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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Absence Of Dominant Follicles Despite Taking Goodova?

hello doctor.... I have taken godva dose from 3 rd day of periods and also election on 3 rd day for forming follicle but on the 11 th day no follicle is dominant.MSF on both sides.Why this happened ? and any chances to become follicle dominate and ovulate?
Thu, 12 Apr 2018
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Infertility Specialist,  's  Response
Hello,

The ultrasound picture is directing the diagnosis towards Polycystic ovarian syndrome.

It would have been of much help if we had the below details:
1) Weight and BMI
2) Years of infertility
3) Regularity of your menstrual cycle
4) Any androgenic features as excessive facial hair , acne etcetera

I understand that your ovaries are not responding to Goodova medicine, that is clomiphene citrate.

So, I would like to suggest you to take some blood tests on 2nd day of your periods as:
1) LH - high LH is seen in pcos and that’s a reason why ovulation induction drugs don’t act on ovary when given in lower doses. If it is high we need to correct it.
2) GTT- pcos women might have insulin resistance.
3) TSH and prolactin.

And if your BMI is more than 25, you need to concentrate on losing some pounds to regularise periods, conceive fast and have a healthy pregnancy.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Avanti Sathineedi
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What Causes Absence Of Dominant Follicles Despite Taking Goodova?

Hello, The ultrasound picture is directing the diagnosis towards Polycystic ovarian syndrome. It would have been of much help if we had the below details: 1) Weight and BMI 2) Years of infertility 3) Regularity of your menstrual cycle 4) Any androgenic features as excessive facial hair , acne etcetera I understand that your ovaries are not responding to Goodova medicine, that is clomiphene citrate. So, I would like to suggest you to take some blood tests on 2nd day of your periods as: 1) LH - high LH is seen in pcos and that’s a reason why ovulation induction drugs don’t act on ovary when given in lower doses. If it is high we need to correct it. 2) GTT- pcos women might have insulin resistance. 3) TSH and prolactin. And if your BMI is more than 25, you need to concentrate on losing some pounds to regularise periods, conceive fast and have a healthy pregnancy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Avanti Sathineedi