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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had C Section, Unable To Get Pregnant. What Could Be The Reason?

I had c section for my kid 6 years ago and have been unable to get pregnant .I am 38 years old. last year I used to have headache prior to periods and terrible cramps but after started exercing and lost some weight I get my periods with no problems .but still not able to become pregnant what could be the problem.
Mon, 20 Jan 2014
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OBGYN,  's  Response
Hello
Thanks for your health concern.
You need to consult an Infertility Specialist.
A thorough evaluation of the reasons for being unable to conceive needs to be done.
Firstly, your husband's semen analysis should be done.
NExt , your blood tests should be done to know your hormonal status.
These include - FSH, LH, TSH, Prolactin, OGTT.
Your ovarian reserve should be assessed by a baseline pelvic transvaginal ultrasound scan and measurement of AMH level.
Also, a cycle of follicular monitoring should be performed to know if you are ovulating properly.
If ovulation is not on track, ovulation inducing agents like Clomiphene Citrate should be taken.
If 3 - 6 cycles of ovulation induction fail, then a laparoscopy should be done.
THis will assess status of your fallopian tubes.
IF the fallopian tubes are blocked, IVF is the only option ahead.
Take regular folic acid supplements and maintain ideal BMI.
All the best and take care.
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Had C Section, Unable To Get Pregnant. What Could Be The Reason?

Hello Thanks for your health concern. You need to consult an Infertility Specialist. A thorough evaluation of the reasons for being unable to conceive needs to be done. Firstly, your husband s semen analysis should be done. NExt , your blood tests should be done to know your hormonal status. These include - FSH, LH, TSH, Prolactin, OGTT. Your ovarian reserve should be assessed by a baseline pelvic transvaginal ultrasound scan and measurement of AMH level. Also, a cycle of follicular monitoring should be performed to know if you are ovulating properly. If ovulation is not on track, ovulation inducing agents like Clomiphene Citrate should be taken. If 3 - 6 cycles of ovulation induction fail, then a laparoscopy should be done. THis will assess status of your fallopian tubes. IF the fallopian tubes are blocked, IVF is the only option ahead. Take regular folic acid supplements and maintain ideal BMI. All the best and take care.