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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Advised Premarin, Normalut For No Periods At All, Uterus Size Increased After Treatment, On Ovulation Treatment, Hcg. Advice ?

Hi
Iam 32 years old, i had not period all my live,
so the doctors gave me premarin bills (0.625 ) for 15 days then normalute bills (2 pills aday ) for 10 days , then after 3 days i can see my period, without the treatment there is no period !
at first my uterus was very small about 2 cm in length but after i got the above mentioned treatment the doctors found that my uterus has increased during 8 years of treatment , now my uterus is about 5.7 cm in length and 3.5 endometrium
fsh = 2
lh = 0.9
in the 3rd day of my period.
i got married before 8 months, began trying the ovulation treatment.
at first the doctor gave me 14 menogon 75 IU (two daily )
after that the ultrasound report was that the biggest egg = 4 mm !
the next month he gave me 5 merional 75 IU (one aday )
but there was not any response !
pls advise is there any chance to make IVF by getting a large dose of hmg injection ?
pls advise if you need any reports .
Fri, 12 Jul 2013
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OBGYN 's  Response
Hello
thanks for your query.
Your FSH and LH levels are definitely low.
You should have determination of your ovarian reserve.
This is done by measuring AMH levels and baseline ultrasound on day 2 of the period which measures the AFC ( antral follicular count ).
This will predict your ability to respond to stimulation protocols for IVF.
WIth strong protocols for stimulation, you should have a chance to develop good follicles ( eggs ).
Take care.
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Advised Premarin, Normalut For No Periods At All, Uterus Size Increased After Treatment, On Ovulation Treatment, Hcg. Advice ?

Hello thanks for your query. Your FSH and LH levels are definitely low. You should have determination of your ovarian reserve. This is done by measuring AMH levels and baseline ultrasound on day 2 of the period which measures the AFC ( antral follicular count ). This will predict your ability to respond to stimulation protocols for IVF. WIth strong protocols for stimulation, you should have a chance to develop good follicles ( eggs ). Take care.