infertility

35 year old G2 P1 L1 LCB 13 years with two months amenorrhoea. ultrasound sowed a 7 weeks live intra uterine pregnancy associated with intra mural fibroid of 6*5 cms. patient c/o bleeding pv . per speculam examination showed a fibroid polyp as shown. what is the line of management.

45yrs old para 3 presented with H/o excessive and irregular bleeding PV since 2yrs and pain and off an off 1yr.on exam P/s cervical polyp protruding through is usg showed Bil TO MASS. MRI Pelvis showed bil hydrosalpinx. LAVH Planned and done after investigation. Hydrosalpinx refers to Fallopian tube that’s blocked with watery fluid. Causes are ST infections endometriosis PID ruptured appendicitis or any and surgery. Symptoms are and or pelvic pain unusual watery discharge or infertility. Treatment is surgery to remove the affected tube. Treat endometriosis treat PID with antibiotics. Sclerotherapy usg needle is used to draw fluid out of affected tube and special chemical is used called sclerosing agent that is injected to prevent the fluid building up again.

33 yrs old lady treated for primary infertility. Reported on 02_07 with bleeding PV. At present she is 23 wks. Placenta ant grade 2. All blood reports r normal. Let's discuss the etiology of bleeding PV . She is tted with vit k,progesterone & duvadilon . Settled & discharged on 05_07.

Primary infertility with 8yrs marital life,regular cycles Kindle comment on the HSG.

This is a case of 38 year old married lady, complaining of lower abdomen pain from last 7 days. LMP 2 Aug. Past history of two miscarriage after taking treatment for IVF. Also suffering from Migraine, presently talking no treatment. Non Diabetic and NonHT. Had pulmonary Koch's 14 years back took complete course of ATT Any advice from esteemed members ??