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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Take HRT To Induce Period With Premature Ovarian Failure?

I am 30 yrs old, no child, 3 years for marriage. on 18/6/2012 i had undergone laprotomy and laproscopic surgery for Right Salpingo- oopherectomy for torsion and necrosis ovary in Qatar- Doha. After Surgery i did not have Menstrual cycle for around 4-5 months and i was suffering from menopausal symptoms so i contact doctor, she did Ultrasound- report says both the ovaries not visble and did my hormone test estradiol-----LH---------64 FSH--------93 Prolactin-----191 Progestron---, chromosomal study--- normal karyotype chromosomal complement anti mullerian - MRI, CT Scan And Ultrasound - showed no Ovary and lower anterior intramural fibroid Then they diagnosed me as Premature Ovarian Failure, ( actually doctors are removed my both the ovary i came to know later with my 2nd surgery) and they said i must on hormonal replacement therapy and i must go for IVF with egg donation. on Feb 2013 at manipal Hospital, Bangalore i Had my First IVF treatment with donor egg but it failed. . As i was planning for my treatment in February so went in Oct 2013 for pre investigation i did all investigation like hyteroscopy, TB endometrium, PAP smear etc all are normal expect my hormone elevation and ultrasound showed -fibriod. Dr. advised me to remove fibroid and he said its one of reason for failure so in essential Hospital, Bangalore i did my laproscopic surgery for fibriod removal. after surgery they will put on Uterine suppressing drug Lupride 11.25mg, and they told me that after 3 -5 month i will get periods, i took that drug on Oct 15, 2014, as i was not getting periods i contact Dr. of Manipal, they said i am not right person to receive the Lupride injection as in case i am already suppresed since before. They advised me to do Ultrasound and Hormone test-- Ultrasound--- uterus measures 6X 2.3 cm, Endometrium thickness of 3mm and small sub serous fibrroid of 8X6 mm Hormone Test Thyroid Function test-- Normal range Estradiol---- 22pmol/l Prolactin----85mIU/L Progestrone----0.3nmol/L Testosterone---- LH---- FSH---14IU/L Now my question whether i get periods by itself or i should take HRT to induce periods, actually i am planning to take My IVF treatment in month june. As i get vaccation once in year. Doctor please help me regarding my situation and if possible answer as early possible. Regards Surekha Kir
Tue, 15 Apr 2014
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OBGYN 's  Response
hI .i HAVE GONE THROUGH YOUR TESTS IN DETAIL. EARLIER PROFILE IS CERTAINLY SHOWING PREMATURE OVARIAN FAILURE. PRESENT LEVELS ARE NOT SO HIGH. BUT IN YOUR CASE I THINK YOU SHOULD TAKE A WITHDRAWL AFTER CONSULTING YOUR DR. AND ALSO TREATMENT FOR HYPERPROLACTINEMIA LIKE WEEKLY CABGOLIN TABLET .THIS CAN BE TREATED TILL JUNE BEFORE YOU PLAN YOUR NEXT IVF TREATMENT.THANKS.
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Should I Take HRT To Induce Period With Premature Ovarian Failure?

hI .i HAVE GONE THROUGH YOUR TESTS IN DETAIL. EARLIER PROFILE IS CERTAINLY SHOWING PREMATURE OVARIAN FAILURE. PRESENT LEVELS ARE NOT SO HIGH. BUT IN YOUR CASE I THINK YOU SHOULD TAKE A WITHDRAWL AFTER CONSULTING YOUR DR. AND ALSO TREATMENT FOR HYPERPROLACTINEMIA LIKE WEEKLY CABGOLIN TABLET .THIS CAN BE TREATED TILL JUNE BEFORE YOU PLAN YOUR NEXT IVF TREATMENT.THANKS.