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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Treatment To Get Pregnant?

sir I am 30 yrs old female we are trying for two years 2 months but I didn t conceive. my husband reports are normal my periods are regular I have gone through following test and report as mentioned below TSH 1.8418 ulU/ML REFERENCE RANGE 0.4-4.67 PROLACTIN 25.39 NG/ML THEN I WAS GIVEN E VALERATE CABERGOLIN HSG TEST UTERUS NORMAL IN SIZE & POSITION BILATERAL PERITONEAL SPILLAGE SEEN NO FOCAL LESION BOTH OVARIES NORMAL IN SIZE NO T.O MASS HSG IN NORMAL LIMITS FOR LAST 3 MONTHS MY DR PRESCRIBED FOLLICLE MONITORING I WENT THROUGH 3 CLOMIPURE CYCLES WITH HCH TRIGGER SHOT ON MATURING DAY OF FOLLICLE THEN AMH TEST REPORT RESULT IS AMH VALUE 1.5 THAT COMES UNDER LOW FERTILITY 0 .13 - 2.19 NOW MY DR PRESCRIBED ME OVAFLO AND OVACURE AND TOLD ME I SHOULD GO FOR IVF SIR IS IVF IS THE ONLY SOLUTION LEFT FOR ME OR IS THERE ANY CHANCE OF CONCEIVING NATURALLY WHAT SHOULD I DO
Fri, 5 Sep 2014
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OB and GYN Specialist,  's  Response
a low AMH level suggests poor ovarian reserve in terms of follicles. three failed clomifene+ IUI cycles support the fact that ovarian follicular maturity was not achieved ( could be seen by ulrasound guided folicular monitoring).
my advise would be now that reserve is less and you dont have an issue, its best not to waste follicles as any way they are less,so you should rather go for oocyte harvesting and ICSI( intracytoplasmic sperm injection) and then intrauterine embryo transfer. discuss this option with your gynae.
Get a LH/FSH level also done. It would indicate any evidence of premature ovarian failure , so its better to treat with the best before all remaining follicles expire or are wasted.
else once ovarian failure occurs then you will be left with only option of DONOR OOCYTE( ie egg from another lady ) and subsequent ICSI with your husband's sperm. so you have to make an informed decision here. you may contact me for further consult through this site. regards
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What Is The Best Treatment To Get Pregnant?

a low AMH level suggests poor ovarian reserve in terms of follicles. three failed clomifene+ IUI cycles support the fact that ovarian follicular maturity was not achieved ( could be seen by ulrasound guided folicular monitoring). my advise would be now that reserve is less and you dont have an issue, its best not to waste follicles as any way they are less,so you should rather go for oocyte harvesting and ICSI( intracytoplasmic sperm injection) and then intrauterine embryo transfer. discuss this option with your gynae. Get a LH/FSH level also done. It would indicate any evidence of premature ovarian failure , so its better to treat with the best before all remaining follicles expire or are wasted. else once ovarian failure occurs then you will be left with only option of DONOR OOCYTE( ie egg from another lady ) and subsequent ICSI with your husband s sperm. so you have to make an informed decision here. you may contact me for further consult through this site. regards