get proper investigations done for the infertility treatment like FSH , LH , Estradiol , Progesterone , prolactin , Thyroid profile and follicular studies etc. Best wishes and good luck" } ]
[ { "from": "human", "value": "dear dr. i am raghvendra singh 33yrs. i had got my sperm test done. it showed 30million. and the dr prescribed the following meditions- carnitor-500 and addyzoa capsule and fertyl m tablet . my wife is also 33yrs. her reports are normal. we r trying to get baby , but there is no sucess. we r married for 3 yrs. i am in army and stay maximum far from my wife. but meet maximum time when there is fertile time ,that is after her periods 7th day to 20days. kindly guide." }, { "from": "gpt", "value": "Hi thanks for your question. You have mentioned only one parameter of your semin analysis that is sperm count.What about other parameter like morphology and motality.The other two parameters are also imprtant. Your sperm count is normal.The drug prescribed to you are all supplementary.I would suggest you to remain under regular treatment of a gynacologist,who will be able to evaluate both of you for infertality. Hope this answers your question." } ]
[ { "from": "human", "value": "i have been having a spotty period. not the norm for me. i usually get it for 5 to 7 days with at least 2 days of nothing then it starts back. well this round i started as normal but ended after two days and uts been spotty. im not having to use tampons or pads like i do with a normal period. and today i vomited and i have jot actually vomited since i was pregnant 9yrs ago. However my tubes r tied but i was told i still have chance of conception . so my symptoms are spotty period... vomiting and tiredness." }, { "from": "gpt", "value": "Hello Thank you for your query. Tubal ligation has a failure rate of 2 - 10 per 1000 women ligated. Which means, it is not 100 % effective, though highly effective. Hence, yes, there could be a chance of pregnancy in your case. Other causes of irregular cycles are endometriosis, stress, anxiety, metropathic cycles, weight fluctuations rapidly, polycystic ovaries, endometrial hyperplasia, hormonal medications etc. Also, a word of caution, erratic spotting could herald an ectopic pregnancy, and after tubal ligation, chances of ectopic pregnancy are much higher compared to chances of an intra uterine pregnancy. Please consult a gynecologist at the earliest for the diagnosis. take care." } ]
[ { "from": "human", "value": "Hi, Thanks for your time. Am Raychelle. I have unprotected intercourse on the 13 Feb at 10:30pm, I took Postinor 2 on the 15 Feb at 4pm. I had unprotected intercourse again on the 16 Feb at 11:30pm, took postinor 2 on the 17 Feb at 2:30pm. Had intercourse again on the 18 Feb, took postinor 2 on the 19 Feb at 4pm. My periods are due on the 22nd Feb. Kindly advice if I might get pregnant. Thank you" }, { "from": "gpt", "value": "Hi and thanks for you query, the drugs you take are for what is called emergency contraception. Its efficacy when taking at most 48 hours after intercourse is greater than 80% in preventing pregnancies, and even more when taken earlier. Considering the fact that you were exposed to spermatozoa many times during your fertile period, the chance of getting pregnant is a little bit higher. Combining a such times with other methods like the condom could be advisable. However, there are some slim chances that you might get pregnant. Doing a pregnancy test in case you fail to see your periods is sensible. However, your chances of getting pregnant are relatively low but not zero. Thanks and best regards, Luchuo, MD." } ]
[ { "from": "human", "value": "Me and my girlfriend had unprotected sex the day after her period I'm really scared shes pregnant..I used the pull out method but know this i was far from an orgasm...after I pulled out i didnt end up having it until like 10 minutes later...I'm aware of precum and I peed atleast 3 times before sex I know for a fact I peed before sex..please help me whats the probability shes pregnant...I dont know if this helps but we were in the pool before sex does that also help wash sperm out of the penis?" }, { "from": "gpt", "value": "Hi, I think if the precum or ejaculate didn't come in contact with vagina, there is no chance of pregnancy. So, don't worry about it." } ]
[ { "from": "human", "value": "me and my gf had sex on first time on 21 jan i used condom due to our both first time my pennis didnt entered into her vagina just a tip of my pennis has toched her her inner part as i wanted to force to insert she shouted to stop becz she was getting pain and then i stopped,she had her last period on 31st dec2012 and now she has her period her on 3rd feb. now my question is , is there any chances of her getting pregnant, and i didnt fully enterd my pennis in her and yet not ejucalated in her.please help me ,sir" }, { "from": "gpt", "value": "Hello, In above procedure of sexual activity, there is no chance of pregnancy at all. First time sex always painful and using water based lubrication is quite helpful. Pregnancy depends on proper timing of ovulation & unprotected sex with ejaculation. Ovulation occurs 14 days prior to due date. High rate of pregnancy occurs around fertile days. On being pregnant, she never get period at all. So, there is nothing to worry. Be well & practice safe/ protected sex in future." } ]
[ { "from": "human", "value": "hello, Im 19. I just started birth control pills( mercilon 28) 7 days ago. I have never been on any contraceptives before. I started my bcp 24 days after my period came, I had unprotected sex with my boyfriend on my suppose ovulation day and he came in my anal. We had sex again the next two days unprotected. Two days after I start my bcp which was 26days after my period, we had sex and he came in me and we have sex for three days after that and he came in me everytime, can i be pregnant?" }, { "from": "gpt", "value": "Hello Thank you for your query. You have taken the birth control pills very erratically, and hence, it would not offer you ideal protection against pregnancy. You have had penetrative sex with ejaculation inside the vagina during this timeframe, so yes, you have a possibility of pregnancy. Use a regular contraceptive method consistently and correctly. take a pregnancy test at the earliest, when you miss a period. Take care." } ]
[ { "from": "human", "value": "I had a IUD removed about 2 years ago. After that my husband and I has been trying to get pregnant and can t. I am overweight but never had problems in the pass getting pregnant. I notice I have sever back pain a week before my period come on. My blood is really thick and brown. My vagina feels like all the insides is going to fall out. The pressure hurts. Is this normal? Very worried." }, { "from": "gpt", "value": "Hi, Welcome to HCM, IT seems that you might have some infection in genital tract giving rise to this problem. Consult Gynaec and go for investigations like ultra sound and get it diagnosed and afterwards go for treatment accordingly. Ok and bye." } ]
[ { "from": "human", "value": "Hi Doctor, I am married for 6.5 yrs and trying for a baby for the last 3 yrs. I had a miscarriage in Feb 2010 (conceived spontaneously). I have PCOD with irregular periods. I am 5 4 in height and 78 kgs in weight. I had laparoscopic surgery and ovarian drilling. The report result reads as Both tubes patent on CT. Minimal thickening and sacculation of ampullary portion . I had 7 failed IUIs. Doctors have asked me to go for IVF as I am nearing the age of 32. I usually don t ovulate on my own, so it will be induced every time by tablet or injection. I need it to be solved as early as possible. Before trying IVF I thought i can go for some natural treatment. So please let me know whether I can go for ayurveda or siddha or homeopathy to get early results without any side affects. Thanks a lot for your concern. With regards, Priscilla" }, { "from": "gpt", "value": "Hi! Welcome to HCM Your major cause of infertility is anovulation due to PCOS. So the treatment is primarily required for PCOS. The treatment of PCOS can be planed after knowing exactly what the causes that responsible for it. The cause of PCOS - 1)hereditary ( genetical related) 2) Imbalance of hormonal secretion i.e more androgenic secretion. So here the trigors for over secretion of androgenic hormone directly related to our life style ( pressure packed life style), over stressful condition (physical and mental both), high polluted atmosphere, inclination towards more artificial and processed foods etc. So those thing should be rectified by maintaing a healthy food habits, taking more natural fruits and vegetables, avoid of all artificial and processed food, daily breathing exercise ( pranayam) for 15 minutes for more oxygenation of your each and every cells, daily yoga and physical activities to maintain your hormonal system healthy and normal, meditation etc. Regarding treatment side it is required a treatment that can help to modify the hormonal imbalance. So it can be possible by the homeopathic treatment because the homeopathy treatment treat at the dynamic level. To start a homeopathic treatment it is essential to know all the detail symptoms of the patient not merely the physical symptoms but the mental and psychological aspect of symptoms too. So it is required a long case history. Still some homeopathic medicines here I am suggesting that you can take and update your condition after a 2 month period. 1) Calcarea carb - 200 - liquid- 2 drops directly put on your tongue two times in a day on every Sunday & Monday. 2) Thuja - 200 - liquid- 2 drops directly put on your tongue two times in a day on every Tuesday & Wednesday. 3) Medorrhinum - 200 - liquid- 2 drops directly put on your tongue two times in a day on every Thursday & Friday. After 2 months get the USG of abdomen and update the condition. Thank you" } ]
[ { "from": "human", "value": "I HAVE TAKEN MORE THAN 50 CONTRACEPTIVE PILLS AFTER HAVING SEX WITH MY BOYFRIEND FROM ALMOST 3 YEARS. BUT FROM PAST 7-8 MONTHS IM NOT TAKING ANY PILLS AFTER SEX.. MY BOYFRIEND NEVER USED CONDOM AIN ANY OF OUR INTERCOURSE BUT THEN IM GETTING MY REGULAR MONTHLY PERIODS TOO. IM WORRIED THAT WILL HAVE MY PREGNANCY IN FUTURE OR NOT?? CAN I HAVE MY BABY IN FUTURE??" }, { "from": "gpt", "value": "Hi, Welcome to HCM, As you get your period very regular, it shows that there is no hormonal imbalance due to taking contraceptive pills. So I do not see any problem having pregnancy in future. It is likely that you enjoyed unprotected sex during safe period when there is least chance of having pregnancy. But to be on safer side consult gynaec and get investigated. Ok and bye." } ]
[ { "from": "human", "value": "Hello doctor, my periods were irregular for which i was taking medicine for past 4 months and now i have started with new medication for getting pregnant. My doctor has suggested me follicular study and on 10 day of my period the readings of Left, right and endo were respectively: 15mm, 8mm, 7mm and on 11th day my readings were 17mm, 8mm, 7.5mm. so can you please suggest me the status of my condition and which other steps do i need to take so that i can concive as soon as possible" }, { "from": "gpt", "value": "Hi, thank you for query madam, The follicle needs to reach a size of 18-24mms in order for ovulation to occur. Anything less than that will not lead to ovulation. Without ovulation, pregnancy cannot occur. So, based on the CD#11 ultrasound, your right follicle has not reached an appropriate size and may indicate that it is not growing, which in turn, indicates that the medication you used is not working. My recommendation would be to repeat the ultrasound at CD#14 and CD#16. If there is not ovulatory sized follicle at those points, then the cycle should be cancelled due to lack of response, you should be given provera for 10 days to induce a period, then start a new cycle using Clomid at 150 mg per day." } ]
[ { "from": "human", "value": "I was sexually active from February 7th through the 10th without any protection. We are hoping we are pregnant. I have had some mild nausea for about a week, a couple of dizzy spells, hot flashes, bloating , gas, tender left nipple , and an odd stinging near my belly button, also this oddly full feeling around my mid section. However, im afraid that some of this may be wishful thinking. I cant find any definitive answers on when symptoms like this should or would begin. I am trying to wait until my next period is due to take a test. But I would like an opinion. Thank you." }, { "from": "gpt", "value": "Hi, thank you for query; A 1 week pregnant woman is anxious and jittery as she does not know a thing about what changes are going on in her body, especially if this is her first pregnancy. Most of the women do not know the exact day when they conceived. If you are 1 week pregnant, you may not even be certain that you actually are carrying. If you are aware of the day your last period started, you can easily know about your approximate due date to deliver. It will be a bit confusing for everybody to remember to start counting from the day your period starts. But the fact is that you will not become pregnant 2 weeks after the day your period starts. For example, if your doctor says you are 12 weeks pregnant, then the period of conception is approximately 10 weeks ago. Your body will not witness much of physical change when you are only 1 week pregnant. You might not be exactly hungry during this week but the abrupt hormonal changes may make you feel depressed or frustrated. Some women might notice they urinate more often and some may notice a change in the breasts size and sensibility. Blood veins may become more visible on the breasts and some women may feel a slight unbearable tension in the same area Symptom of pregnancy at 1week Mild cramping on one and both side of stomache,tiredness,exhausted, dizzy, faint due to low bp signs of pregnancy: •     You might feel increasingly tired. •     You definitely have missed your period. •     You might feel nauseated. •     You might feel your breasts to be tender. •     You might feel the need to urinate frequently. •     You might feel that your smell is highly sensitive. •     You might feel sleepy and moody. •     You might feel bloated You should do card test for pregnancy confirmation." } ]
[ { "from": "human", "value": "Hi doctor. I had done my Laparascopy & hereroscopy in last week on my 11th day of period. and now i am late for 7 day. ( have relation on my 16th day to 20 day of cycle.) is any chanches of pregnancy? After laparascopy doctor told me that. it is succesful and removed fabrolids also all done which necessary. Done HSG test ( both follopian tubes are normal). pls reply. Thansk in advanced." }, { "from": "gpt", "value": "Hello thank you for your query. If you have had sexual intercourse around the time of ovulation, chances of pregnancy are definitely there, specially since the laparoscopy proved that the tubes are patent. As you are overdue by 7 days, please take a home urine pregnancy test to confirm your pregnancy. Whether positive or negative, consult your gynecologist, for further treatment. remain sexually active, and take regular folic acid supplements. All the best." } ]
[ { "from": "human", "value": "Ttc, ok her gose . Had normal period on the 4th jan, had sex on the 27 th jan , 7 days before due period , AF was 10 days late after 11 days had a mild bleeding red/brownish for 3 days and light pink spotting , no sex since then now 17 day since sex had blood test done 1 week ago was neg , but hpt was faint pos. could I be pregnant, signs are sleepy , sick feeling , dizzy, one boob is getting bigger and they have been hurting on and off down the sides." }, { "from": "gpt", "value": "Hello Thank you for your query. As the blood test was negative, you are mostly not pregnant, as it is more reliable than the HPT. HOwever, since you are having pregnancy symptoms, I would advise you to go for a pelvic transvaginal ultrasound, as that will further clarify the picture. There could be various causes for a lighter period / spotting which include reasons like stress, anxiety, fluctuations in weight, thyroid disorder, polycystic ovaries, hormonal medications, endometrial thickening and irregular shedding etc. Consult your gynecologist and have an ultrasound, because none of the symptoms you mention is confirmatory of pregnancy. take care." } ]
[ { "from": "human", "value": "i take thyronorm 125 every day ( hypothyroid ) i have 1 girl (first pregnency) 11 year old. she is hyper active and after 2 times miscarriage .when i am again pregnent during 1 and half month doctor recognize thyroid after born 1 boy he had cerebral pulsy he died in 1 and half year i need a child is it possible i am very tensed my husband need a child" }, { "from": "gpt", "value": "Hello Thank you for your query. Firstly, if your hypothyroidism is controlled on 125 thyronorm, then do not worry. You need to rule out causes of previous 2 miscarriages as well as cerebral palsy in your child. Genetic causes, uterine malformations, infections in utero, hormonal imbalances, autoimmune causes, traumatic delivery, intra uterine asphyxia - there are various causes for your earlier obstetric mishaps. Firstly go for a detailed evaluation of yourself and your husband, so that the cause is identified and prevented next time. Also, if it has been more than a year since you are trying to get pregnant, see a Fertility Specialist, who will assess various aspects for conception like ovulation, semen analysis, tubal patency, hormonal status etc. Take care." } ]
[ { "from": "human", "value": "im 26 years old. Had a miscarriage about 8 weeks ago and went on the petogen 3 months injection the day after my miscarriage. Its the 1st time im on the injection, i went on it because i was bleeding alot. But i feel ready now to try again for a baby....i never got my period though just been spotting most of the time. Wud like to know if i cud get pregnant or ovulate through the injection? or can u reverse the injection? if not about how long before i cud concieve? i must go back on the 21 st of october for my 2nd shot but im not going to. thanx any help wud be apreciated" }, { "from": "gpt", "value": "HI, Thanks for the query. I understand your concern. Petogen is a long acting contraceptive.... It takes 9 moths on an average for return of fertility. If you are interested in conceiving... stop taking the injection. You should conceiving after 9 moths of withdrawal as per average,,, but again there are reports . that few women ( who had a short course )could conceive even earlier.Wish you all luck, You can test for ovulation after you start getting regular periods & then start planning. Thanks." } ]
[ { "from": "human", "value": "I got of the BC pill in November and I am currently trying to get pregnant. I was a day late on my period this week, not a big deal but my period is very heavy and my cramps are almost unmanageable. They are paralyzing and hurt all the way through my back. The pain is also making me nauseaus. Should I try to get into see my dr. today? What could be the cause of this?" }, { "from": "gpt", "value": "Hello Thank you for your query. Heavy periods with cramps could be due to a variety of reasons. You could have had an early which miscarried. Stress, anxiety, rapid changes in weight, hormonal medications, thyroid disorder and polycystic ovaries might cause heavy periods. Endometrial hyperplasia ( thickening of the lining of the uterus ) or fibroids in the uterus could also cause such problems, as do blood thinners. Yes, you do need to see a gynecologist at the earliest to know the exact cause. Take care." } ]
[ { "from": "human", "value": "Am a Rheumatoid arthritis with ANA +ve, on medication and on remission now.Two years back I was conceived but sadly ended in stillbirth 21 weeks. Now TTC again, , 3 natural cycles no success, period length 25 to 35 days. Undergoing natural cycle follicular imaging. Today Cd 16 - right overies have 12 mm follicle and ET 5.2., bilateral PCO seen. When will I ovulate, are there chances of getting pregnant this cycle. Not on fertility medications this cycle." }, { "from": "gpt", "value": "Hello Thank you for your query. On cycle day 16, the follicle size is not good enough. Even if we consider the longest length of your cycle, that is 35 days, then we can wait till a further 4 - 5 more days to see if the follicle reaches a mature size of 20 mm atleast. If you do not ovulate, you would need fertility medications from your next cycle. Also, you need to have your PCOD under control, with weight reduction, lifestyle modification and Metformin to be added if your doctor agrees. Your tubal patency should be checked, as well as semen analysis of your husband. Your autoimmune disease is an obvious factor, but other reasons for stillbirth should be evaluated, such as Rh incompatibility, diabetes, hypertension, thalassemia, cord problems , chromosomal disorders etc. Take care" } ]
[ { "from": "human", "value": "Hello doctor, today is my 17th day, done ovulation study on 13th day it says Right Ovary Follicle is F1-16*14mm LT ovary small 6-7 & em thickness 9.8mm , 14th day it says Right Ovary Follicle is -17*16mm LT ovary small 6-7 & em thickness 9.9mm ,yesterday 15th day it says Right Ovary Follicle is -Rupture LT ovary small 6-7 & em thickness 10.1mm triple free fluid is seen in POD , But today my 16th day again my menstrual cycle started with stomach pain . my Age -27 trying to first baby And we had taken from 3rd day fertyl super 100mg for five days after that evaton 2mg still continued. is my report normal . Kindly advise us to our further steps." }, { "from": "gpt", "value": "Hello thank you for your query. As per what you said, you had follicle rupture, that is ovulation on day 15. hence, it is not possible for your period to start on day 17. Either the follicular monitoring report is wrong, or you are having mild peri ovulatory spotting. Yes, the report is alright in the sense, that you ovulated properly. For conception, other factors like fallopian tube patency, semen analysis of partner and other hormonal studies are required. take care." } ]
[ { "from": "human", "value": "Hi, I got married 3 years back. We are trying for a baby since last 2.6 years. But i am not getting pregnant. Our all test are normal. Now I has started FERTYL 50 tablet from 2nd to 6th day. Is it help me to get pregnant. And from which day we have to start intercourse and how many times? Is there any side effects of this tablet on body?" }, { "from": "gpt", "value": "Hello Thank you for your query. Fertyl contains clomiphene citrate, which helps to stimulate formation of eggs ( follicles ) in the ovary, in cases of anovulatory infertility and unexplained infertility.l Almost 50 % of women on clomiphene conceive successfully, specially after 2 - 3 cycles of treatment, ( if other factors like hormonal analysis, semen testing and fallopian tube patency are normal ). You will have to undergo follicular monitoring, and when the lead follicle reaches a size of 20 mm ( normally on day 14 of a regular cycle ), ovulation occurs, after which it is advisable to be sexually active daily for atleast 4 - 5 days. Side effects are minor, and not noticeable with single cycle treatment. rarely, hyperstimulation of ovaries, nausea, colour vision changes etc may occur. Take care." } ]
[ { "from": "human", "value": "hi doctor,im a lady of 26 years and iv been preventing for 9 month while i was still studing,so since then my periods are not regularly,for now me and my husband we have been trying for a child but for 2 month i have not seen my circle but the home pregnancy test tested positive,is there something wrong or do i not get pregnant" }, { "from": "gpt", "value": "Hi and thanks for the question, getting pregnant actually depends on the timing of sexual intercourse and also on a host of factors. Having sex at non \"at risk periods\" for pregnancy will certainly not lead to a pregnancy. This however does not imply you are infertile. If your home pregnancy test tested positive, its a good idea then. I suggest you visit a gynecologist/obstetrician for a comprehensive evaluation and advice. Thanks and hope this helps, best regards, Luchuo, MD." } ]
[ { "from": "human", "value": "Hello Doctor, My own brother and Sis-In-Law had recently lost their only son and wanted to have second baby, they had tried IVF twice but there was no luck. My wife and my sis-in-law are own sisters too so we thought we can go for the baby but my wife had tubectomy in 2007 (India) and she is 39 Yrs old with two healthy kids. Now we wanted to have our third child if that s possible by reversible tubectomy. We weren t sure on what was the procedure she had undergone during the tubectomy. What will be the procudure now and what could be the success rate? I know there are various factors for this but wasn t sure where to start. We do live in London. My age is 41. Pls help." }, { "from": "gpt", "value": "Hello. Thanks for writing to us. Recanalization of the ligated tubes is possible. The chances of getting pregnant after the surgery are also present. The success rate of pregnancy after recanalisation is more than 50%. The chances of ectopic pregnancy are higher. 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 doctor im 29 and me and my BF are planning to have a family , 2 months back i found out i may have cyst as my period pains are so sever to the point where i would vomit so the doc describe trigetril and i don t have pains anymore, can the sever pains be the course for me not conceiving? we want a child what can help?" }, { "from": "gpt", "value": "Hello. Thanks for writing to us. The pain that you experience during the periods is suggestive of an ovulatory cycle. This pain is not likely to interfere with your conception unless you have any specific ovarian pathology diagnosed after an ultrasound scan. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. Praveen Tayal [email protected]" } ]
[ { "from": "human", "value": "hello, i am 44 and have one fallopian tube due to ectopic in the past i have been with prsent husband 13 years and have been pregnant once but miscarried we desperately want achild of our own. i had my period 3rd january but didnt ovulate till 4th of feb had intercourse on the 3rd of feb and getting negative preg tests but still have not had period i wondered if u could help" }, { "from": "gpt", "value": "Hello Thank you for your query. At 44, please consult an IVF specialist. You need to have your ovarian reserve ( capacity of ovaries to produce mature eggs ) tested. Also, you need to have assessment of the one fallopian tube that should be intact for conception. Your husband's semen analysis also should be done. Trying naturally at 44 with only one tube is not going to be very productive. You might strongly consider possibility of ART ( artificial reproductive technologies ) to aid you. Take care." } ]
[ { "from": "human", "value": "now i m on my 10th day did ultra scan...my egg is 1.2 cm...doctor told me to scan again on 12th day...to check whether the egg size is increased to 2.4cm...have i have a chance of getting pregnant...already one missed abortion is done before three months..abortion is due to egg formation wasn t proper...i m scade that again the same thing might happen..." }, { "from": "gpt", "value": "Hello Thank you for your query. As you have conceived before, chances of repeat pregnancy are good for you. I wonder how you were told that you aborted because egg formation was not proper, probably there was some genetic defect in the fetus, which could be due to chromosomal abnormality in the egg. however, your size of egg for day 10 is quite good, and you have good chances at ovulation. Please have a couple karyotype for genetic evaluation. Also, take adequate folic acid supplements. Rule out uterine anomalies, hormone imbalance, infections and autoimmune conditions as cause of missed abortion Take care." } ]
[ { "from": "human", "value": "Hi my name is Rhandzu i ve been using Petogen since i gave birth in 2010 February i was suppose to get another shot in December which i didn t because i m thinking of having another baby so my Question is how long will the petogen get out of my system,i haven t seen my periods since december it s only blood spots sometimes once in week. Thanks" }, { "from": "gpt", "value": "Hello thanks for your query. After a year of using Petogen , almost 90 % women experience no periods. It takes atleast 3 - 4 months for return to fertility to occur after taking Petogen, but depending on various factors like age, weight etc, it might be as long as a year. please consult a fertility specialist if you have been trying for more than a year. take care" } ]
[ { "from": "human", "value": "hellow doctor, i am married 3 years. i am trying to get a pregnant for the past 3 years.i have a problem of irregular periods(PCOS) and hyper thyroidism. By only taking a medicine (GLYCOMET 500MG thrice a day) i getting my period regular with 31-32 days cycle.my husband took a surgery for VERICOCEL on 8th dec 2009.Then we have no contact for one month.After that we have a contact on the date of 12 to the date of 20th (febr) i also took a tablet LETROZ 2.5mg,FOLIC ACID & M2TONE with doctor advice.now i have a little stomach pain too for coming menses.please tell me there is a posibilities to get a positive results. And also tell me when i getting MICROGEST(MICRONISED PRGESTERONE) tablet. i already use the tablet (twice a day) from 22nd onwards, is this correct or not? my age- 25,female" }, { "from": "gpt", "value": "do serum tsh and serum prolactin den do hsg on day 8th..along wid letroze and folic acid ..do follicular study after taking clomiphene from day two den follicle size increase to 18 mm den rupture den iui for early results" } ]
[ { "from": "human", "value": "I have been trying to get pregnant with my husband, and i have had what seems to be the implanting of the egg with the wall, but now after having sex with him 3 days after implanting i have bled but only alittle bit and it is a little pink and there is no contractions like there would be on my period though this is the time my period would normaly start, should i be worried?" }, { "from": "gpt", "value": "Hi, Thanks for the query. I understand your concern. The scanty bleeding you are observing may be implantation bleeding. &if it is so it will present as just scanty bleeding... it will not extend like your routine periods. Wait patiently & get home pregnancy test of urine done after 8 days delay of normal period.for confirming pregnancy. Thanks." } ]
[ { "from": "human", "value": "I had unprotect sex with my boyfriend and he came inside me the next day i had my period. on the first day i got my period he came inside me again and my period only lasted for 3days but the frst day of my period was normal but my period started fading on the second and the third day and the fourthday i ddnt have anymore. we had sex twice during my period and after i got my period we had sex again and he always came inside me. now ive been getting pregnancy symptoms . its only been 2weeks since the day before my period. could i be pregnant?" }, { "from": "gpt", "value": "Hello Thank you for your query. Unprotected intercourse around the time of your period has no chance of pregnancy, if this bleeding was on time, as per your regular cycle. Also, you cannot confirm your pregnancy so soon, even if you are having symptoms. Please wait till you miss your next expected period, and then take a urine pregnancy test to confirm. take care." } ]
[ { "from": "human", "value": "Dear Sir, I have one 2 years old girl , i want to be preganant again but my husband has Varicose testes as the the sperms count 240.000.000, but the immotile sperms are 65%, non progressive motilty 20%, sluggish linear progressive 20% & rapid linear progressive 5%, is that can be solved by medecine, as his doctor in Cairo gave him medicines and vtamins for 3 months and what after that?? is the case serious? Thanks" }, { "from": "gpt", "value": "Hello thank you for your query. Atleast 20 % motile sperms are required for conception. Yes, your case is serious as there is only 5 % motility. The varicose veins should be ligated and operated, as this is a treated cause of reduced sperm motility. take care." } ]
[ { "from": "human", "value": "hi doc , i got my last periods on feb 14th, we are planning for a baby,now my period are due to 6 days, tday mrng i tested with velocit pregnanacy test kit and it came very very light pink line on T with in 5minitues. am i pregnent? plz answr me urgent." }, { "from": "gpt", "value": "Hello Thank you for your query. Yes, a faint pink line on the Velocit means that you are pregnant. To confirm that the pregnancy is inside the uterus, to know that it is healthy and growing, and to know the exact dates of pregnancy in weeks, please visit a gynecologist and have an ultrasound. Take care." } ]
[ { "from": "human", "value": "Hi, Age-25 , Married 2 years and there is no pregnancy . Heard about sukumara lehyam for betterment. Please tell me exactly what is sukumara lehyam Thanks" }, { "from": "gpt", "value": "Hello Thank you for your query. Sukumara lehyam is an ayurvedic medication that is sometimes prescribed by ayurvedic practitioners for various ailments, including infertility. However, no scientific / allopathic studies in medical literature exists to prove its efficacy for conceiving. You should be consulting a Fertility specialist now, as you are trying to conceive since 2 years. Your husband's semen analysis should be done. Your ovulation studies and hormonal profile needs to be studied. Patency of your fallopian tubes has to be assessed. Random intake of any medicine can only cause harm. Please go by evidence based practice. Take care." } ]
[ { "from": "human", "value": "Hi I am 28 yr old female, i am trying to conceive for last 1.5 yrs. after my studies we found that i have low AMH. but my cycles are very regular. I always get my periods on time. so my doc suggested me clomid for 5 days along with Osure for a month and i ovulated on 13th day of cycle. also after ovulation she suggested me duphaston for 14 days. its 15th day post ovulation. but i have not got my periods when should i expect them or i don t then when should i test for pregnancy. Please suggest" }, { "from": "gpt", "value": "Hello Thank you for your query. Clomid contains clomiphene citrate which helps to induce ovulation in women with anovulation due to various causes. Oosure is generally given to women with polycystic ovaries, who have a high AMH, so I do not understand why it was given in your case. Women with low AMH are generally prescribed DHEA for support. As you have ovulated with Clomid, chances of pregnancy are there, and as you have regular cycles, you can either do a pregnancy test, or better still, consult your gynecologist to confirm a pregnancy. All the best." } ]
[ { "from": "human", "value": "Have had 3 periods , tests negative , have some pregnancy sings ! Been trying 6monts to conceive after my baby died , he lived for 30 days. I had c sectioned at 33 weeks. He was diagnosed with Edwards. Think I m just wishing to be pregnant Going for scan Tuesday ? I will be 43 in march. Have 4 health kids. Really want Another especially because of what happened. Worried that may not get pregnant ? & that something go wrong ?" }, { "from": "gpt", "value": "Hello Thank you for your query. Firstly, as the tests are negative, you are certainly not pregnant. At 43, I think you need to take the help of an IVF specialist. However, as you conceived a year and a half back, you have good chances of conceiving again. Please remember, that as maternal age advances, chances of chromosomal disorders ( like Edwards ) increases. Have evaluation of your ovarian reserve, your partner's semen analysis, genetic counselling and then proceed ahead with the treatment advised by an IVF practitioner. Take care." } ]
[ { "from": "human", "value": "Will be 30 this year, have missed my period for 10 days, have been having period like cramps for the past week but no periods, last 3 days i spotted light brownish discharge like thing, now for the last 2 days ( yesterday and today) been having really bad stomach cramps and lower back pain , took urine test on 14th ( 8 days late) and tested negative. Could i be pregnant? Kindly help" }, { "from": "gpt", "value": "Hello, Thanks for your query. As the UPT has come negative most probably you are not pregnant, but not to forget it could be a SUBCLINICAL pregnancy as well. So nothing to worry, just wait for few days you might get your normal periods. And if your subsequent periods are abnormal, I suggest you consult your doctor. As you are already 30 I suggest you plan your pregnancy 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": "hi, i have couple questions, we have been trying to get pregnant for 3 years now but my husband has a low sperm count and low morphology and low motility , but 3 months ago he started taking some fertility product, and his sex drive has been getting much better, this month though i feel a lot of streching in my uterus and it is like something heavy and ive been getting a slight period cramp , i have not got my period yet but have done it through my ovelating day i ll get my period in 3 days and i have been feeling my breast is sore and sensative do u think my husband situation got better and i could be pregnant, thank u." }, { "from": "gpt", "value": "Hello, Thanks for your query. There could be chances of pregnancy, as sperm count and motility improves with anti-oxidents, so just wait , after you miss your periods for 5-7 days get one UPT done, if it is positive ,be happy. If not pregnant I strongly suggest you OVULATION INDUCTION AND IUI(INTRAUTERINE INSEMINATION) DEPENDING ON THE CLINICAL SITUATION. 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": "Hi doctor i am 30 year old Indian female married 3 years,i have pcod,last year i went for laproscopy ,spontaneously i got conceived after two months and was on siphene, unfortunately i had a missed abortion,my history include hyperinsulineamia,moderate pco and obesity .i am on nurtrional medicine for about six months hypoglyceamia is totaly stopped and taking T3:T4 bio identical hormone every alternate day in low dose.next month i am planning to conceive my husband is ok,my latest ovarian follicular study is on day14, dominating follicle is 10mm and endometrial thickness is 4.6mm,my regular periods is on30days.still i have a simple cyst in right ovary,with this should i go to a fertility expert to have any drugs or injection to improve the quality of my egg or treatment will affect quality of my egg? my insuline and most of other hormones are controlled now please give a good advise do i take fertitity treatment or naturally it can happen?" }, { "from": "gpt", "value": "Hello, Thanks for your query. As you mentioned your PCOS is under control, so nothing much to worry, most abortions are due to aneuploidies in the genetic makeup, so keeping this in mind try for next cycle to get pregnant and immediately start with progesterone support and antioxidents. Regarding the cyst, if it is SIMPLE, CLEAR AND SMALL in size just ignore it, as it can be a follicular cyst as well. 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": "Hi I am 31 year old and want to plan a family. My gyne prescribed me 3 medicines Sepluva 100 mg for 5 days (3 - 7th day) (I am not sure if i have spelled the medicine correctly) Progynova 2mg - 16 days (8th - 16th day) Lupigest 200 mg 10 days (17th - 25th day) i have a regular 30 day cycle, sometimes I have my periods + - 2 days but most of the time its 30 day cycle. I have 7 day flow which sometimes is normal flow and some times its heavy. I have had appendicectomy 2 years back. My husband sperm count is 21million per ml. Do I have a chance to get pregnant and these medicines are of any help." }, { "from": "gpt", "value": "Hi, Perhaps your gynecologist put you on ovulation induction with Clomiphene, along with estrogen and progesterone to maintain the cycle. you seem to be responding well to treatment. You should also get your tubal patency assessed in view of the history of surgery. Your husband's sperm count is normal, if the motility is around 60%, there should be no reason for worry. You may take some time before you can see some result, and patience is always needed when going to treat infertility, both for the doctor and the patient. Good luck." } ]
[ { "from": "human", "value": "I'm 28 years old and I'm diagnosed with BULKY UTERUS WITH MULTIPLE FIBROIDS WITH CYSTIC DEGENERATION &THICKENED AND HETEROGENEOUS ENDOMETRIUM .Does this thing affect my fertility since I am trying to conceive and for some unknown reason I could not? Please guide me. Thank you." }, { "from": "gpt", "value": "yes fibroids do hinder pregnancy specially if they are multiple and submucosal. they will likely cause miscarriage preterm labour and various other problems. moreover you may not able to conceive cause of them. so better get your fibroids treated then go for pregnancy" } ]
[ { "from": "human", "value": "I was pregnant with twin gestation one was about 7 weeks and another about 5 weeks. But I had a miscarriage on 16th June 2012 and doctor said due to infection it had happened but it won t affect next pregnancy and asked to try for a baby after 3 to 4 months and asked to take MCBM 69 Folic acid tablet. From then we are trying for baby but still no result. On 24th December 2012 consulted another gyno she said there is no problem and asked to take following tablet. ChromiNAC-A tablet daily twice FOLITAB daily once And Fertyl tablet on my second day of periods to 6th day. From past 3 months my periods are not regular, I usually have my periods between date 16-20 every month, and mostly on 17th or 18th. But now 1st period happened on 20th, second on 22nd and this month on 15th. And I am bleeding only for 1st day and second day just a spotting and 3rd day nothing. Yesterday night we were in contact. Please tell me why I am having irregular periods?" }, { "from": "gpt", "value": "had u undergone Dilatation and Curettage for last misscarriage." } ]
[ { "from": "human", "value": "Hi I am trying to get pregnant for 4 yrs and have gone for all treatment including 4 iuis but no luck yet. Now that my gyn is asking me to go to ivf .. I am bit scared... Also another friend who is a doctor asking me to try akt4 for 6 mons then go for ivf if required.. Will akt4 help? Will it help?? What hope this akt4 will give me?" }, { "from": "gpt", "value": "Hi, thanks for using healthcare magic AKT4 is a combination therapy that is used for treatment of tuberculosis, it would assist if there is evidence of tuberculosis infection within the reproductive organs. Though your friend is a doctor, it may be best to follow the advice of your gynaecologist, you can consider asking her/him whether any such treatment is necessary. In terms of the IVF, it is a safe procedure. It involves the use of hormones to induce mulitple egg production, these are removed and fertilised with the sperm. The fertilised eggs are kept for optimal growth ,then when thought stable will be placed inside the uterus. I wish you the best and hope this helps" } ]
[ { "from": "human", "value": "hi i m shaila velip 29 yrs of age. i had completed 3 yrs. of marriage i m trying to conceive nearly one & half year i referred to gynaec after checking we come to know that i had choclate cyst it removed with laproscopy . after three months he started treatment again for conceive but no result found last month he suggested to do X-ray in that report found left tube blockage & now this month he suggested me do IUI .............now wat to do please help me if IUI is done for first time it is really useful or wastage of money please reply as early as possible....... thank you" }, { "from": "gpt", "value": "yes it is definitely helpful .Pregnancy rates are high after Laproscopic removal of chocolate cyst within the period of 6 month - 1 year ." } ]
[ { "from": "human", "value": "My husband and I have been trying for baby #2 for almost a year now. My cycles have been irregular and stopped 6 months ago. I was put on Provera and they drew 21 day progesterone labs and my level was .7. After Provera again and Clomid my level was 9.2 on Day 21. They did another draw on day 23 because I may have ovulated late and they also did an ultrasound. I was diagnosed with PCOS and the largest follicle was 1.2cm. I did an ovulation kit with the Clomid this past time and definitely felt like I ovulated. What are the chances that I could be pregnant?" }, { "from": "gpt", "value": "ok the largest follicle size is 12 mm but for ovulation size should be 18-20 mm. but don't worry the size will be increase continue ur treatment.best of luck." } ]
[ { "from": "human", "value": "Hi doctor... I have a question... What is the chance of getting pregnant without penetration but there was ejaculation around the vagina ... I am a virgin and this happened on the 27th day of my cycle... Normally i have irregular cycle between 23 and 28 days.. Now i am on my day 30 and still didn t have my period. I have lost a small weight earlier. Thank you" }, { "from": "gpt", "value": "Hello As you are a virgin, without penetration, there is a next to nil possibility of pregnancy. As ejaculation occurred around the vagina, some seminal fluid might have technically entered the vaginal canal, but this is a very remote possibility. As your maximum cycle length is 28 days, and you are already on day 30, please take a urine pregnancy test early tomorrow morning ( first voided sample of urine ). That way you would know for sure. Take care." } ]
[ { "from": "human", "value": "yes hi i would like to try and conceive a baby im 32 and have not had a period for roughly 3 years ive had blood tests and all hormones r low also i have empty sella syndrome \\ hypopituaratism cant spell it , hashimotos\\ thyroid , will it just b a case of me taking something like clomid or will i not be able to have a viable pregnancy in ur opinion? thank you" }, { "from": "gpt", "value": "Hello With hypopituitarism and empty sella syndrome, it is next to impossible for you to conceive naturally. You would do better to consult an IVF practitioner, and go for IVF at the earliest. Hashimoto's thyroiditis also complicates your conception . Even in case you conceive, you will require intensive hormonal therapy for pregnancy continuation. Please go for IVf , as you are 32, and chances will be good for you with that modality. Take care" } ]
[ { "from": "human", "value": "hello im doreen ive been off birth control (depo shot) for a very long time now i got it march19 2012 i never went back on jun19 2012 to get it again me and my boyfriend are trying to have a baby now but its hard im not getting my period ive never recieved it again however dec 20 2012 i was bleeding lightly for about 3 or 4 days im talking only one light blood line on a pad or just the tip of a tampon light but that was the only time ive been naseous and throwing up on and off but only at night i took home pregnancy test but they come out negative what should i do i really want to have is baby im 23 years old" }, { "from": "gpt", "value": "Hello Thanks for your query. Return to ovulation and fertility is likely to be delayed after stopping Depo-Provera . It is expected that 68% of women who do become pregnant may conceive within 12 months, 83% may conceive within 15 months, and 93% may conceive within 18 months from the last injection. The median time to conception for those who do conceive is 10 months following the last injection with a range of 4 to 31 months, and is unrelated to the duration of use. Amenorrhoea and reduced menstrual bleeding generally normalizes maximum within 5 - 6 months. you should consult an Infertility Specialist, and have a thorough check up, hormonal tests, semen analysis of partner, ovulation studies and fallopian tube testing. Take care." } ]
[ { "from": "human", "value": "hi doc ever since i used two months injection for 4 years from 2008 to 2011 and on 2012 i didn t go for the shots the whole year the reason being want to conceive i got my period late on last year october now i am trying hard to conceive with my husband and i are worried now if i could maybe be pregnant again if u could help of what to drink to aid me" }, { "from": "gpt", "value": "Hello thanks for your query. Return to ovulation and fertility is likely to be delayed after stopping Depo-Provera . It is expected that 68% of women who do become pregnant may conceive within 12 months, 83% may conceive within 15 months, and 93% may conceive within 18 months from the last injection. The median time to conception for those who do conceive is 10 months following the last injection with a range of 4 to 31 months, and is unrelated to the duration of use. You should consult an Infertility Specialist, undergo hormonal profile, complete check up, semen analysis of partner, and testing of fallopian tubes. Take care." } ]
[ { "from": "human", "value": "Hello doctor,iam 27yrs old lady. I am married before 1n1/2yr i got aborted 5mnths back of 6weeks pregneccy with tablet suggested by doctor only becoz spem stoped its growth. Now we are again trying for baby. I am advised to take B-longF and MCBM_69 for 30 days.Is there any chances for me to get pregnant this month. My periods are normal for 30days,this month only i started those tablets..will i sure be pregnant after taking these tablets this month? Is it safe to take these 2tablets at the same time?" }, { "from": "gpt", "value": "Hello Thank you for your query. There are no tablets in this world which can guarantee a pregnancy. B long F and MCBM 69 are supplements that will help you in conceiving, not ensure a pregnancy. You have to evaluate cause of your previous abortion. Genetic causes, uterine abnormalities, infections, autoimmune causes, hormone imbalance - all should be ruled out. Also, for fertility, it is essential to confirm your hormonal status, fallopian tube patency, ovulation status and semen analysis of your partner. Please take these supplements, there is no harm in taking them. Take care." } ]
[ { "from": "human", "value": "Hi i ve been 2 months monitored by my doctor i had irregular cycle too. Now I m 31 and want to become pregnant,He told me to take gonazi injection 5000 x3 days and duphaston x3pills a day for 16 days i also take x2 metformin tablets i took x1 clomid for 5 days on the 3rd day of my period, he got my cycle normally now as i had my last 2periods exact on the 29th day , me and my husband had tests to see if we are fertile and everything was perfect with the both of us . What are the chances of getting pregnant?" }, { "from": "gpt", "value": "Hi, If the entire fertility work up has been done and both of you are not shown to have any difficulties in conceiving, you stand a pretty good chance of conception with the medication prescribed. 40%-45% success rate has been reported at the end of 6 months with Clomiphene alone. 80% women ovulate in the first cycle itself and 30% conceive in the first cycle itself. The treatment will benefit you more if you can correct any related thyroid problems and also maintain a healthy body weight. Good luck." } ]
[ { "from": "human", "value": "Hello I have a question. I have been trying to get pregnant for over a year now and its not working. Could I be too skinny to get pregnant. My height is 5 5 and I weigh 95 pounds. I have been the same weight for many years and I dont have a eating disorder, in matter of fact I eat alot." }, { "from": "gpt", "value": "proper BMI is required for a healthy pregnancy and delivery. no such serious issues are likely to be in your case" } ]
[ { "from": "human", "value": "Hello, I understand that the chances of falling pregnant decrease with age and I am now 37. We have a 4.5 year old child. While I was 9 weeks pregnant I had a permanent ligature placed into my cervix due to previous second trimester miscarriages. Obviously this procedure was a great success; however, I have not been able to conceive since. Falling pregnant was never an issue for me before. Would dear love to start gathering some answers?" }, { "from": "gpt", "value": "With a permanent cervical ligature natural conception may not be possible. If you want another pregnancy then you will need to speak to your doctor about ART." } ]
[ { "from": "human", "value": "HI Doctor, My Wife consumed DRONIS 30 for geting a mensus which prescribed by a doctor, In a initial stage when mensus stoped Sep 17th was the last Mensus date the pregnancy test was negative, the following MOnth doctor prescribed Mensil tablets for a peroid but no output so Immediately without a proper test again Doctor prescribed a DRONIS 30 for 21 days, days passed 21st day (17th December) Stoped taking Dronis 30 after stoping a tablet today its 16th January No Positive result still she was wihtout period when I checked with other doctor advised for a Scan Now shoking news is My Wife is Pregnant for 3 Months will the DRONIS 30 would have affected the kid? My new doctor advised for DROPING A CHILD please advice Thanks & Regards Khaiser" }, { "from": "gpt", "value": "Hello Thank you for your query. There is no problem if pregnancy occurred while Dronis 30 was being taken. However, there could be a lag in development of the baby or some other problem for which your gynecologist has advised termination It would help if you elaborate why she advised this. Have regular antenatal care, folic acid supplementation and enjoy your pregnancy. Take care." } ]
[ { "from": "human", "value": "i have been diagnosed with PCOS , after trying for our 2nd child for 2 years i havent ovulated or had a period in 2 years. my last depo injection was jan 2011 and have been using ovulation sticks daily and it has been negetive for ovulation. my doc put me on pervera to have a withdrawl bleed which lasted 10 days and that has been my only bleed since jan 2011. i have had a scan and all my blood work done and my husband sperm tests have come back normal so my gp has finally refered me to my gyno 24th of this month im wanting to try clomid but my doctor said because of my weight gain he doesnt think the gyno will give it to me. i have joined weight watchers as recommended by my gp and have records from weight watchers to show my weight loss will the gyno take this into consideration and consider me for clomid?" }, { "from": "gpt", "value": "Hello, Thanks for the query. Since all your blood reports and ultrasound reports are normal, you are most likely to be having unexplained infertility. This is a type of infertility seen in 10 % of infertile couple. You need to reduce your weight. For unexplained infertility, clomifene citrate with IUI is treatment of choice. Be positive and stress free. regards, Dr Nilofer" } ]
[ { "from": "human", "value": "My fiancee and I are in the process of trying to conceive again after a year. I suffered a miscarriage last year. I have cut down to one cup of coffee a day and taking vitamins daily, but I believe some of the vitamins that I m taking (mostly to try to increase hair growth) maybe too much if I m trying to conceive and if possible to continue to stay on my vitamins during the time of pregnancy if I do conceive. I m taking 5000mcg of Biotin , 5000mcg of B-12, Super B-Complex, Prenatal Vitamins , Veggie Basic tablets, Zinc, and my thyroid meds. Is this way too much?" }, { "from": "gpt", "value": "Hello Thank you for your query. Firstly, the cause of the previous miscarriage should be thoroughly investigated. It could be because of genetic causes, infections, hormone imbalance, uterine abnormalities or autoimmune causes. Without evaluating the cause, rushing into another pregnancy could cause further miscarriages. Also, fertility is more important than other issues right now. Yes, you are taking way too many supplements. Please stick to thyroid medications and folic acid. Take care." } ]
[ { "from": "human", "value": "I am 31 and have had an etopic pregnancy at 29yrs...with the etopic the right tube was partially blown and the left is there...(slightly in tack)...what are my chances of concieving again naturally......I have extremely normal periods but wild hormones...testerone level is high...............(misdiagnosis) with PCOS .........really want children and all I have been told is keep taking birthcontrol ...you are still you......have been trying to concieve since the etopic in 2010" }, { "from": "gpt", "value": "Hello Thanks for your query. You have been trying to conceive for 3 years now. Firstly, consult a reputed Infertility practitioner. Evaluate cause of your high testosterone ( mostly it should be PCOS ) - have complete hormonal profile done including Day 2 FSH and LH, SHBG , DHEAS, Fasting insulin, Glucose tolerance test, Prolactin, Thyroid hormone profile, AMH ( to check ovarian reserve - because even the ovary might be damaged in ectopic pregnancy ). With just one patent tube, your chances of natural conception are less than normal. Have your husband's semen analysis done. You might require a diagnostic laparoscopy or an HSG to evaluate current status of your fallopian tubes. Ovulation studies should be done and documented. I think you should take recourse to IUI ( intra uterine insemination ) if natural conception has not yet occurred, but that is after your tubal patency testing. Take care and all the best." } ]
[ { "from": "human", "value": "Hallow. I am trying to consive and my fetile day was on 10. But i had fagas so my doctor gave me trinidazole and clotrimazole vaginal tabs. So my question was if i use this medicine today on 11 will they affect my chance of consive?because i had sex yesterday on the ovulation day. And also will the fangas also afext my chance of consiving.. Thanc" }, { "from": "gpt", "value": "Hi, Infections of the vagina have been shown to impair fertility, but the use of vaginal Clotrimazole has not been shown to impair fertility and also there are no studies to prove that use of the drug can harm the fetus. As you had your ovulation and timed your intercourse appropriately, your chances of conception are good. Based on the chances of the infection, if left untreated, causing more harm, it is advisable to commence treatment as advised by your doctor. Take care." } ]
[ { "from": "human", "value": "hi... i am a 23 years old, i got married from last 2 year,,we didnt plan a baby, thats y i was using contraseptive pill but after 9 months i got pregnant, that was unplanned,, so we decided to abort it, i was only 1 month pregnant and i aborted it. Now from mid of sep 2012 i stopped taking pills because we planned for a baby,, but still em not getting pregnant.. i dont understand,, can u plx help me n tell me the reason.." }, { "from": "gpt", "value": "Hi, Return of ovulation after stoppage of contraceptive pills may take a couple of cycles. Also, chances of infection and tubal blockage consequent to the previous abortion have to be ruled out. If you do not conceive naturally in the next six months see an infertility specialist for evaluation. Meanwhile maintain a healthy diet, weight and avoid stress. You may take nutritional supplements like biotin and folic acid. Take care." } ]
[ { "from": "human", "value": "Am trying to get pregnant and have been unsuccessful for over 9 years now. I have a normal 28 day cycle and ovulate each month. The odds of me getting pregnant now are thin (I m 41) but i am trying still. My friend suggested turkey baster. do you think that is a viable solution and how do i do it. I can not afford going to a fertility clinic." }, { "from": "gpt", "value": "Hi Thanks for choosing healthcare magic, Turkey baster or a syringe technique is almost equal to intercourse and even a little less than that .This method is an alternative to induction method done in the hospital. But the difference is that in the hospital, the collected sperm is subjected to certain procedures to obtain only the sperm cells, which increases the chances of fertilisation and to remove the other fraction that may cause problem to the cervix when loaded directly. In intercourse only the sperm cells swim across the vagina to the cervix the remaining fraction remains away from cervix So through turkeybaster you collect the full sperm and the fraction that cause problem to cervix can’t be separated, which is a drawback. Sperm collection in condoms that have spermicidal actions may kill the sperm, which wastes all the efforts you take to implement this technique And moreover it is a sterile technique when done in a hospital. when conducted at home, you are more prone to infections. Still some medical personnel may recommend this ,but with a proper guidance .So it is up to you to decide the benefits. In your case, I suggest you to meet a doctor, because already it has been 9 years without kids and moreover your age is also more. so wasting more time with these things without ruling out the cause is not advisable in your case. you need to undergo minimum tests to find the cause so talk to the doctor about the finances and insurance and take steps accordingly. Hope I answered your query Feel free to contact me for further queries Thank you" } ]
[ { "from": "human", "value": "Hi, my husband is 44 and has had a vasectomy (clamped) 20 years ago. I have had (and still have) the Mirena IUD for 5 years now. I m 31 and have never had any children but want to very badly. Is there any way getting pregnant is possible? I spend countless hours researching but vasectomy reversals seem so expensive and IVF even more so.....I obviously need to start by having my IUD removed, but an hesitant that conceiving won t be possible. Any ideas, suggestions, advice is greatly appreciated, thanks!" }, { "from": "gpt", "value": "If your remove the mirena, your fertility should return within a few weeks. Provided there are no other problems your fertility shouldnt be a problem.But your husbands case will depend on how successful the reversal will be. IVF is definitely more expensive. You can start by removing the MIRENA. But only that wont help.Your husband should see a surgeon about his chances of a reversal." } ]
[ { "from": "human", "value": "last 2 year we are trying for a baby. but steel now i m dose not able to conceive. so my doctor suggst me for HSG test. but in present scenario she is not available. my HSG report is like that. uterine cavity is normal. Right tube not opacified. Left tube opacified with peritoneal spillage. my question is is there any problem for pregnancy? if yes, then what is the remedy of this problem?" }, { "from": "gpt", "value": "Hello Thank you for your query. Your HSG shows that your right tube is blocked ( not open ). This definitely is a problem for pregnancy, because with only one Fallopian tube open, chances of pregnancy are diminished. The further treatment depends on many factors. Your age, semen analysis of your partner, your ovulation studies and your hormonal tests. Pregnancy is technically possible with one tube open, however, since you are trying for 2 years now, please consult an Infertility Specialist and undergo the above evaluation. In presence of any abnormality, you should consider a hysteroscopy and laparoscopy, as HSG is not 100 % confirmatory and during laparoscopy, attempt can be made to open the blocked tube. If the laparoscopy also confirms tubal disease, you can go in for IVF/ IUI as per the results. take care." } ]
[ { "from": "human", "value": "I had sex 2 times the same night, we always use a condom and withdrawal, also the first time i used spermicide, but not the second time (about 2hours later). The thing is the condom broke just before he came and get out, and the tip of the condom was inside me (i was able to get it out). I'm wondering about pregnancy chances, i've just finished my period 1 day earlier and it started 1 week ago, my month is about 26-28 days. My dr is away, but she told me to stay away from the morning after pill because i took it like 4 months ago and i'm waiting my body to stabilize so i can get implanon without affecting my body.Thank you so much, i'm very worry because i dont wanna mess with my body an my dr is not around." }, { "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 am really sorry for your state but here I'm to tell confidently that you will not be pregnant, do not 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.. I will analyze all your points below.. 1. You had unprotected sex 2 times and you used spermicides too.. Well, that itself tells you. There's no chance of pregnancy with the use of spermicidal agents.. And even though you didn't use for 2nd time, it's effective. 2. Condom breakage is the most common problem encountered. But reading, your menstrual cycles I can say with certainty that you are safe.! 3. One day earlier completing periods again is the most important history. Generally, ovulation occurs 14 days after completion of periods. Especially in your 26 to 28 day cycle. So 100% there's no chance of ovulation and hence pregnancy even if he had ejaculated completely into your vagina! 4. No need for any kind of pill. Just chill and be happy.. 5. And convey my regards to your doctor too.. Hope this helps, in case you need any further assistance, please let me know... Take care and be happy. God bless you." } ]
[ { "from": "human", "value": "I took Lutera for a year, and my last pack I took was August 2012, my husband had a vasectomy reversal November 2012, and now we re trying to conceive. Before Lutera, my cycles were normal, every 28 - 30 days, for 5 day cycle... and now I m only going for 3 days and in December I didn t even have a cycle, it was 45 days before I started again. Is this normal?" }, { "from": "gpt", "value": "Hello, thanks for using HCM. Lutera is an oral contraceptive made up of two active hormonal ingredients:levonorgestrel and ethinyl estradiol which are progesterone and estrogens. Lutera works by preventing ovulation and consequently prevents pregnancy. Reduction in the amount of menstrual bleeding is very possible with hormonal pills and irregularities in menstrual have been noted in some cases. However, fertility is maintain and on your part there should be no problem. On your husband's part, his fertility would not be 100% as before but if the vasectomy reversal was done accurately and within 10 years from the time of the vasectomy he still has a more than 50% chance of his initial fertility. thanks and if you do have more questions, do not hesitate." } ]
[ { "from": "human", "value": "Hi My hubby is 41 and I m 35. We are also 2nd cousins. I;m trying to conceive for my 2nd child for the last 6-8 months. I have done all the basic tests. Also, I have done HSG last week. Everything seems normal. My husband on the other hand is not keen on doing tests. But wants to try the normal way. My Gyn advised to take fertisure F and M. What is the use of this tablets. Are there any side effects. What other tablets/ supplements would help me with my conceiving soon." }, { "from": "gpt", "value": "Hello Thank you for your query. Fertisure M and F are supplements in the form of anti oxidants which would help you conceive. There are no side effects. At 35, you should consider consulting an Infertility Specialist and going for detailed testing. Your complete hormonal profile is essential. Ovulation studies and follicular monitoring should be done. Your ovarian reserve ( capacity to produce mature eggs ) should be tested at 35. Your husband's semen analysis is extremely vital test. Also, just an HSG might not be sufficient, and you might need a hysteroscopy and laparoscopy to assess tubal damage and tubal patency. ALso, since you are 2nd cousins, there should be no impact on fertility, but once conception occurs, certain inherited diseases are more likely in your offspring. Please consult an infertility specialist at the earliest, and do not waste more time. Take care." } ]
[ { "from": "human", "value": "I am 46 years old female and i have been career minded and now feel the time is right for me to have a baby. However i am concerned i have left it too late. My partner is nearly 47 years old and we are young at heart and physically fit for our age. My partner only has one testicle due to his other one being strangulated a few years ago. I have regular periods and have used a test to see if i am ovulating..which i am. Is it possible for me to get pregnant at my age? How can we improve our chances? Would we have any choices in relation to having IVF , due to our age? How can i tell if my eggs are still healthy? I would prefer to use my own eggs..is this possible? Thank you for your help." }, { "from": "gpt", "value": "Hello At 46, you are obviously aware that conception will be difficult, if not impossible. IVF is the only way ahead for you. Your partner's semen analysis is essential due to the testicular injury. Also, you can assess your egg forming capacity by testing your ovarian reserve. This is done by estimating AFC ( antral follicular count ) on ultrasound, measuring hormones like AMH ( anti mullerian hormone ) and FSH and LH on day 2. This would tell you if your own eggs can be used for IVF Your endometrial status needs to assessed for IVF also. Please consult a reputed Infertility Specialist and go for detailed testing and evaluation at the earliest, kindly do not waste more time. Take care." } ]
[ { "from": "human", "value": "hi i m neha gupta from india. i have PCOD problem ,trying to consive from last two year ,i cunsult with doctor she gave me three month course of tablets like krimson 35,and glycomate SR. NOW SHE suggest to take ubiphene 50 tablets for 5 days .may i get pregnent during having this treatment .plz give me brief answer i m very upset." }, { "from": "gpt", "value": "Hello. Thanks for writing to us. The treatment you have been given is correct but conception is a time taking process and it needs patience. You will have to consult your infertility specialist regularly for proper treatment. Be hopeful. 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 i am currently trying to conceive usually have a regular 33 day cycle and started taking pregnacare a week before i took my period which was 5 days early making it a 28 day cycle now 2 days after bleed i have severe cramping in left ovary and severe back pain i couldnt be ovulating yet its to early but would like to know wot could cause this pain" }, { "from": "gpt", "value": "Hi, Pregnacare is not for induction of ovulation, it is a supportive medication. It is true that it is too early for ovulation to occur, but taken that you had a 28-day cycle this time, you could as well be ovulating early-that is one possibility. You should consult your gynecologist and get a trans-vaginal ultrasound done to see if the ovaries and tubes are normal; you may also need a local examination. You may also exclude renal causes as similar pain can be observed in urinary infections, presence of calculi etc. Wish you good health." } ]
[ { "from": "human", "value": "Hi doctor, I am taking MR. Met 500 and Myotol F twice daily. Previously I took ginette 35 for past 3 months( from sep to december) and MR Met 500. After 3 months I am taking MR. Met 500 and Myotol F twice daily. I want to know how long I should take this table to coneive. I got married on 2012 june. Husband and myself are worring for a baby. Please reply" }, { "from": "gpt", "value": "Hi, You did not say if you are suffering from polycystic ovaries. Ginette is an oral contraceptive combination used as the first course in the treatment of PCOD to regularize the cycles. Metformin is the drug which can be continued throughout the treatment including during pregnancy as it enhances ovulation by reducing the insulin resistance of the body. Myotol is a nutritional supplement and this can be taken for as long as needed. After having your cycles regularized, you may be put on ovulation induction and this goes on for at least 6 cycles, and if you fail to conceive in this period, you will be put on other methods of ART. Good luck." } ]
[ { "from": "human", "value": "my husband and i are trying to have a baby. my last period started on jan 18th. my cycle is 32 days. ovulation discharge almost always happens on cd 18 19. this month we had sex according to the fertility calendar on the most fertile days and on the big flower day (ovulation) and i feel different because first of all when we had sex there was a whole lot of wet secretions, like a whole lot of stretchy thick mucus and he said i felt different in general, softer, and i felt it also. and now cd 20 im having slight sharp pain, and i continue to have a regular very clear, very stretchy, egg yolk like every time i use the restroom. i wipe and its on the toilet paper. could i be pregnant or am i just still ovulating? is it possible to still get pregnant?" }, { "from": "gpt", "value": "Both the possibilities of pregnancy and ovulation are there or it could be just infection,if its only the discharge not smelling or itching or anything it is less likely to be infection. Just wait for your natural cycle and if you miss you period get a HPT done,don't worry and relax hope you get the good news soon. All the Best." } ]
[ { "from": "human", "value": "Hie doctor...I am 27 year old and my last period on 5th Jan month I have regular cycle of 30 days..I was on ovulation test and on 20th day my egg was 18 mm..My doctor put rupture injection and told me do intercourse for 4 days and prescribed me Duphaston tablet for 15 days ..today I have checked my HPT and its negative..is there any chance of pregnancy?" }, { "from": "gpt", "value": "If you have not got your periods yet there are chances of pregnancy,as some times there us delayed conception,or the hormone levels are not that high to show up in HPT so would advice you to wait for a week and repeat HPT. By then may be your natural cycle might resume if you are not pregnant. So all the best,take care." } ]
[ { "from": "human", "value": "Hi....yesterday only came to know about my first failed ivf and from yest evening, having spotting.. Think my periods are going to come.... We actually had ivf and icsi..... We are planning to go for second ivf as we have frozen embroys..... What precautions to be taken so that it should be successful ivf this time. I had earlier anterior wall fibroid which was removed last year... Doctor says my uterus is fine and healthy... What can be the reason for failure then" }, { "from": "gpt", "value": "IVF has around 25% success rate,many factors play a role in this including the quality of embryos ,hormonal status of your body ,the tecnique of IVF,etc.... So you need not take any specific care,just one thing is to remain stress free as this is also one of the factors affecting IVF success rate. So don't worry and be stress free,everything would be fine. All the Best" } ]
[ { "from": "human", "value": "Hi. I am married and its almost two years now. I am trying to concieve. But i have the PCOD complication. When i consulted my doc she first gave me Dronis that was before marriage. After marriage she suggested me APCOD. But there was no improvement. Recently i consulted her and she has given me Ovacare forte with APCOD. I keep on putting weight though i go for walking (not ver regular) but have food control. Is there any chance of me concieving? Am worried" }, { "from": "gpt", "value": "Hi, thanks for using healthcare magic It is possible to conceive with PCOS, it is just more difficult, but with the technology and procedures that exist today, conception is definitely possible. You are right in trying to lose weight , this would increase the chances of conception. It is easier to lose weight by modifying your diet because usually by altering a few things that are use calories can be reduced by 500 calories.It would take alot of exercise to achieve this same amount of calorie deficit. Exercise is important in general fitness and keeping weight off. To lose weight you would need to cut out all sodas and fruit drinks and use water instead. Use low carb fruits and vegetables as snacks. In terms of your other meals you can choose the low fat or low carb route.In the low carb route you would: Increase the amount of low carb fruits and/or vegetables that you use with your main meals and at the same time reduce the amount of carbohydrates to a minimum (pasta/rice/flour products/bread/biscuits/cereals/potatoes). There are lists of low carb foods available online. In the low fat route you would reduce fat used (fatty meats/frying/butter/certain oils/ high fat milk or cheeses or dressings/mayonaise), increase fruits and vegetables, use alot of water. Metformin has also been used in PCOS. This medication is used to reduce the insulin resistance associated with PCOS, help with weight loss and improve fertility.It is one of the most common drugs used in PCOS. You can consider speaking to your doctor about it. In addition, if with weight loss and metformin you still have difficulties, clomid can be used. This medication, again very widely available, helps with ovulation. If clomid does not work then there are other medications that assist with ovulation. You may want to consider visiting a fertility specialist. Hope this helps" } ]
[ { "from": "human", "value": "March 13th i had anal sex. when he came inside after about ten seconds i got up. i felt a gooey liquid all over. he said it was from my vagina and my butt. i couldn't tell what it was so i immediately wiped my butt and vagina. if it be that his cum did touch my vagina, how likely is it that i'm pregnant. also, my period is supposed to start sometime around March 26th." }, { "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.. 1.Anal sex and ejaculation in the ass generally doesn't lead you to pregnancy. Take it from me with certainty.. 2. Again, we see so many such cases where the couple worry of pregnancy by just contact of semen with vagina. No, it's again just a myth. Semen has to go deep inside vagina. So do not worry.. 3. You immediately wiped that secretion, whatever it is? So again, need not worry about pregnancy.. You have done your best. 4. And lastly, it's highly unlikely that you'll land up in pregnancy. Sure of it.. Take my words. Do not worry, chill out.. Hope this helps you, in case you need any further assistance, please let me know. Take care friend and God bless." } ]
[ { "from": "human", "value": "I am trying to conceive from last 2-3 months (age 30 yrs). We have intercourse during the fertile period, i lay for 10 mins after that but still its not working out. I got few questions like - do i need to lay down after intercourse and if yes for how long. There is always leak and i am not sure if sperms are getting in there and reaching to where it can conceive. - lets say if i lay for the prescribed time, after that can i pee and clean myself. I don t feel comfortable until i clean myself If there are any other suggestions, please advise. Thanks." }, { "from": "gpt", "value": "Hi, You should know the position of your uterus to take some precautions after the intercourse. It is advisable to lie still for at least half-an-hour on your back if you have an anteverted uterus and on your abdomen in the prone position if you have a retroverted uterus. Do not wash your soft parts with strong solutions as they are going to harm the sperms deposited, just use plain water if you need it. Good luck." } ]