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Suggest Treatment For Difficulty In Conceiving

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Posted on Tue, 8 Mar 2016
Question: For the past 5 months my cycles have been 25 to 30 days I am now on day 35 and no sign of period. I am try get pregnant but test is negative. I am worried sick my periods have stopped. I have seen fertility specialist recently who says I need to lose weight to conceive. He has done baseline bloods day 2 fsh 7.1 lh normal and esteogen normal. Please help what can be wrong. I dont want to get excited i may be pregnant to find out i am not. What are my chances please? Will my period come back naturally I am so scared I am 40 x


doctor
Answered by Dr. Ramesh M.Vachharajani (15 hours later)
Brief Answer:
Go for AMH test to know chances of conception, rule out thyroid, diabetes

Detailed Answer:
Hi, XXXXXXX keoh,
Thanks for sending query on HCM.
Thank you for putting confidence on me.
I will reply your query to the best of my knowledge.
Read your history in detail and understand your concern.
As you are having irregular periods for last 5 months and after 35 days you did not get period and pregnancy test is negative.
Now you may take Tablet Primolut-N twice a day for 3 days and afterwards you will get period within few days.
Afterward watch your regularity of period and go for ovulation study and go for intercourse accordingly.
But as there is problem of fertility you should go for,
1. Reduction of your weight
2. Rule out thyroid
3. Rule out Diabetes
4. Rule out PCOD.
To know chances of having pregnancy there is one blood test called Serum AMH test which will give information about chances of pregnancy.
I hope, I answered your query.
If you have further query or clarification, please write back.
I wish you early conception and prosperous motherhood.
from, Dr. Ramesh Vachharajani, MBBS, XXXXXXX XXXXXXX XXXXXXX
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Ramesh M.Vachharajani (1 hour later)
All the above have been ruled out. Do you think i could be pregnant xx


My GP says I could still be pregnant. Here are the tests he is doing tomorrow FBC ESR HBA1C SERUM U&ES LFTS CRP TSH TFT GLUCOSE FERRITIN B12 VIT D TTG LH FSH HCG. Previous test results done are ultrasound scan normal and 4 months ago these blood results Estrogen 115, LH 1.7, FSH 7.1 which GP and fertility specialist say are normal apart from estrogen a little low but shouldnt cause any problems
doctor
Answered by Dr. Ramesh M.Vachharajani (2 hours later)
Brief Answer:
As age advances chance of pregnancy decreases.

Detailed Answer:
Hi, XXXXXXX keoh,
Thanks for posting query again.
As age advances, after 35 years fertility decreases but there are still good chances of becoming pregnant again.
All the tests that you are getting done are to check for problems like diabetes, thyroid, vitamin D3 and B12 deficiencies, liver and kidney disorder, tuberculosis or any chronic disease etc.
Presence of such problems are known to reduce chances of conception.
If all those tests turn out to be normal, then i recommend you continue your efforts to concieve, and you will suceed in all probability. hope i addressed your querries. take care.
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Ramesh M.Vachharajani (53 minutes later)
I am worried my periods wont come back. They will wont they
doctor
Answered by Dr. Ramesh M.Vachharajani (14 minutes later)
Brief Answer:
Less chance of stopping period so suddenly

Detailed Answer:
Hi, XXXXXXX keoh,
As your hormonal levels appear normal, chances of stoppage of period are very less.
This is peri-menopausal age where there will be occurence of irregularities in periods, followed by gradual cessation, culminating in menopause.
So i would advice you to go for treatment regimen I had mentioned before after consulting your Gynaecologist. hope i answered your queries.
take care.
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Ramesh M.Vachharajani (1 hour later)
My fertility specialist has told me to take inofolic x
doctor
Answered by Dr. Ramesh M.Vachharajani (14 hours later)
Brief Answer:
this medicine is helpful for irregular period and fertility.

Detailed Answer:
Hi, XXXXXXX keoh,
Thanks for query.
Inofolic-x is combination of folic acid and myo inositol which improves metabolism and helps improving irregular period and fertility.
This is good medicine and continue.
Ok and take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh M.Vachharajani (2 hours later)
If i start take inofolic as i not had it yet will it get my period back and put me on a regular cycle. I am so worried its day 40 now and nothing x

Do think there is a pregnancy chance or not
doctor
Answered by Dr. Ramesh M.Vachharajani (5 hours later)
Brief Answer:
there are all chance of pregnancy.

Detailed Answer:
Hi, XXXXXXX keoh,
Thanks for clarification.
There are all chance of having pregnancy if there is proper ovulation.
If there is no period after hormonal medicine then they may go for ultra sound of uterus for having any resistant endometrial layer which might not allow conception.
In this case they may go for D& C procedure and after this procedure chances of having pregnancy increases.
Regards.
Dr. Ramesh Vachharajani.
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Ramesh M.Vachharajani (20 minutes later)
I mean as I am 11 days late do you think I could be pregnant now? Although urine test negative
doctor
Answered by Dr. Ramesh M.Vachharajani (18 minutes later)
Brief Answer:
go for blood hcg test, a more sensitive test

Detailed Answer:
Hi, XXXXXXX keoh,
As urine test is negative but to confirm presence of pregnancy go for blood HCG test which is more sensitive during early stage of pregnancy.
Ok and take care.
Regards,
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ramesh M.Vachharajani (27 minutes later)
Will my period come back I am scared especially with wanting a baby
doctor
Answered by Dr. Ramesh M.Vachharajani (16 hours later)
Brief Answer:
Follow previous answers for getting period

Detailed Answer:
Hi, XXXXXXX
all factors are favorable for having pregnancy.
For having period read and follow advises and information I discussed in previous answers.
So consult your treating doctor and discuss about all discussions I mentioned in previous answers.
Ok and take care.
Regards,
Dr, Ramesh Vachharajani.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Ramesh M.Vachharajani

General & Family Physician

Practicing since :1969

Answered : 17663 Questions

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Suggest Treatment For Difficulty In Conceiving

Brief Answer: Go for AMH test to know chances of conception, rule out thyroid, diabetes Detailed Answer: Hi, XXXXXXX keoh, Thanks for sending query on HCM. Thank you for putting confidence on me. I will reply your query to the best of my knowledge. Read your history in detail and understand your concern. As you are having irregular periods for last 5 months and after 35 days you did not get period and pregnancy test is negative. Now you may take Tablet Primolut-N twice a day for 3 days and afterwards you will get period within few days. Afterward watch your regularity of period and go for ovulation study and go for intercourse accordingly. But as there is problem of fertility you should go for, 1. Reduction of your weight 2. Rule out thyroid 3. Rule out Diabetes 4. Rule out PCOD. To know chances of having pregnancy there is one blood test called Serum AMH test which will give information about chances of pregnancy. I hope, I answered your query. If you have further query or clarification, please write back. I wish you early conception and prosperous motherhood. from, Dr. Ramesh Vachharajani, MBBS, XXXXXXX XXXXXXX XXXXXXX