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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Trying To Concieve. No Help From Clofert, HSG Injection, Progynova, Sustene. Solution?

hi,iam raji(25 yrs) we are planning for a baby for last 2years, from 3 months onwards iam taking clofert 100mg on period 2nd day to 7th day then 10th day gng for follicle study every month doctor is giving hsg injection then only egg rupturing happend i used progynova , sustene 200 evn iam not getting pregnency ,our doctor suggested iuf is dis necessary
Tue, 17 Dec 2013
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OBGYN,  's  Response
Hello Raji
Thanks for writing to us with your health concern.
You have already finished 3 cycles of clomiphene citrate with follicular monitoring.
Now before going for further stimulation, you should have a detailed workup.
Firstly, it should be confirmed whether your fallopian tubes are open or not.
This should be done by performing a laparoscopy with hysteroscopy combined.
If the tubes are open, you can then go for further stimulation using gonadotropin injections or antagonist protocol.
Hope your husband's semen analysis is normal.
You can combine these further cycles of stimulation with IUI for better chances.
If your tubes are blocked / further stimulation does not work, then yes, IVF is necessary and is the next logical step.
Take care.
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Trying To Concieve. No Help From Clofert, HSG Injection, Progynova, Sustene. Solution?

Hello Raji Thanks for writing to us with your health concern. You have already finished 3 cycles of clomiphene citrate with follicular monitoring. Now before going for further stimulation, you should have a detailed workup. Firstly, it should be confirmed whether your fallopian tubes are open or not. This should be done by performing a laparoscopy with hysteroscopy combined. If the tubes are open, you can then go for further stimulation using gonadotropin injections or antagonist protocol. Hope your husband s semen analysis is normal. You can combine these further cycles of stimulation with IUI for better chances. If your tubes are blocked / further stimulation does not work, then yes, IVF is necessary and is the next logical step. Take care.