My daughter is married since 6 years. She had conceived in 2013, but it was Empty Sach and hence laparoscopy was done. Also the ovarian cyst was removed. Later on, the cyst was found when scanned, as she was not conceived. Now after home treatment ,one of her Ovary is almost clear, while the other is still having cyst, though reduced. Gynac Doctor suggested ,you can try as one ovary is clear and ovulation is from alternate ovaries by cycle. How to confirm the proper ovulation from clear ovary now so that attempt can be made without anxiety in the prospective ovulation cycle. What Is the cause of empty sach--due to sperm mobility/strength or weak ovum?

Dr. Amar DeepHomeopath9yrs exp

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Please note the following in respect to your queries: a blighted ovum occurs when a fertilized egg implants in the uterus but doesn't develop into an embryo. It is also referred to as an anembryonic (no embryo) pregnancy and is a leading cause of early pregnancy failure or miscarriage. Miscarriages from a blighted ovum are often due to problems with chromosomes, the structures that carry genes. This may be from a poor-quality sperm or egg. Or, it may occur due to abnormal cell division. Regardless, your body stops the pregnancy because it recognizes this abnormality. It's important to understand that you have done nothing to cause this miscarriage and you almost certainly could not have prevented it. For most women, a blighted ovum occurs only once. Some women have irregular menstruation because their ovaries produce too much androgen (male hormones). These women are often overweight, and have a history of irregular periods, acne, and infertility. This syndrome has been called the polycystic ovary syndrome (pcos) or pco, because of the multiple small follicle cysts that can be seen on ultrasound lined up just under the surface of the ovary. In some cases the excess male hormone does not represent pco. The adrenal gland or the ovary may be sources of abnormal androgen production. Some of these conditions may be dangerous and require further investigation and treatment. Symptoms to confirm you have already ovulated this cycle - or help you anticipate imminent fertility: first, a bbt/basal body" thermal shift" or" resting" temperature increase is a very clear sign you've ovulated. If you bbt chart daily, you'll be able to track the marked increase in body temperature that accompanies the release of the egg. In fact, once the corpus luteum expels the egg, it starts jetting the hormone progesterone into your system, and this is the root cause of a bbt thermal shift. By taking your bbt temps the first thing each morning, you can isolate your ovulation date. Please note that a bbt heat increase will become measurable the day after you ovulate. Physiological symptoms like ovulation cramping or mid-cycle pains (aka mittelschmerz) can signal the actual release of the egg. Ovulation cramping manifests as a sharp pain in the lower left or right abdomen. Not all women experience mittelschmerz. Even less common is the presence of ovulation spotting, the very light and seldom-observed spotting that may accompany ovulation when the egg breaks from the ovarian follicle. Ovulation prediction devices: while a fertility monitor or urine lh test cannot" verify" ovulation will take place, a positive result is highly suggestive of impending fertility. These devices test for specific reproductive hormones, so by indicating the rise and fall of lh or estrogens, you can determine that your menstrual cycle is proceeding as expected. I think I have answered your queries. 

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Dr. Shilpa SharmaGynaecologist15yrs exp

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You have given qn incomplete information but still I will try and answer to best of what I can make out. Well she is married for 6 years and has not conceived since the last abortion in 2013. An ovarian cyst has been removed for her you have not provided her age as well. It would be best that they visit a fertility expert who can evaluate her ovarian reserve as with even the best surgeons ovarian surgeries reduce that. Also that they evaluate her tubes and husband semen test is also done. 

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