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Suggest Treatment For PCOD

Posted on Mon, 14 Sep 2015

Question: Hai, kindly request you to suggest the necessary preliminary tests to make sure everything in reproductive organ is good piror to start IVF treatment for my wife.

My wife showing PCOD during scan with normal 30 days menstrual cycle and AMH is normal, is it necessary to do laproscopy drilling or tablet is enough.

Awaiting for your reply..

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Laparoscopy not required

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns about steps prior to IVF.

Following is my reply:

1) There are no specific precautions or steps necessary before going ahead with IVF.

2)Laparoscopic Ovarian drilling is absolutely not necessary.

3) You can go ahead with IVF right away.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Mahesh Koregol.
IVF & Infertility Specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Thanks for your reply. ...

For your kind information, On june-2014 we undergone XXXXXXX IVF treatment for my wife, but it failed. Prior to start XXXXXXX IVF treatment my wife undergone hysteroscopy and septoplasty(partial septate uterus septoplasty done).

Currently in another hospital we planned for IVF treatment and Reproductive doctor suggest for my wife to take AMH test (day 2 of menstrual cycle) and endometrial biopsy (day 4 of menstrual cycle). We found result as AMH is normal and endometrium has Mycobacterium Tuberculosis Complex, so doctor suggest my wife to take medicines from pulmonary doctor for six months duration and then continue for IVF treatment. ...

The above procedure is correct or not, please suggest me why endometrial tb is happened within one year, explain me in detailed and there is any side effects. ...

During this time of six months treatment for endometrial tb, intercourse is advisable or not, please suggest me it is a transmit disease or not. ...

Awaiting for your kind reply ...

Answered by Dr. Mahesh Koregol (5 minutes later)

Brief Answer:
Complete TB treatment before going for IVF

Detailed Answer:
Hi,

Thanks for additional information.

You are under right treatment. It is better to take AKT for atleast 6 months before going for IVF. Endometrial TB could have been there even earlier but was not diagnosed. It was identified because your doctor performed endometrial biopsy test.

Intercourse can be done while treatment for TB is under progress. This disease does not transmit by intercourse. DOnt worry.

Let me know if you need any more help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (2 hours later)

Thanks for your reply. ...

Kindly suggest me, which is the best stage for Embryo Transfer in IVF treatment (is there any certain criteria pls explain in detailed).

What is the success rate of it. ...

For me, andrology doctor suggest to take medicines to improve counts and motility for 3 months, and the tablets are,
Tab.CCQ-50mg- 1 tab/day
Tab.Ubefit-30mg- 1 tab/day
Tab.Zincovit-500mg- 1 tab/day
The above tablet is good for improvement in the count and motility or not, please suggest me. ..

I used to check semen analysis test regularly, sometimes it shows fluctuations in counts and motility, kindly advice me....

Awaiting for your kind reply. ...

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Blastocyst is best

Detailed Answer:
Hi,

Blastocyst stage is the best for embryo. Its on day 5.

Dont take these medicines if your count and motility are normal.

Let me know your recent few reports so that I can suggest if these are necessary.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar