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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Determine Ovulation?

My wife is suffering from Endometriosis. She was treated with Decapetyl 3.75 mg (4 shots-21 days gap in-between). Now she is given Adova 1mg tablets to help in conceive. Earleir she was given CCQ-50 and Fertylsure..but that did not work. She has already undergone surgery once. Please let me know how can we understand if she is ovulating or not?
Fri, 27 Jan 2017
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OBGYN 's  Response
Hi ,
Endometriosis is a progressive disease, so earlier she conceives,better .
Decapeptyl would have cleared all the minute , invisible deposits of endometriosis. But once she gets periods these deposits will restart, so best way is stop periods & best way for this is pregnancy ( no periods for 10 mths!)
I would advise you to go ahead with Ovulation tablets CCQ etc with Hormone injections which confirm good eggs & timely ovulation. You can Combine with IUI if needed to further increase pregnancy chances ( up to 20-25 %), if IUI fail 3 times go ahead with IVF (Pregnancy chances 40-45%)
Endometriosis will cause adhesions / scarring around ovaries & may not allow egg to come out- Leutinised Unruptured Follicle ( LUF syndrome )
Kindly don't delay you next step, try to get pregnancy before endometriosis re-emerges.
All the best
Dr.Balakrishnan
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How To Determine Ovulation?

Hi , Endometriosis is a progressive disease, so earlier she conceives,better . Decapeptyl would have cleared all the minute , invisible deposits of endometriosis. But once she gets periods these deposits will restart, so best way is stop periods & best way for this is pregnancy ( no periods for 10 mths!) I would advise you to go ahead with Ovulation tablets CCQ etc with Hormone injections which confirm good eggs & timely ovulation. You can Combine with IUI if needed to further increase pregnancy chances ( up to 20-25 %), if IUI fail 3 times go ahead with IVF (Pregnancy chances 40-45%) Endometriosis will cause adhesions / scarring around ovaries & may not allow egg to come out- Leutinised Unruptured Follicle ( LUF syndrome ) Kindly don t delay you next step, try to get pregnancy before endometriosis re-emerges. All the best Dr.Balakrishnan