A primary infertility patient married 2yrs back having dysmenorrhoea and irregular cycle.How to

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Usg pelvis to rule out PCOS/ any pathology. Hormone profile FSH, LH, prolactin, testosterone, insulin, TFT, CBC, Ovulation induction with letrozole Follicular study from day 11, inj HCG to rupture follicle and progesterone support therafter. CBC, Sr insulin, TFT and sperm count of husband.
Valuable opinion
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Dysmenorrhea nd irregular cycle sugg to harmonal imbalance Adv.harmonal study Usg Further investigations accordingly For male partner adv semen study
Thank you doctor
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Check for hormonsl assays. Thyroid profile../ S.Progesterone / S.esterogene / S.AMH./ LH / FSH/USG Ovulation study.. USG Pelvic.
.Think of POCD Ultrasound Hormonal assay Semen exam of husband Blood group Rh
Thanks
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As pt is a c/o primary infirtility Hence needs detail study Fsh Lh Progestrone estrogen Adv usg pelvis study uterus and ovaries Test the tubes adv hsg For DUB you can put her on hrt treatment
I agree
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yes uttar basti is very effective in such cases along with ayurvedic bhasm , ras chikitsa

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