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What Does This Ultrasound Report After Getting HCG Injection Indicate?
Question: After follicle has reached size of 17 X 19 size on 14th day, docter admistered 5000 IU LH injection & asked us to have intercourse between 24-48 hours. we dod so & 19th day USG shows the follicle to have ruputured. what does it mean
Brief Answer:
Increased chances of conception
Detailed Answer:
Hi dear, I have gone through your question and understand your concerns. Follicle reaching a size of 17*19 mm is a dominant follicle, ready to get ruptured and release the ovum.
Usually, 5000 IU of hCG injection is given to assist follicular rupture so as to have timed intercourse in next 24-48 hours to increase the chances of conception.Follicle usually ruptures after36-37 hours of the hCG injection.
Please do confirm whether LH or hCG injection was given.
On day ultrasound, the follicle is seen ruptured as it was ruptured after hCG injection. It indicates that the ovum was successfully released and chances of conception are there.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
Increased chances of conception
Detailed Answer:
Hi dear, I have gone through your question and understand your concerns. Follicle reaching a size of 17*19 mm is a dominant follicle, ready to get ruptured and release the ovum.
Usually, 5000 IU of hCG injection is given to assist follicular rupture so as to have timed intercourse in next 24-48 hours to increase the chances of conception.Follicle usually ruptures after36-37 hours of the hCG injection.
Please do confirm whether LH or hCG injection was given.
On day ultrasound, the follicle is seen ruptured as it was ruptured after hCG injection. It indicates that the ovum was successfully released and chances of conception are there.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Many thanks for your quick reply.
1) The injection was HCG 5000 iui.
2) Based on todays USG following treatment is started
Dydrogesterone tablet ip 10 mg brand name Duphaston (Abbbot pharma) 1 x 10 days
Tab follsafe + 1 x 30
Tab Calcimax forte 1x30
XXXXX
1) The injection was HCG 5000 iui.
2) Based on todays USG following treatment is started
Dydrogesterone tablet ip 10 mg brand name Duphaston (Abbbot pharma) 1 x 10 days
Tab follsafe + 1 x 30
Tab Calcimax forte 1x30
XXXXX
Brief Answer:
Appropriate treatment
Detailed Answer:
Hi XXXXXXX Duphaston is given to make the uterine environment more favorable for conception.
Folsafe is folic acid which is known to reduce the risk of congenital anomalies in the fetus and is recommended preconceptionally.
Calcimax is calcium, no specific role in conception.
Wish you both all the best.
You can get back to me for further queries by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma
Appropriate treatment
Detailed Answer:
Hi XXXXXXX Duphaston is given to make the uterine environment more favorable for conception.
Folsafe is folic acid which is known to reduce the risk of congenital anomalies in the fetus and is recommended preconceptionally.
Calcimax is calcium, no specific role in conception.
Wish you both all the best.
You can get back to me for further queries by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Many thanks
The doctor has asked us to wait for another 10 days to know exacts status. is it correct?
XXXXX
The doctor has asked us to wait for another 10 days to know exacts status. is it correct?
XXXXX
Brief Answer:
Pregnancy can be detected after 10-14 days of ovulation
Detailed Answer:
Hi dear, the conception, if occurred, can be detected only after 10 -14 days of ovulation by a urine pregnancy test.
Once again, all the best to both of you from my side.
Regards
Dr Deepti Verma
Pregnancy can be detected after 10-14 days of ovulation
Detailed Answer:
Hi dear, the conception, if occurred, can be detected only after 10 -14 days of ovulation by a urine pregnancy test.
Once again, all the best to both of you from my side.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Today on 29th day of cycle (normal period ~32 days) & 15th day of HCG injection, dark brown spots & some small dark brown dischrge is observed. What does this mean?
Brief Answer:
please convey some information
Detailed Answer:
Hi dear, please convey whether she is taking duphastone or has stopped it. If stopped, then when.
Please do get back to me with the information.
Regards
Dr Deepti Verma
please convey some information
Detailed Answer:
Hi dear, please convey whether she is taking duphastone or has stopped it. If stopped, then when.
Please do get back to me with the information.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
It was on till day before yesterday ( 9 tabs out of 10 have been consumed). Doc asked to stop after we Informed her the observations.
Brief Answer:
due to pregnancy or due to withdrawal of the duphastone .
Detailed Answer:
Hi dear, the spotting and brown discharge can be due to pregnancy or due to withdrawal of the duphastone . I will suggest her to get a urine pregnancy test after 3 days, and if negative, then it is the withdrawal spotting due to stopping Duphastone.
Regards
Dr Deepti Verma
due to pregnancy or due to withdrawal of the duphastone .
Detailed Answer:
Hi dear, the spotting and brown discharge can be due to pregnancy or due to withdrawal of the duphastone . I will suggest her to get a urine pregnancy test after 3 days, and if negative, then it is the withdrawal spotting due to stopping Duphastone.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Today the discharge is quite significant, almost like normal periods in quantity & colour. However there is no back pain this time which is allways accompanied. Another observation before the discharge stared was some mild to medium leg cramps. We will anyway take the UPT after 3 days. What are these indication?
Brief Answer:
Withdrawal bleeding
Detailed Answer:
Hi dear. this is likely to be the withdrawal bleeding after stopping the progesterone (Duphastone). This is highly indicative of the fact that the pregnancy has not occurred.
However, she should get a urine pregnancy test to confirm the diagnosis.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Withdrawal bleeding
Detailed Answer:
Hi dear. this is likely to be the withdrawal bleeding after stopping the progesterone (Duphastone). This is highly indicative of the fact that the pregnancy has not occurred.
However, she should get a urine pregnancy test to confirm the diagnosis.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Yogesh D
I have attached some reports.
I am 44 & wife XXXXXXX is 41. We have our first daughter born in 2004 with pre planned c-section. In 2005, my wife started devloping psorosis & is now @ 30 % of body. We waited for last 6-7 years to get it cured & then expand the family. We have started taking medical guidance for last 3 months. As per attached reports XXXXXXX has T3 of & is taking thronorm 25 mcg for last 3 years & 50 mcg for last 3 months. suggest that my semen is quite normal. Her AMH level is 0.53, slightly on lower side. She is taking ovares 25. We have tried natural cycle this month ie usg tracking of follicle & thickness of lineing from day 8. Then hcg inj & now waiting for upt in next couple of days.
if the upt is negetive, what does it mean & what should be next action.
?
I am 44 & wife XXXXXXX is 41. We have our first daughter born in 2004 with pre planned c-section. In 2005, my wife started devloping psorosis & is now @ 30 % of body. We waited for last 6-7 years to get it cured & then expand the family. We have started taking medical guidance for last 3 months. As per attached reports XXXXXXX has T3 of & is taking thronorm 25 mcg for last 3 years & 50 mcg for last 3 months. suggest that my semen is quite normal. Her AMH level is 0.53, slightly on lower side. She is taking ovares 25. We have tried natural cycle this month ie usg tracking of follicle & thickness of lineing from day 8. Then hcg inj & now waiting for upt in next couple of days.
if the upt is negetive, what does it mean & what should be next action.
?
Brief Answer:
Intrauterine insemination
Detailed Answer:
Hi dear, the reports are not uploaded, so please upload them so that I can review them.
If the UPT is negative, then you can go for ovulation induction and intrauterine insemination (IUI) as the next step in order to achieve pregnancy. In my opinion, you should go for IUI because of the advanced age of both of you and hence the decreased rate of spontaneous conception at this age.
However, before going for IUI, she should get a hysterosalpingography (HSG) done to assess the patency of the fallopian tube, which is must for the success of IUI.
Hope you found the answer helpful. Please do get back for further query.
You can get back to me for further queries by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma
Intrauterine insemination
Detailed Answer:
Hi dear, the reports are not uploaded, so please upload them so that I can review them.
If the UPT is negative, then you can go for ovulation induction and intrauterine insemination (IUI) as the next step in order to achieve pregnancy. In my opinion, you should go for IUI because of the advanced age of both of you and hence the decreased rate of spontaneous conception at this age.
However, before going for IUI, she should get a hysterosalpingography (HSG) done to assess the patency of the fallopian tube, which is must for the success of IUI.
Hope you found the answer helpful. Please do get back for further query.
You can get back to me for further queries by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The reports are uploaded there in my reports folder.
Does normal follicle devlopment & lining thickness increse from 8th day to 15 the day not sufficient to confirm potency of the follopin tubes?
Is there any other simple test for the same other than HSG or laproscopy like a specific USG etc? Are there any medicines to remove blocks without doing the tests?
Does normal follicle devlopment & lining thickness increse from 8th day to 15 the day not sufficient to confirm potency of the follopin tubes?
Is there any other simple test for the same other than HSG or laproscopy like a specific USG etc? Are there any medicines to remove blocks without doing the tests?
Brief Answer:
Sonosalpingography
Detailed Answer:
Hi dear, good morning.
The reports are still not uploaded in your reports folder. Please click on the upload reports tab and upload the reports.
Normal follicle development is a sign of normal ovarian functioning, while endometrial thickness is suggestive of normal uterine function, but both of them do not give any information about the tubal patency.
Apart from HSG and laparoscopy, tubal patency can also be checked by a specialized ultrasound technique called "sonosalpingography".
No, there are no medicines available to correct tubal block. Even surgery is not recommended nowdays. In bilateral tubal block IVF is advised for conception.
Hope you found the answer helpful. Please do get back for further query.
You can get back to me for further queries by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma
Sonosalpingography
Detailed Answer:
Hi dear, good morning.
The reports are still not uploaded in your reports folder. Please click on the upload reports tab and upload the reports.
Normal follicle development is a sign of normal ovarian functioning, while endometrial thickness is suggestive of normal uterine function, but both of them do not give any information about the tubal patency.
Apart from HSG and laparoscopy, tubal patency can also be checked by a specialized ultrasound technique called "sonosalpingography".
No, there are no medicines available to correct tubal block. Even surgery is not recommended nowdays. In bilateral tubal block IVF is advised for conception.
Hope you found the answer helpful. Please do get back for further query.
You can get back to me for further queries by asking a direct question to me on health care magic portal.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The reports are seen from my side. Can you please check up?
Our Dr is asking us to directly go for IVF or natural IVF. What is driving this? My wife could not take the HSG due to pain & we have not done Laproscopy for its risks so far. This is proving to be the only test remaining & possibly the most crucial. Why do tubes get blocked?
Our Dr is asking us to directly go for IVF or natural IVF. What is driving this? My wife could not take the HSG due to pain & we have not done Laproscopy for its risks so far. This is proving to be the only test remaining & possibly the most crucial. Why do tubes get blocked?
Brief Answer:
Tubal patency should be checked
Detailed Answer:
Hi dear, the reports are still not seen in my window. I will suggest you to communicate with the customer care support of the health care magic regarding this issue, or you can type and send me the reports, if feasible.
HSG , laparoscopy or sonosalpingography are required to check the tubal patency.
IVF cannot be advised unless the result of tubal patency are known.
Fallopian tubes can get blocked due to various reasons like pelvic infection, adhesions due to previous surgery, endometriosis and tuberculosis.
It is a investigation protocol in infertility patient to check for tubal patency and then decide that whether to go for IUI or IVF. No decision can be taken prior to that.
During HSG, pain is there, but it is usually reduced by giving analgesics and antispasmodics.
I will strongly suggest her to go for one of the tubal patency test before moving on to the next level of treatment.
Hope you found the answer helpful. Please do get back for further query.
Regards
Dr Deepti Verma
Tubal patency should be checked
Detailed Answer:
Hi dear, the reports are still not seen in my window. I will suggest you to communicate with the customer care support of the health care magic regarding this issue, or you can type and send me the reports, if feasible.
HSG , laparoscopy or sonosalpingography are required to check the tubal patency.
IVF cannot be advised unless the result of tubal patency are known.
Fallopian tubes can get blocked due to various reasons like pelvic infection, adhesions due to previous surgery, endometriosis and tuberculosis.
It is a investigation protocol in infertility patient to check for tubal patency and then decide that whether to go for IUI or IVF. No decision can be taken prior to that.
During HSG, pain is there, but it is usually reduced by giving analgesics and antispasmodics.
I will strongly suggest her to go for one of the tubal patency test before moving on to the next level of treatment.
Hope you found the answer helpful. Please do get back for further query.
Regards
Dr Deepti Verma
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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