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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Prescribed Cabgolin 0.5 And Siphene 25mg For Fertility?

I had got married 2 yrs and 3 months back and from last one yr we are in the process of having a baby. My age is 28 yrs and i had regular periods . And i done my regular check ups and very recently doc had adviced me to to take cabgolin 0.5 twice in a week and also she had asked me to take siphene 25mg. And she had asked me to come on my 11th day for check up .i did my folliculography and ovaluation occured at day 13 but again she had adviced me to take siphene again and come for folliculography.shall i go again for check up? Kindly help me out, why both the tab i m taking.
Tue, 29 Mar 2016
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OBGYN,  's  Response
Hi there,
Welcome to HCM,

Since you are trying to conceive for 1 year and have not been able to, you and your partner both need to be evaluated.

Since you do not suffer from PCOS there is no need for you to undergo follicular monitooring and ovulation induction using Siphene. Moreover the minimum dose of Clomiphene (Siphene) to be taken is 50 mg per day not 25 mg.

Also, Cabgolin is used in prolactin excess, it should not be given empirically unless prolactin levels are done and they show abnormality .

So please get yourself evaluated before taking treatment and do not take treatment without finding the cause of infertility.

Take folic acid 400 micrograms which is given for fetal brain and spinal cord development while trying to conceive, it prevents birth defects in babies.

Hope this helps.
Regards.
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General & Family Physician,  Dr. Ashakiran S's  Response
Hi,
Thanks for posting in HCM.
Cabgolin contains cabergoline, which is used to treat high levels of prolactin. This hormone is known to affects like the menstrual cycle, breast milk production, fertility and sexual function.
Siphene contains Clomiphene, which is used to treat infertility in women who are having problems conceiving because their ovaries are not functioning correctly and that they are not ovulating.
Kindly follow the advise and follow-up as given by your doctor.
Hope the information provided would be helpful.
All the best.
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Why Am I Prescribed Cabgolin 0.5 And Siphene 25mg For Fertility?

Hi there, Welcome to HCM, Since you are trying to conceive for 1 year and have not been able to, you and your partner both need to be evaluated. Since you do not suffer from PCOS there is no need for you to undergo follicular monitooring and ovulation induction using Siphene. Moreover the minimum dose of Clomiphene (Siphene) to be taken is 50 mg per day not 25 mg. Also, Cabgolin is used in prolactin excess, it should not be given empirically unless prolactin levels are done and they show abnormality . So please get yourself evaluated before taking treatment and do not take treatment without finding the cause of infertility. Take folic acid 400 micrograms which is given for fetal brain and spinal cord development while trying to conceive, it prevents birth defects in babies. Hope this helps. Regards.