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Question
Posted by: K | 2008/01/11

ttc

Doc pliz whats your opinion. will be doing second round clomid + iui, first one in August failed, later doc advise dh had low sperm volume. this is what i had from June 2007 to date:
period start cycle length
9 Jan 2008 --
4 Dec 2007 36 days
12 Nov 2007 22 days
31 Oct 2007 12 days
9 Oct 2007 22 days
13 Sep 2007 26 days
30 Aug 2007 14 days
15 Aug 2007 15 days
16 Jul 2007 30 days
22 Jun 2007 24 days

This involved a lap, h/s, ovarian drilling, endo adhesiolysis/ablation in May and then another lap/HSG in October. Still trying and nothing, have done one round of clomid which resulted the Oct op to get rid of the cyst. Doc what is your opinion?

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Our expert says:
Expert ImageFertility expert

Dear K

From the menstrual cycle patterns that you have volunteered it is evident that ovulatory dysfunction is a serious concern in this instance. The use of clomid needs to be undertaken after careful cycle control otherwise there is a definite risk of developing multiple ovarian cyst which will result in dysfunctional uterine bleeding (abnormal menstruation). For adequate cycle control the use of the oral contraceptive pill is sufficient for one or two months following which the clomid can be used and follicle growth should be monitored by means of ultrasound scanning. Ovulation should be triggered when follicles reach maturity since the risk of unruptured follicle syndrome and or the formation of follicular cyst may well occur if the follicles are not induced to ovulate.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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