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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Treatment To Conceive, Not Yet Successful. Laparoscopy Clear. Prescribed Overas, Folic Acid. Possible Reason?

Dear Doctor,
Malathi,32 running. I'm under pregancy treatment for last 2 year but still i'm unable to conceive. As per doc. advise I had laprocopy but i don't have any problem. Doc advised to take overas tab twice and folic acid 1 time a day But still i'm unable to conceive. Why ?? what must be the reason ? Even husband is also healthy
Wed, 7 Aug 2013
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

Conception requires the following : (1) the release of adequate 'egg' from the ovaries and sperm from the testes (2) clear passage of the tubes so that the sperm and 'egg' can go the part of the tube where fertilisation occurs (3) transport of the embryo back for implantation into the endometrium (lining of the uterus).

The laproscopy would look at the structure of the uterus and would have determine if there were any structural abnormalities of the uterus or tubes that are preventing you from conceiving.

If this test ruled out any such problems you may want to consider blood tests which can check to see if the ovary is the source of the problem.
There are hormonal blood tests that can be done to see if ovulation (release of an egg) is occuring.

Your husband should also have a semen analysis done.

You may want to consider assisted reproduction such as IVF if you consider to have difficulty conceiving.

I hope this helps
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General & Family Physician Dr. Chirag Soni's  Response
Welcome to HCM
You have to go for certain investigations like cbc,urine,fbs,ppbs,hormonal study,USG ovulation study and semen analysis of your husband.
Start treatment according to diagnosis.
IUI is the best first line treatment in your case.Go for ovulation study and plan for IUI.
Complete course of intra muscular B12 injections will be helpful.
Keep in touch with your doctor.
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Taking Treatment To Conceive, Not Yet Successful. Laparoscopy Clear. Prescribed Overas, Folic Acid. Possible Reason?

Hi, thanks for using healthcare magic Conception requires the following : (1) the release of adequate egg from the ovaries and sperm from the testes (2) clear passage of the tubes so that the sperm and egg can go the part of the tube where fertilisation occurs (3) transport of the embryo back for implantation into the endometrium (lining of the uterus). The laproscopy would look at the structure of the uterus and would have determine if there were any structural abnormalities of the uterus or tubes that are preventing you from conceiving. If this test ruled out any such problems you may want to consider blood tests which can check to see if the ovary is the source of the problem. There are hormonal blood tests that can be done to see if ovulation (release of an egg) is occuring. Your husband should also have a semen analysis done. You may want to consider assisted reproduction such as IVF if you consider to have difficulty conceiving. I hope this helps