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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low Sperm Count

Dr im arulmozhi 30 yrs old. Im having normal periods and was advised for an IUI. My lh level was 11. So im advised to take duoluton tablet. I took 3 tablets for 3 days n I stopped it. 10 th day I have my periods again. Do I need to take hormone test tomorrow 2nd day. My husband has low sperm count and motility. Im very much afraid of my very soon periods.
Tue, 29 Mar 2016
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OBGYN 's  Response
Hallow Dear Arulmozhi,

From your history, it appears that your main concern now is additional periods you had.

You had taken Tab. Duoluton for 3 days. Duoluton is Progesterone preparation. Progesterone causes secretory changes in the lining of uterus (endometrium). After 3 days you discontinued Duoluton; hence you were expected to get the withdrawal bleeding after 4-7 days, which you got.

In fact if you are to be put on Progestational medicine for the support throughout the cycle, I would advise you to go for retroprogesterone preparations throughout the cycle so that they would not hamper egg release. If you discontinue these medicines in between, you will get withdrawal bleeding.

Now as far as the low sperm count of your husband is concerned, your doctors have suggested you and taken the decision of IUI which you should follow. Please start ultrasonography ovulation monitoring. When the follicle is between 18 mm to 21 mm size AND the endometrial thickness is between 9 mm to 14 mm, it is the most ideal time for IUI.

So follow these instructions. You need not be afraid for that additional 'period' since it was due to discontinuation of Duoluton.

I hope this helps you.

Dr. Nishikant Shrotri
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Suggest Treatment For Low Sperm Count

Hallow Dear Arulmozhi, From your history, it appears that your main concern now is additional periods you had. You had taken Tab. Duoluton for 3 days. Duoluton is Progesterone preparation. Progesterone causes secretory changes in the lining of uterus (endometrium). After 3 days you discontinued Duoluton; hence you were expected to get the withdrawal bleeding after 4-7 days, which you got. In fact if you are to be put on Progestational medicine for the support throughout the cycle, I would advise you to go for retroprogesterone preparations throughout the cycle so that they would not hamper egg release. If you discontinue these medicines in between, you will get withdrawal bleeding. Now as far as the low sperm count of your husband is concerned, your doctors have suggested you and taken the decision of IUI which you should follow. Please start ultrasonography ovulation monitoring. When the follicle is between 18 mm to 21 mm size AND the endometrial thickness is between 9 mm to 14 mm, it is the most ideal time for IUI. So follow these instructions. You need not be afraid for that additional period since it was due to discontinuation of Duoluton. I hope this helps you. Dr. Nishikant Shrotri