
Suggest Treatment For Difficulty In Conceiving

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


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
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.


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.


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.


Do think there is a pregnancy chance or not
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.


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,


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.

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