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Suggest Treatment For Difficulty In Conceiving Despite Going Through Infertility Treatment

Posted on Tue, 27 Oct 2015

Question: Hi..Had PCOS for the last 2 years and was under treatment.It's been 4 years since we have got married..My last LMP was 6th Aug.. So it's been now 8 weeks I haven't got my periods..in my 6th week, home preg card got positive result and went to check up.. She made a quick scan and said she can see the foetal pole and the gestational sac measured abt 15.5 inches..after a week measured about 26.5 inches..Wen I went after 5 days for the heart Beat check..the sac jus measured 27.8..and she couldn't see the heart Beat at all..am tensed..wen is the heart Beat felt in the pregnancy generally?? she prescribed Susten 200 twice and folic acid tablet to be taken along with a hcg injection..I don't have any symptoms like nausea or vomiting and not vaginal discharge too..have not did blood test yet..heart beat seems to be considered but am not sure wen can it be heard?? How can I proceed now?? and makes me worried for miscarriages..Please advice me..

Answered by Dr. Srilatha Myaka (28 minutes later)

Brief Answer:
need more information

Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
Iam Dr.Srilatha gynaecologist.In my opinion the fetal heart beat is seen around 7 -8 weeks.
I need to know following things for better suggestions:-
1)What is your height and weight?
2)Is this pregnancy a result of infertility treatment?
3)Was the ultrasound repeated after finding no heart beat?
Kindly provide me the information.
Looking forward to hear from you.
Best regards...Dr.Srilatha

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

Follow up: Dr. Srilatha Myaka (1 hour later)

Hi Dr.
I couldn't able to reply ,sorry for the delay.Here are the required informations.. Please guide me.
1.Yes,the pregnancy is the result of infertility treatment consisting of
Ubiphene,folvit ,thyropace (I don't have thyroid ),afkit, cycloset, mephthal.
2.I ought to go for the scan today..but am little frightened like more ultrasounds can damage if ter is a baby inside my womb (hopefully:-) ).. Hence waiting for some 2 more days to go.:-(
3.height 152 cms weight 71 kgs.
Thanks,

Answered by Dr. Srilatha Myaka (1 hour later)

Brief Answer:
ultrasound is safe for baby

Detailed Answer:
Hello dear,thanks for the information.I understand your concern.
In my opinion more number of ultrasounds does not harm the baby.And moreover only required number of ultrasounds are done to know the well being of fetus.So relax.
Usually the fetal heart beat is seen at 7 weeks in transvaginal ultrasound and around 8 weeks in transabdominal ultrasound.This period may vary slightly.
So as the heartbeat is not seen initially usually a repeat ultrasound is advised after 2 weeks as in your case.
Dont worry.You can darely go for a scan.
Metformin is also a very good medicine and it helps in prevention of miscarriage in PCOD.So discuss regarding that with your doctor.
Continue folate and progesterone supplements.
Avoid stress and hope for the best.During pregnancy you should keep stress aside as it might increase the steroid levels and have
negative effects on growing fetus.
Hope this satisfies your query.
Feel free to discuss further.
Best regards...Dr.Srilatha

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