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J RING M FORTE 1000MG/20MG TABLET Tips

All You Must Know About Signet Ring Cancer!

MBBS, MS - Gen Surgery
Cosmetic/Plastic Surgeon, Mumbai
All You Must Know About Signet Ring Cancer!

Signet ring cancer or Signet Ring Cell Carcinoma is a subtype of colorectal cancer. Accounting to 1% of all colorectal cancers, SRCC is an aggressive variant, which usually affects the younger population. 

Signet Ring Cell Carcinoma tumour develops in the peritoneum – the thin membrane lining the pelvic and abdominal cavities, and covering most of the abdominal viscera – and spreads gradually to the lymphatic permeation of the lungs and to ovaries. 

Diagnosis and Treatment - 

SRCC diagnosis arbitrarily requires that 25% or more of the tumour be composed of signet ring cells – these cells are most frequently associated with gastrointestinal or stomach cancer but may arise from any number of tissues, including the bladder, prostate, breast, gallbladder, colon, testis, and ovarian stroma. A biopsy is also performed to diagnose cancer. 

Most patients are diagnosed with Signet Ring Cell Carcinoma at an advanced stage due to the absence of specific symptoms. Usually, SRCC patients are administered combination chemotherapy, as with patients with any other form of gastric cancer. 

In rare cases, doctors may suggest removing stomach cancer using surgery. This is typically done when the disease has metastasized to affect other organs or parts of the body. 

As for the diet, nutritional support of stomach cancer is a vital component of the treatment. Many patients complain of malnourishment or of not being able to eat properly following diagnosis. Liquid supplements for nutrition are recommended if the patient is unable to take in food orally. Feeding tube placement may be needed if he/she is having difficulty swallowing.

Signet Ring Cell Carcinoma of the rectum and colon is a rare entity with a reported incidence of less than 1%. Since the particular type of cancer has an extremely poor prognosis, it is necessary to diagnose the disease early diagnosis and adopt an aggressive treatment strategy. Discuss the possible outcomes with your oncologist before going ahead with the treatment plan. 

2825 people found this helpful

Ring Shaped Rash On Face - Complications It Can Cause!

Dr.Lipy Gupta 91% (81ratings)
MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist, Delhi
Ring Shaped Rash On Face - Complications It Can Cause!

What you need to know about the ring-shaped rash called lupus

Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

  • Excessive exposure to sunlight
  • Susceptibility towards infections
  • Certain anti-seizure, blood pressure and antibiotic medicines

Symptoms
The symptoms are neither distinct nor regular. However, some common symptoms could be-

What else can lupus lead to?
Several complications may arise if lupus is left untreated. Some of them are-

  • Kidney damage and failure
  • Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
  • Anemia, blood clotting, vasculitis etc.
  • Increased susceptibility to pneumonia
  • Increased risk of heart attacks and other cardiovascular diseases

Treatment
Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3746 people found this helpful

Ring Shaped Rash on Your Face - What You Need to Know?

Dr.Jolly Shah 89% (1085ratings)
MBBS, DNB (Dermatology)
Dermatologist, Mumbai
Ring Shaped Rash on Your Face - What You Need to Know?

What you need to know about the ring-shaped rash called lupus

Lupus is an inflammatory disease that is chronic in nature. It occurs when your tissues and organs are attacked by your body's own immunity system. The inflammation that this disease causes can affect the other parts of your body as well, like the joints, kidneys, skin, brain etc. It is often difficult to diagnose because it lacks distinct symptoms. However, one of the most identifiable symptoms of lupus is a ring-shaped rash on the face.

Lupus can be caused by a number of factors like:

  • Excessive exposure to sunlight
  • Susceptibility towards infections
  • Certain anti-seizure, blood pressure and antibiotic medicines

Symptoms

The symptoms are neither distinct nor regular. However, some common symptoms could be-

What else can lupus lead to?

Several complications may arise if lupus is left untreated. Some of them are-

  • Kidney damage and failure
  • Hallucination, seizures, strokes and several other problems associated with the brain and the central nervous system
  • Anemia, blood clotting, vasculitis etc.
  • Increased susceptibility to pneumonia
  • Increased risk of heart attacks and other cardiovascular diseases

Treatment

Lupus is a significantly dangerous disease and medical help should be immediately sought if you think that you have symptoms associated with it. Treatment depends on the signs and symptoms of individual patients.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5619 people found this helpful

Diabetes & Its Homeopathic Medication!

Dr.Tanoy Bose 91% (200ratings)
EULAR certificate for Rheumatic Diseases, MD, Diploma in Echocardiography, Diploma in Rheumatology
Internal Medicine Specialist, Kolkata
Diabetes & Its Homeopathic Medication!

Diabetes is a state of persistent high blood sugar either due to lack of the hormone called insulin or resistance to the action of insulin even if it is somewhat adequate. Few basic points for the readers before we delve into how the medicines act in controlling blood sugar.

1. Type 1 Diabetes occurs in children or adults aged less than 30 years. It is due to the complete destruction of the insulin-producing cells of the pancreas. (these patients will need external insulin for survival as there is NO insulin in the body)

2. Type 2 Diabetes occurs in adults usually over the age of 30 years and it appears after 80% of the insulin-producing cells of the pancreas are destroyed. (Since there is some amount of insulin in the body, these patients respond to medicines)

3. Insulin helps the glucose in the blood to be pushed inside the cells of different organs especially liver and muscles and thus decrease the blood glucose levels.

4. Type 2 Diabetes patients often suffer insulin resistance, which means, whatever insulin they have in them, is unable to perform to its best due to obesity , extra fats in the tissues and other hormonal dysregulation. Drugs that help to overcome insulin resistance can help in the control of blood sugar without external insulin.

Now let's discuss the medications in brief. 

1. Metformin:

  • This medicine acts by overcoming insulin resistance. Since it simply helps our endogenous insulin (our own residual insulin) to act in its full potential, the chances of fall in blood sugar below 70mg/dL (Called Hypoglycemia) is practically ZERO.
  • The maximum dose is 2500mg per day in divided doses
  • Side effects are gastritis, acidity, flatulence and diarrhoea. Rarely we get cases of Vitamin B12 deficiency.
  • Can be combined with any medication used for Diabetes
  • Cannot be used in patients with Kidney Disease (Create >1.5mg/dL), Heart Failure, Immediately after a heart attack or complicated septicemia.
  • Safe in pregnancy.
  • Due to their unique action in overcoming insulin resistance, they are used in females who suffer from Polycystic Ovarian Disease (as they also do have insulin resistance)

2. Glimepiride/Gliclazide/Glibenclamide/Glipizide/Glyburide/Repaglinide:

  • Yes, they sound similar and they belong to the same family of drugs called Sulfonylureas
  • They can directly stimulate the release of endogenous insulin from the pancreas into the blood which in turn controls the blood sugar.
  • Yes, they are notorious to cause hypoglycemia as the amount of insulin released due to the use of these drugs does not always tally mathematically with the dose administered.
  • Chances of Hypoglycemia increases with higher doses, delay in meal timings, excessive exercises, alcoholism, kidney diseases, concomitant use with external insulin and fasting. The crucial times when hypoglycemia occurs are before breakfast, before lunch, before dinner and around 3 to 4 hours after lunch.
  • They can be combined with metformin and other antidiabetic medicines too.
  • They can cause mild weight gain due to the action of the released insulin.

3. Pioglitazone:

  • This one acts similar to metformin and helps in overcoming the resistance to the action of our endogenous insulin.
  • Since they cause accumulation of fluids in the body, they are not indicated in patients suffering from Chronic Heart Failure, Chronic Liver Failure or any volume overload states.
  • There has been speculation for development of urinary bladder cancer which resulted in discontinuation of this drug, however, the incidence is so low, the drug has been reinstated.
  • The dose ranges from 15mg to 30mg/day often combined with metformin.

4. Acarbose/Voglibose:

  • These medicines have a unique mechanism of action. They act in the intestine where they prevent the complex carbohydrates  to be broken down into simple glucose before being absorbed into the blood from our gut. For a clearer conception, whatever we eat, is actually digested by the enzymes in our intestine to the simplest form e.g Cellulose is digested into Glucose and then they are absorbed into the blood. Complex carbohydrates cannot be absorbed into a blood unless they are digested first.
  • This unique mechanism of action causes excess complex carbohydrates remaining undigested and this bulk reach the colon where they are acted upon by colonic bacteria. This causes excessive flatulence - one of the known side effects of these drugs.
  • Point to be noted: In a situation, a patient consuming these drugs suffers hypoglycemia, they should be provided oral glucose to increase the blood sugar. Even a piece of chocolate or sweet might contain a significant amount of sweetening carbohydrates which actually is complex in nature and will not breakdown to glucose in the intestine due to these medicines.
  • They are often used to control patients who tend to have higher blood sugar values after meals (Raised PP Sugar)

5. Gliptins: (Teneligliptin, sitagliptin, saxagliptin, linagliptin, vildaglitpin)-

  • They have a unique mechanism of action and is a bit complicated. They act in the intestine where they can sense what amount of carbohydrate load is being consumed in the diet. This sensing then is transmitted to the insulin-releasing cells of the pancreas and an exact amount of insulin is released that is necessary to control the transient rise in blood sugar after meals.
  • They do not have the propensity to cause hypoglycemia even in a fasting state.
  • No significant adverse effects of concern have been reported.
  • They are costlier that the medicines mentioned above.
  • Some of them cannot be used in patients with kidney disease. Linagliptin is safe in this regard.
  • Few instances of acute pancreatitis have been reported.

6. Glifosins : (empraglifosin/ dapaglifosin/ empaglifosin)-

  • These are the latest drugs in the armamentarium of management of Diabetes. They are costly and effective
  • Normal urine is basically an ultrafiltrate of our blood which is filtered and formed in the kidneys. The kidney actually filters all excretory products of metabolism from the blood e.g. Urea, Creatinine Uric Acid, Calcium, Organic Acids, and excess water. Interestingly some useful products are also primarily filtered but later they are reabsorbed in the blood eg. Glucose, SodiumPotassium, etc.
  • These medicines prevent the reabsorption of the Glucose after it is primarily filtered from the blood during the formation of the urine. Thus the glucose which is filtered never returns to the blood and is lost by the urine
  • These medications cause weight loss. Yes, they do. Around 5 to 6 Kgs over a period of 3 to 6 months have been reported.
  • Since the urine becomes rich is glucose concentration, one important adverse effects of these medications are dehydration and recurrent urinary tract infection. Both are more common in elderly women. Some might also complain of repeated perivaginal itching which is due to increased bacterial growth due to high sugar content in the urine
  • Volumes of water are recommended for regular consumption when somebody is on this medication


This is just a summary of the oral medications available for the management of Type 2 Diabetes Mellitus. Few points for the readers.

1. Usually, treatment is started with metformin and the dose is gradually increased up to the maximum dose or up to the level of tolerance.

2. The next medicine that is added in case the blood sugar is just out of the range is Pioglitazone, however, in case the blood sugar is significantly high, doctors prefer to add the Sulfonylureas (Glimiperide /Glicazide, etc).

3. Ideal treatment should address insulin resistance first and then target insulin release.

4. Gliptins are the third line drugs or can be used just after metformin is maximized depending on the patients' profile and doctors evaluation.

5. Sometimes Voglibose and Acarbose are used just before the meals to control the disproportionate high postprandial blood sugars in a situation when the fasting is well under control.

6. Caution regarding Hypoglycemia should always be observed when a patient is on the Sulfonylurea group of medications. Keep 2 to 3 packs of sugar along with.

7. Use of gliosis is often restricted due to its cost else, it is a fantastic medicine to lose weight.

5077 people found this helpful

M.S.Gynaec(ayurved )
Ayurvedic Doctor, Pune
PCOD (Polycystic Ovarian Disease)is multifactorial disease.
PCOD is endocrinal,reproductive and metabolic disease.
It needs proper investigations and treatment.
Day by day Pcod incidence is increasing.
Change in lifestyle is one of the basic cause for it.
According allopathy treatment is
Weight reduction, Regularate the menses by hormonal pills, metformin tablets for insulin resistance,sometimes laperoscopic drilling for cysts etc. But it seems that sometimes it is not satisfactory and recurrence of symptoms after discontinuation of treatment.
Ayurveda is best option in such cases .
Sometimes integrated treatment (i.e.Ayurved & Allopath) also beneficial in such cases.
4 people found this helpful

Homoeopathy and Polycystic Ovarian Syndrome (PCOS/PCOD)

Dr.Ruchita Chandra 93% (1860ratings)
Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma In Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopathy Doctor, Navi Mumbai
Homoeopathy and Polycystic Ovarian Syndrome (PCOS/PCOD)

Homoeopathy and Polycystic Ovarian Syndrome (PCOS/PCOD)

Introduction:-
Polycystic ovarian syndrome (pcos) is a metabolic, endocrine and reproductive disorder affecting most of the female population. The condition is defined by the presence of small fluid filled cysts present in one or both of the ovaries. These cysts interfere with the normal functioning of the ovaries.
Its clinical characteristics include hyperandrogenism, chronic anovulation, insulin resistance and infertility, obesity, type 2 diabetes and cardiovascular disease. Depression and anxiety are common in women with pcos as compared with healthy women. Depression in pcos is often associated with obesity and metabolic abnormalities and did not show any significant change in pcos after treatment with oral contraceptive pills.
In conventional medical system-- metformin, oral contraceptives, anti-androgens, clomiphene citrate and thiazolidinediones are used for the management of pcos. Metformin is commonly used either alone or in combination with other medicines for the treatment of most of the clinical manifestations of pcos. However, metformin reduced hyperinsulinaemia and hyperandrogenaemia, and even shown improvements in menstrual abnormalities and resumption of ovulation, but it causes gastrointestinal intolerance i. E. Nausea, abdominal pain and diarrhoea. It is contraindicated in liver disease and other medicines also have their side effects.

Role of homoeopathy:-
Homoeopathic prescription being holistic might help in these aspects which evaluates emotional aspects along with excess body hair growth, obesity, infertility and menstrual problems. Lifestyle modification is the first line of treatment in which weight loss has done by improving psychological outcomes, reproductive and metabolic features.
Homeopathy helps in dissolving the cysts to eliminate the need for hormone therapy. In homeopathy no two women would be suggested to take the same medication. This is because every woman with pcos has a specific set of problems which need an individualistic approach. Stress management, weight control, corrective lifestyle habits along with the remedy can be of considerable help. Homeopathy can also work as a secondary treatment while one is treated with conventional medications to treat pcod. With homeopathy, when the hormonal imbalances can be kept in check, it can also help to treat infertility in women who are planning a pregnancy.

type diabetes

How To Get Pregnant With PCOS?

Dr.D.D. Verma 89% (30ratings)
Laproscopy Training, MS, MBBS
Gynaecologist, Ghaziabad
How To Get Pregnant With PCOS?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

  1. Women who are suffering with PCOS do not ovulate normally.
  2. They have irregular periods and thus their monthly cycles are not predictable.
  3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.

  1. Ovarian cysts
  2. Excessive amounts of male hormones
  3. High levels of insulin
  4. Fertility problems
  5. Weight gain
  6. Ovulation and menstrual problems
  7. Excess body and facial hair
  8. Acne
  9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment.

2665 people found this helpful

Does PCOS Lead to Infertility?

Dr.Vinod Kumar 90% (56ratings)
MBBS,MD,FMAS,DMAS,MMAS,FICRS,DRME(Germany)
Gynaecologist, Bangalore
Does PCOS Lead to Infertility?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!

2920 people found this helpful

Tips To Get Pregnant Despite Suffering From PCOS!

MBBS Bachelor of Medicine and Bachelor of Surgerygmc patiala, MD - Obstetrtics & Gynaecology
Gynaecologist, Mohali
Tips To Get Pregnant Despite Suffering From PCOS!

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS leads to infertility: Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant or why it is difficult for them to maintain pregnancy are:

  1. Women who are suffering with PCOS do not ovulate normally.
  2. They have irregular periods and thus their monthly cycles are not predictable.
  3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS: There are a lot of symptoms that show the hormonal imbalance due to PCOS.

  1. Ovarian cysts
  2. Excessive amounts of male hormones
  3. High levels of insulin
  4. Fertility problems
  5. Weight gain
  6. Ovulation and menstrual problems
  7. Excess body and facial hair
  8. Acne
  9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatmentThe good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS:

  • Metformin (Glucophage): It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.
  • Clomid (Clomiphene citrate): Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.
  • Gonadotropins: This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded and can find the symptoms mentioned above, visit your doctor and start the treatment.

2498 people found this helpful

Will PCOS Hamper Pregnancy?

MBBS, MD, Registrar, DNB, MNAMS
Gynaecologist, Delhi
Will PCOS Hamper Pregnancy?

Polycystic ovary syndrome (PCOS) and infertility are considered synonymous by most. However, the truth is that they are not and there are a lot of treatment options that can lead to pregnancy, even in a lady who is suffering from PCOS.

Reasons PCOS lead to infertility
Women with PCOS have different hormonal pathways than a normal woman without PCOS. It changes the system of how your body produces the eggs and prepares your uterus for pregnancy. Three reasons why women with PCOS do not get pregnant, or why it is difficult for them to maintain pregnancy are:

1. Women who are suffering with PCOS do not ovulate normally.
2. They have irregular periods and thus their monthly cycles are not predictable.
3. As they have irregular periods, their endometrium may not be prepared when the egg is released. Thus, it does not help in sustaining the pregnancy.

Symptoms of PCOS
There are a lot of symptoms that show the hormonal imbalance due to PCOS.
1. Ovarian cysts
2. Excessive amounts of male hormones
3. High levels of insulin
4. Fertility problems
5. Weight gain
6. Ovulation and menstrual problems
7. Excess body and facial hair
8. Acne
9. Anxiety and depression

As there is hormonal imbalance in a woman with PCOS, the eggs may not develop properly, and at the same time, they may not be ready to get fertilized, thus leading to infertility.

PCOS infertility treatment
The good news is that even if you are one of them with PCOS, there are treatments that can help you to get pregnant.

Here are the drugs that help patients with PCOS.
Metformin (Glucophage)

It helps in reducing the insulin levels and stabilizes the hormones. Thus, doctors often prescribe metformin that will help in making the ovulation cycles regular.

Clomid (Clomiphene citrate)
Another fertility drug that helps in conceiving is Clomid. It may be prescribed with or without metformin. When women with PCOS take these two drugs together, their chances of getting treated for PCOS and getting fertile become more. Many women may need a high dose of Clomid so that they can retain fertility.

Gonadotropins
This medication is necessary for helping you with ovulation as gonadotropins are hormones that stimulate your ovaries to release eggs. When someone is not responding to clomid then this medication may be tried.

If you too are trying to conceive and yet have not succeeded, and can find the symptoms mentioned above, visit your doctor and start the treatment. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2775 people found this helpful