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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Slow Ovum Maturation?

Hi doctor, I am planning for pregnancy since 1.3yrs.me and husband is in an age of 29. My amh value is 13.2.fluctuating tsh levels with normal t3& t4, on euthyrox 12.5mg.glucophage 750mg bd& folic acid. Hsg & post coital test is good. Irregular cycles of menstruation.last 2months I got periods with duphastone.3cycles of clomid50mg failed.free androgen, shbg, testosterone slight deranged. Follicular screening done last month but slow ovum maturation.can you help me with suggestions. I am in a depressed stage now.what I will do?
Mon, 29 Jun 2020
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General & Family Physician,  's  Response
Hi


I would suggest you to test FSH,LH levels in order to rule out any hormonal deficiency.Since you have mentioned difficulties in follicular maturation,Fertility treatment with menotropin may be helpful.

Menotropin hormone and it works by facilitating the maturation of follicles in the ovaries which contains the eggs.This helps treat female infertility due to improper egg production (anovulation).

Intercourse within 12 to 36 hours after this medicine will improve the chances of you becoming pregnant.

Correct dose of thyroxine should be adjusted to prevent fluctuation of tsh levels which can also cause hormonal imbalance and delay in pregnancy.

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

Regards
Dr.Saranya Ramadoss, General and Family Physician

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What Causes Slow Ovum Maturation?

Hi I would suggest you to test FSH,LH levels in order to rule out any hormonal deficiency.Since you have mentioned difficulties in follicular maturation,Fertility treatment with menotropin may be helpful. Menotropin hormone and it works by facilitating the maturation of follicles in the ovaries which contains the eggs.This helps treat female infertility due to improper egg production (anovulation). Intercourse within 12 to 36 hours after this medicine will improve the chances of you becoming pregnant. Correct dose of thyroxine should be adjusted to prevent fluctuation of tsh levels which can also cause hormonal imbalance and delay in pregnancy. Hope I have answered your query. Let me know if I can assist you further. Regards Dr.Saranya Ramadoss, General and Family Physician