Suggest remedy for infertility problem
Patient: Date : 25/03/2011 Sir,We are the married couple of last 6 years and in which last years we trying for a baby. Due to some unknown fertility problem still now she is ( My Wife ) not conceive.Because of that we wants your help. We hereby enclose all the reports for your kind inspection along with the following medicine which we have already taken :For Mrs. Arpita Sarkar Age 28 years : ( Medicine )         Medicine          Date of Medicine taken     1. Folinal                    06.02.2008     2. Ovofar (500)               06.02.2008     3. Duphaston (100)               06.02.2008     4. Fertibex                    31.05.2008     5. Letoval (2.5)               31.05.2008     6. Clome (100)               15.02.2009     7. Duphastone                    15.02.2009     8. Azithral (500)               01.08.2009     9. LAA (100)                    01.08.2009     10.Fertily (150)               01.08.2009     11.Susten (200)               01.08.2009     12.Evion ( 400 )               01.08.2009     13.Eltroxine                    01.08.2009     14.Folinin                    01.08.2009     15.Ebexid                     30.03.2010    16.Ovofar                    12.04.2010    17.Ovidac 10000 injection          10.06.2010     18.Ovofar 100                    06.08.2010     19.Zolam 0.25                    06.08.2010     10.Letoval 2.5                    20.11.2010     11.Stimufol 5                     21.02.2011     12.Ebexid                    21.02.2011 For Mr. Sukanta Sarkar Age 35 Medicine          Date of Medicine taken     1. Ariwok 500                    15.02.2009   2. Doxt 100                    15.02.2009    3. Becozymo                    15.02.2009     4. Speman 2                    01.08.2009     5. Genco Plus                    01.08.2009     6. Lyco Q 100                    05.02.2011     7. Carni Q                    05.02.2011 As you see that we have already taken lots of medicine and want some advance treatment. We are very much grateful to you if you please guide us.Waiting for your reply.Regards Sukanta and Arpita Sarkar 0000 Doctor: Hello,In the couple who are finding difficulty in conception, following investigations need to be done:1. Establish the egg release (Ovulation): It can be done bya. Study of the uterine lining by hysteromicroscopy just before the menses.b. Ultrasonography ovulation monitoring: It will even help to locate the day of ovulation and thus you can plan the intercourse accordingly.c. Ovulation monitoring kit.d. Study of the hormones like FSH, LH, prolactin in the blood.2. Find out the patency of woman's genital tract. For this information:a. Hysterosalpingography: X-ray of the uterus after filling in the radio-opaque dye.b. Laparoscopy: It will give the information about the normalcy of the genital organs and any other relevant information from the pelvis.3. Semen examination after four days abstinence.Once all this information is available, further planning of the management can be done.Currently, most of the medicines Mrs. Arpita is receiving are to induce the ovulation. Their need can be opined only after seeing all the reports. Please visit a gynecologist and get all these investigations done. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nishikant Shrotri