Infertility

Respected Dr. Plz share your expert openion a lady age 25years comes my clinic with 3month amenorrhea. Her USG become normal but endometrial thickness 7.3mm. I recommend norgest tab. Withdrawal bleeding positive. Now she want to become mother. So plz suggested management?

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Dear Dr.Shameem khan Sir" Already Nicely Description by Respected Doctors. To Find out the Masor Cause Of Amenorrhea Go for further Investigations.Whose r Suggested by Dr.Namrta Jadhav Ma'am" Meanwhile for Ovulation induction Tab.Primolute-N bd for 5 days, Inj.Estrogen,inj.progesteron Single dose IM. Gyenasol syp 10 ml bd. From 5th day of Menses Give OCP Upto 3 conseuctive cycles. Tab.Ovabless myo bd. Femiguard syp.

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Hormonal profile. BMI? Waist to hip ratio. Advice diet and lifestyle modification. FSH, LH, Prolactin, sr testosterone, sr insulin, AMH, TORCH, CBC, DHEAS, TFT Semen examination of husband. Further may start with letsi 5mg for ovulation induction, ovulation monitoring , advice planned relations according to study. Progesterone support later.

First evaluate amenorrhea, withdrawal bleed positive , indicates anovulation. Check CBC ESR, THYROID PROFILE, PROLACTIN AND ULTRASOUND....EVALUATE HUSBAND SEMONOGRAM ALSO....GIVE HER OCP FOR 3 MONTHS ....GIVE BIFOLATE, APCOD MAX SACHE PROBIOTICS......ADVISE LIFESTYLE MODIFICATION ..then give ovulation induction

Do LH, FSH, Prolactin and thyroid profile. Check her BMI. Advice on diet and exercise if she is overweight or obese. Partner's semen analysis Give 3 cycles of ocps to regularise cycles followed by ovulation induction followed by timed intercourse

Valuable opinion
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Pl go for hormonal assays. Throid profile / S.AMH./ S.LH./S.FSH./ TORCH/ DHEAS./ S.Prolactin Follicular ovulation study. Semen test of male partner.

Valuable opinion
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Infertility Husband semen c a s method Female menstrual history Fsh LH TSH serum PROLACTIN Amh main Hysteroscopy Ovulation studies

NEED'S.. RELATED.. MEDICAL CHECK UP OF COUPLE.. AND..HORMONAL STUDY.. WITH.. EXPERTS OPINION..

Tnx &wc Dr M. Shameem Akhter Khan
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If constitution, occupation and other concomitant symptoms are given, we can prescribe remedy in homeopathy

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