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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Goodova Or HMG Injection Be Taken For Infertility Treatment?

Im married for 2 yrs. Age 29. Have pcod with irregular period which come aftr 2mnths. Taking metformin +folvit and gt prgnat wid goodova+ persinal hmg 75iu. Wich ended in right ectopic pregnancy. Got treated wid injection my tube is save. Again doc strtd my treatment aftr 3 mth with metformin +folvit + diane 35 fr 2mth. I gt my period aftr stopng diane. On day 2 of period gave goodova 100mg and went for follicular studay frm 9th day. Bt no responce both the side small follicles n with ET 10MM til 18 th day. Doc gave me premulite N to gt my periid and told frm second daye of period i can told to start goodova 200 mg fr 5 days. But I told my doc to start my treatment with injection so she cancelled my tablet n gave me hmg 75iu injection n told fr 5 days n told fr follicular study on 7day. Is my teatment going correct again shud i take goodova 200 mg or hmg injection. I am vry much worried that i can gt ectopic again if i ovulate fr right side plzz help me. 2day i startd premulate N fr 10 days to gt period.
Mon, 18 Jun 2018
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Whether you ovulate from right or left ovary is beyond our control , specially when you are on higher dose of ovulation induction drugs. I am assuming that your cycle with hMG hormone also don't give good follicular study. As of now doctors must be aiming to get good follicles and then follow them to come and implant in uterus. Letrozole with injections of hMG and FSH with follicular monitoring will help in regulating your follicles. You should stop worrying about ectopic pregnancy, we need to deal with that later. Its a fact that unhealthy follicle also result into ectopic pregnancy. Since you said there were no follicles in your previous induced cycle you will definitely need FSH stimulation early in the cycle from day 6-7.

Hope I have answered your query. Let me know if I can assist you further.
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Should Goodova Or HMG Injection Be Taken For Infertility Treatment?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Whether you ovulate from right or left ovary is beyond our control , specially when you are on higher dose of ovulation induction drugs. I am assuming that your cycle with hMG hormone also don t give good follicular study. As of now doctors must be aiming to get good follicles and then follow them to come and implant in uterus. Letrozole with injections of hMG and FSH with follicular monitoring will help in regulating your follicles. You should stop worrying about ectopic pregnancy, we need to deal with that later. Its a fact that unhealthy follicle also result into ectopic pregnancy. Since you said there were no follicles in your previous induced cycle you will definitely need FSH stimulation early in the cycle from day 6-7. Hope I have answered your query. Let me know if I can assist you further.