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Pregnancy, periods, pcos and male semen analysis

Married Women Problem
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sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:29th Sep 2012, 11:37pm
 

Pregnancy, periods, pcos and male semen analysis

Hi  I would like to knw abt few things first of all I have read a lot of articles n search a lot of website for my doubts n question . But I find this site very good n informative . About me : I don't eat vegetables just peas n potatoes eat junk like pizza burger etc n can't eat boti of any meat just kababs. Questions
1) till I m 22 my weight was 56 kg height is 5"4have regular periods but I don't knw wht happen my periods got irregular . N weight started to gain n hair started to appear on my chin . 
2) Got married in2009 phir acha bak say started to gain weight now it's been almost 3 years we r trying to conceive but no luck . Shadi k phelay 2 years mein say hum sirf 17 months saath rahay did intercourse with protection still no chance . What's the reason ? 
3)my doc suggested some tests n ultrasound for me n husband  My reports says tht I have follicle but wo break nai hota aur cyst ban jati hy . Rest all reports r cleared . 
4) my husband semen analysis reports says he has appox 45 million speed  10-12 pus cell 50 % motile 
5) shadi k baad bhi periods irregular tha do my doc prescribed duphaston for 5 days kabhi khud hotay hain aur kabhi medicine lani parti hy from noverber 2011 I m keepin record of my periods . Din oper chalay jatay hain pregnancy walu feelin b hoti hy but pregnancy nai
We r really desperate for baby please help.
psychdoc Group: Members  Joined: 04th Mar, 2011  Topic: 11  Post: 1228  Age:  33  
Posted on:29th Sep 2012, 7:56pm
 

Sehar. Z:


From what you have described, it seems that you have PCOS, as evidenced by presence of cysts in your ovaries, irregular menses, hairs on the chin, and difficulty conceiving, alongwith weight gain, which certainly is making matters worse for you, because weight gain makes PCOS so much more diffficult to treat.

Has your Thyroid Function ever been tested? How about your Prolactin levels, and FSH and LH levels?

You haven't mentioned the complete report of your husband's semen analysis, but 45 million sperms would be considered normal, 10-12% pus cells indicates the possibility of infection, and then you haven't mentioned the motility completely. Was the 50% active motility, grade A, B or what grade?

I am giving you a link to my article about PCOS, which would give you some useful insight into your condition, and would help you understand your condition more clearly, and would help you understand your treatment options more clearly:




sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:30th Sep 2012, 4:46am
 

Reports ( please help me )

2012
--
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:30th Sep 2012, 4:48am
 

Reports (Please help me )

2012
--
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:30th Sep 2012, 4:50am
 

Plz help

2012 jan 12
Prolactin 319.9 ulU/ml
2011 oct 11
Lipid profile
Triglyceride 75
Cholesterol. 175
VLDL 15
LDL cholesterol. 109
HDL cholesterol. 53

CBC
Haematology report

WBC 9.06
RBC 4.94
HGB 14.1
HCT 46.1
MCV. 93.3
MCH 28.5
MCHC 30.6
%RDW-CV 14.1
PLT 293
NPV 11.7
% NEUT 56.5
%LYMP 34.4
%MONO 6.6
%EOS 1.7
%BASO 0.8

# NEUT 5.12
#LYMP 3.12
#MONO 0.6
#EOS 0 .15
#BASO 0.7

Special chemistry report
Specimen: Serum

T-3 total 107.000 ng/dl
T-4 thyroxin 10.700 ug/dl
TSH 2.580 uIU/ml

Serology-hepatitis
Specimen : serum

HBsAg nonreactive
Patient rate :0.30

AntiHCV nonreactive
Patient rate 0.06

Clinical chemistry report
Chemistry-1

Sodium 139
Potassium 4.08
Chloride 103
Bi carbonate 25.8
Urea nitrogen 5.3
Creatinine 0.55
Glucose random 117
Calcium 9.32
Total Bilirubin .24
ALT 42
AST 26
Alkaline phosphate 96
GGT 30
Total protein 7.77
Albumin 4.43
Globulin 3.34
A/G ratio 1.33

Chemistry-2
Iron 81

Specimen serum
25 hydroxy vitamin D 10.2 ng/mL

Specimen blood
Blood group+ Rh type "O" positive.

Endocrine panel
FSH 6.250 mIU/ml
LH 9.900 mIU/ml

sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:30th Sep 2012, 6:13am
 

Report of husband

Husband reports

Date 28-feb-2011

Semen analysis

Last coitus 4 days
Physical examination
Colour: buff
Volume: 5.0 ml
Viscosity : thick
Reaction : alkaline

Microscopy
Sperm count : 45 million

Motility
Time Fully active. Sluggish. Dead.
After 30 mins 40%. 30%. 30%
After 3 hours 30 %. 25%. 45%
After 6 hours 5 %. 15%. 80%

Pus cells 10-12/HPF

Doc precribed this med for three months
Lycopene
Folic acid
And an ultrasound

Ultrasound report
10 may 2011
Doppler ultrasound scrotum
Right testis is 40*20 mm in size. Transverse epididymal diameter 7.9mm
Left testis is 39*21mm in size . Transverse epididymal diameter 7.7 mm
Both has homogenous smooth texture without any focal lesion. Appears normal no hydrocele .
A mild dilated tortuous venous channels are noted around left testis with maximum caliber of 2.9 mm
No flow reversal is seen on valsalva
PSV of right sub capsular artery have 6.9cm/sec RI is 0.4
PVS of right intra parenchymal artery 7.6cm /sec RI is 0.36

PSV of left sub capsular artery have 7.6cm/sec RI is 0.22
PVS of left intra parenchymal artery 6.1cm /sec RI is 0.64

04may 2011

Appearance : creamy white
Consistency: normal
Volume 3.0. Ml
pH 8.0
Sperm motility
Rapid progression 20%
Slow progression 40%
Non - progression motility 10%
immotilte 30 %
Agglutination nil
Vitality 70%
Count /ml 40 million
Morphology
Normal 60%
Abnormal 40%
Head defect 30 %
Tail defect 3%
Neck n mid piece defect 3%
Cytoplasmic droplets 2%
Headless pinhead 2%
Pus cells 4-6
Red blood cells nil
Epithelial cells nil
Miscellaneous nil

19-oct-2011

Appearance : creamy white
Consistency: normal
Volume 4.0. Ml
pH 8.0
Sperm motility
Rapid progression 40%
Slow progression 30%
Non - progression motility 10%
immotilte 20 %
Agglutination nil
Vitality 80%
Count /ml 52 million
Morphology
Normal 50%
Abnormal 50%
Head defect 40 %
Tail defect 3%
Neck n mid piece defect3 %
Cytoplasmic droplets 2%
Headless pinhead 2%
Pus cells 2-4
Red blood cells nil
Epithelial cells 1-2
Miscellaneous nil


Other reports
CBC
Hb 17.5
Total RBC 6.0
HCT 50
MCV 83
MCH 29
MCHC 35
Platelet count 181
WBC (TLC) 9.7
Neutrophils 56
Lymphocytes 36
Monocytes 6
Eosinophils 2

Biochemistry report

Uric acid : 9.7

Lipid profile

Cholesterol 127
Triglyceride 117
H.D.L Cholestrol 35
L.D.L Cholestrol 61
V.L.D.L 23
Cholestrol /HDL Cholestrol ratio 3.6
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:30th Sep 2012, 7:12am
 

Dates history

Period history

November: starts on 5 ends on 12
December : starts on 2 ends on 9
January : starts on 13 ends on 19
February : starts on 17 ends on 23
March : starts on 18 end on 24
April : starts on 27 ends on 6
Last six month have don ultrasounds n took medicine prolifen on second day of periods for 5 days n 12 day ultrasound with injection hmg massone 75 iu and ivfc 10000 for six months course
May : no period
June : starts on 12 ends on 22 (again spottin started on 28 end on 30)
July : stars on 31 ends on 2 (spotting )
My husband left for abroad .
August : 19 light spotting started on 22 starts bleeding end on 30
September : 25 started

Now he ll b back after 3 months . And before tht I want my self to b perfect to conceive . Wht I want to know is tht coz of me we r unable to conceive ? Please reply n tell me wht should I do or which doc I go to for this .

psychdoc Group: Members  Joined: 04th Mar, 2011  Topic: 11  Post: 1228  Age:  33  
Posted on:30th Sep 2012, 11:54pm
 

Sehar. Z:


Of all the labs that you mentioned, the 2 most important ones are the FSH level and LH levels. However, the levels of these 2 labs vary significantly, depending upon what day of your monthly cycle these labs were drawn. Generally, they should be drawn on Day 2 or Day 3 ( counting the first day of bleeding as day 1). In order for me to interpret your FSH, LH levels, I need to know what day of your cycle these labs were drawn. I did not see any other major abnormalities, and your TSH is normal as well. However, your blood glucose level is elevated, which is something that is commonly seen in PCOS patients.

Also, you did not include the results of your ultrasounds.

Prolifen, an ovulation inducer, is prescribed to women to help them ovulate. Generally speaking, most women who become pregnant with the use of this medication, do so within the first 3-4 months of its use, after that the success rate diminishes.

Your husbands semen analysis ( first sample) showed increased pus cells, but subsequent samples did not reveal that abnormality. For all practical purposes, his semen analysis should be considered normal.

Besides getting proper treatment, the single most important thing that you can do for your PCOS is to loose weight. Loosing weight would highly increase the success rate of your treatment.

All the best.
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:1st Oct 2012, 6:23am
 

Physcdoc

My doctor is not giving me any treatment at the moment . She prescribed me glucophase but tht medicine doesn't suits me so I left tht . Now she told me to do a test called hysterosalpingography on 10th day of period .October 2012(ll post the report here as well), Am scared wht is it n how is it done can u guide me . Well abt my husbands semen analysis tu he is on medicine as well eating (enzze ) I hope I rite the name correct) well do wht diet should I take or medicine ?? These days n m gettin steam bath daily so tht my fat shld shred .
Ll wait for the reply

psychdoc Group: Members  Joined: 04th Mar, 2011  Topic: 11  Post: 1228  Age:  33  
Posted on:2nd Oct 2012, 9:57am
 

Sehar.Z:

HSG (hysterosalpingogram) is a special XRAY that is done to check if there are any obstructions in the female reproductive tract, that might be interfereing with the ability to conceive. It involves injection of a dye, and then visualizing the female reproductive organs. There is mild degree of pain, and the whole process takes approximately 20-30 minutes. You may have slight bleeding for a day or 2 after the procedure.

One important thing about the HSG is that since it is an XRAY, and if a lady is in the very early stages of pregnancy without even knowing about it, the XRAYS might hurt the baby. Therefore, this test should be done within 2-3 days after stopping of the period ( because it is highly unlikely that the lady would be pregnant at that time), and certainly not any later than 5 days after stopping of the bleeding.

Glucophage is prescribed for PCOS, but there are several other choices available as well, which I have discussed in detail in my article ( I already gave you the link to that article).

sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:4th Oct 2012, 4:18pm
 

Psychdoc

Today I went for HSG sendin u the report .... I hope to get a reply frm u ASAP .

On transvaginal ultrasound
Uterus measure 76*35*47mm normal contour and endometrium 06mm thick
Right ovary 25*13mm
Left ovary 24*18mm a biloculated thin walled smooth outline cyst measuring in total 67*39mm (each locule measures 46*51mm and 32*27mmseen in left adnexal area
No debris or solid component
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:4th Oct 2012, 4:24pm
 

Doc

HSG
Approximately 20 ml contrast was Injected throught the cevical canal . The endometrial cavity is normal in shape n size and position no intrauterine filling defects are present .there is synchronous filling of both the Fallopian tubes with free spillage of contract in to pelvic cavity on either side
Medicine advise
Tab cipval 500mg od 5days
Tab voren 1+1for three days .
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:4th Oct 2012, 4:31pm
 

Doctor

Please tell me now what should I do ? I have appointment with doc tomorrow wht should I expect frm my reports ? N ya medicines kis cheez k Liya hain ?? After HSG test its started bleeding is it fine ?? Like spoofing n paining in my lower abdomen n legs a lot wht should I do to avoid it ? Routine work Karoo ya rest ? And is ko karnay k baad kitnay din ya pain rahay gi ? My height is 5.4 and weight is 78kg wht should be my ideal weight n can u please suggest me any diet or exercise for loosing weight
Thanks
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:5th Oct 2012, 9:24am
 

Physcdoc

I went to the doc . She said k be prepare mentally for surgery... I m very tensed as I don't want to do it . I told her this but she says k is k Ilawa koi option nai hy . My husband is out of country do she said k get an ultrasound done again after 4 weeks thn ll see wht to do ... Mein kiya Karoo k jis say ya theek ho jai .
Waiting for Ur detailed replies ..
aamirthegr Group: Members  Joined: 04th Oct, 2012  Topic: 1  Post: 14  Age:  27  
Posted on:5th Oct 2012, 11:23pm
 

Mera sawal Experinced Married females sy hy sex k hawaly sy agar koi meri rehnumai kary

edited

psychdoc Group: Members  Joined: 04th Mar, 2011  Topic: 11  Post: 1228  Age:  33  
Posted on:5th Oct 2012, 11:51pm
 

Sehar.z:

Sorry for the late reply.

You do have a cyst on your left ovary. However, your HSG did not reveal any blockages. Generally speaking, ovarian cysts are very common and majority ( but not all) of them disappear on their own within 1-2 months.

I think that you should wait atleast a month or so, just as your doctor suggested.

Aap ki doctor na aap ko jo meds prescribe ki hain, unn mein cipval aik anitibiotic hai jo kae different infections mein prescribe ki jaati hai. Aur voren aik pain killer hai.

Jaisa keh mein na aap ko pehla bataya thaa keh HSG ka baad 1-2 days tak mild bleeding/spotting ho saktee hai, its entirely normal. I am sure keh ab yeh bleeding stop ho gae ho gee, agar nahin hoi to phir aap ko apni doctor ka paas jaana chahye.

Jahaan tak aap ka weight ki baat hai, aap taqreeban 23kg overweight hain. Agar aap already dieting nahin karteen to diet start kar dain... this involves eating 4-5 small meals a day, avoiding fatty/fried foods, eating brown bread instead of regular bread, eating high fiber foods, eating plenty of fruits and vegetables, anfd avoiding refined sugars as much as you can. Agar aap exercise nahin karteen to shorow kar dain, walking 20-30 minutes daily, atleast 5 days a week is a good start.

sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:6th Oct 2012, 3:43am
 

Physcdoc

I m very scared as mughy tu injections say itna dar lagta hy tu ya surgery kaisay karoon gi .. And this is making me very tensed .. I cried a lot jub day ya pata chala hy .. Depressed ho gai hon mein .. Acha ya tu sub theek hy but mein nay forum pay paraha hy pocs diet us mein likha hy :-
equal quantity of
Ajwain
sabat isabhghol
maithray
kalwanji

yeh chaaron cheezain subha nihaar munh aur asar k time khaali pait ek chutki lain dailay for 3 months....

Kiya mein cheezain kha Lon ?? N is there any other way of stoopin it plzzz tel me ASAP .
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:6th Oct 2012, 3:51am
 

Physcdoc

Bleeding tu nai just at times spottin ho rahi hy .. But it pain in my upper left side under the area jidhr ribs khatam hoti hain ? Aur mein kab say gym join kar sakti hon ? And is steam good for this too ?? Ager mein excercise Karoo aur saath mean steam bhi Lon tu kiya jaldi fariq paray ga ?
Mein red meat nai lay rahi just fruit diet pay hon ab from a day . Eating just half roti n thts it . Mein phelay b bohot zaida nai khati but Eat burgers n pizza a lot n drinks n barkers items .. Mughy ager Sara din Khana na milay tu theek hy bus aik cup tea aur biscuits milay chaiye . Larkin ab as u said tu m avoiding it .
Pata nai kuin but mein bohot zaida tense ho rahi ho I mean mughy samagh nai aaraha tht how can I do this jald say jald plzzz pray k mughy koi surgery na karain paray .. Ameen aur khud say sub theek ho jai . Please Allah help me .
sehar.z Group: Members  Joined: 29th Sep, 2012  Topic: 3  Post: 21  Age:  28  
Posted on:9th Oct 2012, 11:21pm
 

Doc

Still waiting for the reply
psychdoc Group: Members  Joined: 04th Mar, 2011  Topic: 11  Post: 1228  Age:  33  
Posted on:10th Oct 2012, 10:46am
 

Sehar.Z:

Sorry for the late reply.

Iss waqt tak spotting aur pain khatam ho jaani chahye, kionkeh HSG test ko kaafi din ho chuka hain. Agar abhee bhee pain aur spotting hai to behtar hai keh doctor ko dikha dain.

Steam bath say temporary weight loss hota hai in the form of sweat, magar yeh weight loss sirf kuch hours tak hee rehta hai, jab aap pani peeaian gee to yeh weight jo sweat loss ki wajah sa hoa thaa, woh dobarah replace ho jae gaa... so in other words, steam bath is NOT a way to loose weight.

Aap na ooper jis diet ka baaray mein poocha hai, I don't know anything about that diet.

Magar mein aap ko dieting ka baaray mein 1-2 basic facts bata doon. Dieting mein improtant cheez yeh hai keh din mein 4-5 times small meals lain, iss say calories burn hona ki speed taiz hoti hai, resulting in weight loss. Bohot say log dieting ka yeh matlab laita hain keh din mein sirf 1-2 times small quantities mein khayain... yeh aik major mistake hai, aisa karna say body "Starvation Mode" mein aa jaati hai, yaa doosray lafzon mein calories ko burn karna ki speed bohot slow ho jaati hai, jiski wajah say weight loss bohot slow hota hai.

Praeshan nah hon, abhee 1 month wait kar keh daikhain, ho sakta hai aap ki cyst khud hee disappear ho jae.

All the best.

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