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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular Periods. Had Ectopic Pregnancy. Chances Of Conception?

My wife has irregular periods since she was matured, however she got conceived within few months of our marriage and had our first baby. later I used protection for almost five years until she was diagnosed with Ectopic Pregnancy due to irreregular periods.Her left tube was removed and we tested her other tube using HSG and found to be normal.
Her irreregular periods still continues and our Gyno prescribed DEVIRY tablet but no periods as its been 7 days of Deviry last tablet. Please advise on how to treat and we are keen on having another Baby.
Mon, 20 May 2013
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OBGYN,  's  Response
Hello,
As per the history, it looks like your wife needs to be treated for her irregular periods first with a complete protocol of investigations including a complete hormonal profile, glucose tolerance, infections and so on. No specific treatment should be initiated before the cause is completely evaluated. Ectopic pregnancy is not caused by irregular periods but due to defective tubal function or conception. Usually withdrawal bleed is seen within one week to 10 days after the completion of hormone therapy. If that does not happen, it could mean that the dose is insufficient or the HPO axis has not responded. This needs further investigation. There should be no problem in conceiving if the hormonal imbalance is corrected and with proper monitoring. Good luck.
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Irregular Periods. Had Ectopic Pregnancy. Chances Of Conception?

Hello, As per the history, it looks like your wife needs to be treated for her irregular periods first with a complete protocol of investigations including a complete hormonal profile, glucose tolerance, infections and so on. No specific treatment should be initiated before the cause is completely evaluated. Ectopic pregnancy is not caused by irregular periods but due to defective tubal function or conception. Usually withdrawal bleed is seen within one week to 10 days after the completion of hormone therapy. If that does not happen, it could mean that the dose is insufficient or the HPO axis has not responded. This needs further investigation. There should be no problem in conceiving if the hormonal imbalance is corrected and with proper monitoring. Good luck.