Hi XXXXXXX

Thanks for writing to us.

Cycloprogynova is a hormone replacement therapy meant for maintaining a proper endometrium and does not cause ovulation. Also, this drug is contraindicated during pregnancy.

As you have always had your periods only with the drug, get yourself evaluated thoroughly before you proceed for further treatment. Your ovarian function needs to be assessed, and the response of the uterus to ovarian hormones observed.

Unless the cause of your amenorrhoea is deciphered, no plan of action for future can be planned. Please see a good infertility specialist for assessment and advice.

Hope I have clarified your doubts. If you need any further clarifications,please feel free to ask. I will be happy to help.

regards,
Shanti.V.

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Hi,

Thanks for writing back.

Provided you have well developed secondary sexual characteristics your chances of getting ovulation are reasonably good. This also depends on the levels of various hormones in your blood.

That you have been getting periods with Progynova shows that your uterus is able to respond well to hormonal stimulation. It remains to see if your ovaries respond to drugs stimulating ovulation and natural period occurs.

You stand a decent chance of getting pregnant if induction drugs are successful. Your age should not be of much concern.

You need to have a complete infertility work up including partner assessment before you receive any treatment. Super ovulation is a consequence of successful ovulation induction sometimes and this results in multiple pregnancies.

Please be patient while undergoing assessment and further treatment as temperament is also a major factor in reaching success in infertility treatment. It is going to take some time before you can see results.

Hope I have made this clear. If you have further queries, please feel free and ask. I will be ready to help.

regards,
Shanti.V.

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Hello XXXXXXX,

Thanks for writing to us.

I am glad to hear your feed back. The normal size of the uterus is 8*5*3 cm. with a volume of 80-200 ml; further, the size of the uterus varies with age, hormonal influence and previous pregnancies.

You can ask your sonologist to give you the details of your uterine size, shape and position. If there are any anomalies noted, treatment depends on whether they can be corrected or not and if correction is needed or not. The prognosis of a pregnancy is good if no such anomalies are noted.

A small uterus also stretches just like a normal uterus during pregnancy and it needs to be observed how far it can stretch; usually there should be no problem.

The best time to take a home pregnancy test is with the early morning sample around 20 days after ovulation or 21 days after you last had your unprotected intercourse. Use the sample within 15 minutes of its collection. It will not show results if you test 5 days from intercourse. There are some highly sensitive tests available in the market, but even they cannot predict a pregnancy that early. The serum beta hCG test can give you a pregnancy confirmation about the time of implantation, around 6 days before the next period is due.

If you have the habit of recording the conception and this persists for at least two weeks. This is the only earliest sign of conception available.

Hope I have clarified all your doubts. If you have no further queries, you may close this discussion now and rate this answer.

Wish you good health.

regards,
Shanti.V.

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