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I Am 41years Old. Have Had Two Kids And Now

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Posted on Wed, 5 Dec 2018
Question: I am 41years old. Have had two kids and now need to have a third child. Doctor had given injections of fsh after which egg size is 13 on 11th day, is that good? Now he has give siphene 50 thrice a day till Saturday. Please advise will I get pregnant this month?
doctor
Answered by Dr. Shanti Vennam (3 hours later)
Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for letting us know your health concern.

I have gone through your query and would like to offer some information.

Siphene contains Clomiphene which is used to induce ovulation. This is given as initial medication in an induced cycle and if necessary, followed up with gonadotropin supplements.

I do not understand why you should be taking medication to induce ovulation, since you already have been induced using FSH. The size of the follicle is good enough and follow up is needed to see if ovulation occurs. Please clarify with your doctor.

If basal body temperature is being tracked, ovulation is indicated by rise in the temperature and if conception occurs, this rise persists.

Hence, if the ovum is released and proper precautions are followed including regular intercourse and excluding other impeding factors, you have a decent chance of success.

Hope you find this information useful. Please feel free to contact for further information. I will be happy to help.

regards,
Shanti.V.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Shanti Vennam (17 minutes later)
Thank u doctor also doctor has given seleg To insert in my vagina. I Dnt want to make any mistake. Doctor plz advise
doctor
Answered by Dr. Shanti Vennam (41 minutes later)
Brief Answer:
Timing of medication is important.

Detailed Answer:
Hello,

Thanks for writing back.

The timing of the medication is important to achieve expected results. Also, if your doctor is planning IVF, you would be given prior information. Seleg is better as a vaginal tablet so as to be more effective with little side effects. This is preferably administered soon after menstruation to achieve good endometrial lining. Please confirm the timing and use it.

Hope this helps. Please get back if you need anything else.

regards,
Shanti.V.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Shanti Vennam (18 minutes later)
Why IVF doctor?
doctor
Answered by Dr. Shanti Vennam (7 minutes later)
Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for writing again.

In the current scenario, considering your age and the dwindling ovarian reserve that goes with it, it is possible that your doctor may suggest alternate methods if conception fails to occur in a few cycles.

Also, improvement of endothelial lining, though advised in the needy case, is often used as a preparation for embryo implantation during IVF.

This is why I mentioned it. It is only for your additional information. Do not worry.

Wish you good health.

regards,
Shanti.V.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Shanti Vennam

OBGYN

Practicing since :1989

Answered : 7664 Questions

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I Am 41years Old. Have Had Two Kids And Now

Brief Answer: Detailed below. Detailed Answer: Hello, Thanks for letting us know your health concern. I have gone through your query and would like to offer some information. Siphene contains Clomiphene which is used to induce ovulation. This is given as initial medication in an induced cycle and if necessary, followed up with gonadotropin supplements. I do not understand why you should be taking medication to induce ovulation, since you already have been induced using FSH. The size of the follicle is good enough and follow up is needed to see if ovulation occurs. Please clarify with your doctor. If basal body temperature is being tracked, ovulation is indicated by rise in the temperature and if conception occurs, this rise persists. Hence, if the ovum is released and proper precautions are followed including regular intercourse and excluding other impeding factors, you have a decent chance of success. Hope you find this information useful. Please feel free to contact for further information. I will be happy to help. regards, Shanti.V.