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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Not Able To Conceive?

Hi, im 21 . I got my transvaginal ultrasound done on the 11 th day of periods. My report is as follows :
Uterus size:
Normal the anteverted. The endometrial cavity appears to be split in the region the fundus? Accurate uterus
Endomertium:
Thickness 7.8mm
Right ovary
Size 41x19x19mm with a volume of 8cc
No. Of follicle 10-12
Size of largest follicle 16.6x10.8mm

Left ovary
Size 39x19x16 mm with a volume of 6 cc
No. Of follicle10
Largest follicle 8x7.6mm

Other comments
No free fluid in the cul de sac
Predominantly peripheral arrangement of the follicles with slightly echogenic central stroma seen in both the ovaries.
I took clomid 50mg from 2nd day of periods for 5 days
Please guide me what is the problem? Im very worried.i have been trying to conceive since an year.
Tue, 18 Mar 2014
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OBGYN,  's  Response
Hello and welcome,

You have an arcuate uterus. This means that the uterus shape is not regular and there is a dimpling at the top.
Sometimes this may be associated with abnormalities in the tube. So there may be difficulties in conceiving. However if the tubes are open most women conceive by themselves.
The ovaries have multiple follicles. Since you have taken clomid it is difficult to say if this picture is due to clomid or was like this before clomid. So you will need another USG 3 months after stopping clomid to see if the ovaries are cystic or not.
As of now, you must first visit an infertility specialist. Get an ovulation study without clomid, husbands semen analysis, test to see if tubes are open. if all is well try to conceive spontaneously using an ovulation study or kit. If no result and IUI may be tried.

Hope this satisfies your query.
My best wishes that you may conceive soon.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Why Am I Not Able To Conceive?

Hello and welcome, You have an arcuate uterus. This means that the uterus shape is not regular and there is a dimpling at the top. Sometimes this may be associated with abnormalities in the tube. So there may be difficulties in conceiving. However if the tubes are open most women conceive by themselves. The ovaries have multiple follicles. Since you have taken clomid it is difficult to say if this picture is due to clomid or was like this before clomid. So you will need another USG 3 months after stopping clomid to see if the ovaries are cystic or not. As of now, you must first visit an infertility specialist. Get an ovulation study without clomid, husbands semen analysis, test to see if tubes are open. if all is well try to conceive spontaneously using an ovulation study or kit. If no result and IUI may be tried. Hope this satisfies your query. My best wishes that you may conceive soon. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist