Suggest Treatment To Conceive When Ovulation Is Irregular

Posted on Mon, 16 Feb 2015

Question: I am married for 5 plus years now and trying to conceive.I had complaints of high BP and high cholesterol which are under control now and am not having any medicines now for that , earlier i had taken Amloguard and Atorva for about a year and a half. My doc had prescribed me for Clofert 50(from day 3 one tab for 5 days) , H/W relationship from day 12 -day 10 and Gestofit SR 200 from day 17 to 20 days. I was about to start the medication when i tested positive for pregnancy. This was in XXXXXXX 2014. But it was blighted ovum and i underwent MTP on 30th March 2014. Have been trying ever since but even after 11 months i have not conceived . I have started that earlier prescribed medicine course now this cycle. Would you kindly give me proper suggestion regarding this , my periods are irregular about 32-36 days cycle at times and i could not track ovulation using a home test kit even,which means ovulation is also irregular. Kindly guide me , am 33 plus and my husband is also 33 plus and we long for a baby.

Answered by Dr. Mahesh Koregol (45 minutes later)

Brief Answer:
Follicular growth scan needed

Detailed Answer:
Hello

I understand your query about trying for pregnancy.

Since you have irregular cycles, it is important to know when follicles are growing and what is size of follicles about to ovulate.

You need to undergo regular follicular growth ultrasound scan to know when ovulation is going to occur and when is best time to try.

Taking these tablets blindly without ultrasound scan is not advisable.

You take the treatment under care of an IVF centre as they will be best suited for this. Your age is increasing and need to hurry with good doctor.

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

Follow up: Dr. Mahesh Koregol (45 hours later)

Thank you very much doctor. I will surely go for a follicular study as suggested by you . Can you give any other suggestion/advice for lifestyle changes and tracking of ovulation for better chances of conceiving ? I am 33 year old 5.4ft tall and weigh 63 kgs.

Answered by Dr. Mahesh Koregol (0 minute later)

Brief Answer:
You are fit

Detailed Answer:
Hi

You are fit and you dont need any other treatment. Follicular growth scan and trying at appropriate time is good enought for you.

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

Follow up: Dr. Mahesh Koregol (3 minutes later)

Thank u very much ..and your prompt answer is a boost for my morale . Trying at appropriate time is most important i understand. i had periods 25th nov and 25th dec . last cycles have been regular. and i told you about the medications i had taken and tried this month. Please suggest me the appropriate time to follow

Answered by Dr. Mahesh Koregol (31 minutes later)

Brief Answer:
Appropriate dates are best decided by scan

Detailed Answer:
Hello,

Appropriate dates are best decided only by follicular growth scan. If you wish you can get follicular growth scan on 12th day of cycle and let me know the report so that I can advice accordingly.

When ever you are posting new query, please start by " Query for Dr. Mahesh Koregol" so that you can get me to answer your questions.

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