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Hysteroscopy Questions

Asked for female, 34 years old from Bharatpur
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MD - Obstetrtics & Gynaecology, FMAS, DM...read more

Gynaecologist•Noida
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Hello, the procedure cannot be performed when you are already pregnant, that would lead to miscarriage in most cases.
Asked for female, 28 years old from Coimbatore
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I am 26 and married. We are ttc for past 2 years. I have pcos and did a hysteroscopy for removing septum on last Oct 2015. After 2 months we started iui and period was delayed but negative hpt. After 5 days of taking duphaston no period show up after 3 days then took an hpt it showed a very light positive. But bhcg turned negative. After 3 days my period showed up with heavy bleeding and cramps. Doc said it might be an early miscarriage. Next iui was also not successful. But period was on time and was taking utrogestan 200 per day. By March I took follisurge injection for 3 days and 7 follicles showed up and all the seven was ovulated on 13th day and on the same day iui was done again. Started utrogestan200 twice a day. No. Period showed up so took an hpt on 3rd April and a positive line showed up but not so dark. On 4th April the test showed dark positive line. Doc asked to continue utrogestan for next 30 days and metformin 500 an folic acid. My scan is on 19th April. My concern is that I don't have any kind of pregnancy symptoms. Just have the same normal life. Is that could be missed miscarriage? What are the symptoms of miscarriage on utrogestan. Please answer me I am really worried.

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DGO, MBBS

Gynaecologist•Bhavnagar
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You got dark line on urine pregnancy test. That means you are pregnant. Sometimes in some pts there can be no symptoms of pregnancy. That doesn't mean that again there is a missed abortion. You just take care of yourself considering you are pregnant.
Asked for male, 38 years old from Bangalore
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Hello Dr. I am F 35 years. Trying to conceive since 5 yrs. Have PCOD, One tube removed due to one ectopic. (Lead into ectopic after 4 IUI cycle) Tried for IVF. After a long try (6-7 cycle) Egg was retrieved. Hormonal injections was not working for me. Its been 1 years my ebmreyos are freeze. But could not transfered because my ET not growing at all. hysteroscopy and TB PCR done twice. But came normal as per my Dr. Only prob is I have a Fibroid (a tiny one) Every month taking progynova 3 times 11-11-11. With vitamin E and viagra. But still ET not growing beyond 7. Triple line never came up. Not sure why this is happening As per Dr. last only option is surrogacy. My elder sister came foreword to help me in surrogacy. Her age is 37, have one kid of age 12. Had normal delivery 71 Kg, height - 5-4 ET was very good. 8.7 (Clear triple line) blood flow. Uterus condition was good. No cyst, no fibroid She started taking progynova 2 times 1-1-1 from her 2nd day On her 17th day (30th march 2016) 2 embryos transferred. Please find the embryo detail below Embryo 1-4AA (100% survival) Embryo 1-2BB (100% survival) She traveled back to her home town on 3rd april. Dr. suggested to do pregnancy test on 10th April 2016. (11th day after transfer) She did the home urin test today which came -ve. I am really really broken down this time. This was my last hope. I am feeling very low. Could you please help me to understand 1) What may be the reason to fail. As ET was good and also had good quality embryo 2) What should be the next plan. She was continuing progynova till today. 3) When we can plan next transfer. 4) What is the chances of success. Anything we can do to make it success 5) Please suggest any medication for me to grow my ET Kindly please help me on this. Any more suggestion and guidance from your side will be appreciable

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MBBS, DGO, MD, Fellowship in Gynae Oncol...read more

Gynaecologist•Delhi
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As you already success rate of ivf is 40-50 % that too depend on lot of factors. You can go for next et after 3 months.
You are already taking all the medicines for it, this may be probably due to fall in hormone levels, mainly estrogen as age and menopausal years increase.
293 people found this helpful
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Hello Doctor! My age is 31 years and my weight is 59 kg I am trying to conceive for more than 2 years but no luck. I had 4 follicle cycles but follicles do not rupture even with Hcg Injections my follicle only grow in size I was asked to undergo Hysteroscopy which was done last month on 7th Jan. The report says Uterine cavity normal with Endometrial polyp Subseptum noted. Endometrial polyp noted at fundus1.5cm* 1.5cm. Endometrial polyp resection done with scissors. Spectrum resection polypectomy was performed with Scissor. Good voluminous cavity obtained. Both ostia were well visualized. Endometrium normal. Cervix dilated upto no 7 Hegars dilate. Procedure was uneventful. Endometrium sent for TMA RNA TB-PCR. Then the Lab report said TB Not detected. After that I was given some antibiotics for 5 days and tablets Valest-2 for 20 days and gynaset for 5 days. As my Amh level is low <0.30 but there are follicles Are there any medicines to increase egg quality and AMH level. My Tubes are open and Husbands Count is also ok. I have started walking early morning for half an hour and I am doing some yoga exercises for fertility and self fertility massage.

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MD - Obstetrtics & Gynaecology

Gynaecologist•Mumbai
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As you have already received 4 cycles of clomiphene, next step in the treatment is iui which will go for 3 months cycle. You have mentioned that tubes are open (probably hsg report). Your laparoscopy was not done, which should have been combined with the hysteroscopy. Amh level can not increase. As your follicles are there and you r getting almost regular menses there should not be any issues with getting pregnant. But you need to continue treatment and ask for iui treatment in next cycle, to ge...more
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Asked for Female, 28 years old from Pune
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MD - Obstetrtics & Gynaecology

Gynaecologist•Mumbai
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Yes it is likely to be healthy if the surgery was done well. Also make sure that chances of abortion increases if woman gets pregnant within 6 months of miscarriage. So it is better to put cervical stitch to prevent miscarriage again, specially with your history and uterine anomaly.
Asked for female, 32 years old from Hyderabad
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Diploma in Child Health (DCH), MBBS

Pediatrician•Zirakpur
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first pereiod must be regular to conceive.so conult your gynie.there are so many causes like torch infection.thyroid hypo funtion.and other harmone disorder .you have not mention about your husband's cheakup.
336 people found this helpful
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