Dr. Monica Mathur
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
We are planning for a second attempt at IVF treatment. I had a myomectomy, left salpingectomy (left fallopian was removed) with ovarian drilling eight years ago. I had a scan and a blood test required for new IVF. The scan discovered fluid on the left ovary. She initially thought this could be hydrosalpinx as the sonographer did not realize that I did not have a left fallopian tube. When I them, they said the fluid could be from the surgery. I would like a second opinion after close observation of my old scan results and the new one, all attached. I want to know if this fluid or anything else if observed could be a hindrance to our IVF next month, and if so what to do next. Please help.
Thank you.
Hi,
Welcome to Icliniq.com.
I understand your concern.
As you have not sent me the sonography scan reports, I will answer you from give information. The fluid that is seen on the left side of your pelvis is most probably due to an infection either in your uterus or in the ovary. So it is advised to first treat that infection and then go for the second attempt of IVF (in vitro fertilization), otherwise, there are chances of abortion even if you conceive. The treatment of the infection is giving antibiotics. Hence, I suggest you to please get the following test done before starting the treatment.
1. Complete blood count.
2. Urine examination.
I hope this information will help you.
Please revert with the test reports in case of further queries.
Thank you.
Investigations to be done
Treatment plan
Regarding follow up
Patient's Query
Hi doctor,
Thank you for your reply.
I had a full blood count last week and would be getting the results this week. I will send you the result once I receive it. I will also book an appointment with my doctor for a treatment plan.
Thank you.
Hi,
Welcome back to Icliniq.com.
I can suggest the appropriate treatment after seeing the CBC (complete blood count)report. I suggest you take the following medicines in the meantime.
1. Capsule Taxim-O 200 mg (Cefixime 200 mg) twice a day.
2. Tablet Flexon (Ibuprofen 400 mg and Paracetamol 325 mg) thrice a day.
3. Tablet Chymoral (Trypsin Chymotrypsin 50000 AU) thrice a day.
4. Capsule Becosule (Vitamin B1 (thiamine mononitrate): 10 mg, Vitamin B2 (riboflavin): 10 mg, Vitamin B3 (niacinamide): 100 mg, Vitamin B6 (pyridoxine hydrochloride): 3 mg, Vitamin B7 (biotin): 100 mcg, Vitamin B9 (folic acid): 1.5 mg, Vitamin B12 (cobalamin): 15 mcg, Vitamin B5 (calcium pantothenate): 50 mg, Vitamin C (ascorbic acid); 150 mg) once a day.
I hope this information will help you.
Please revert with the test reports in case of more queries.
Thank you.
Patient's Query
Hi doctor,
Please find attached reports of my blood tests. Also, I forgot to mention that I am allergic to penicillin. I will also try and get an emergency appointment with my doctor this morning.
Thank you.
Hello,
Welcome back to icliniq.com.
I have reviewed the blood report (attachments removed to protect the patient's privacy). I suggest you continue with the treatment that I have given you. You can take this treatment even if you are allergic to penicillin. I suggest you get a sonography of the lower abdomen 10 days after completion of the treatment.
I hope this information will help you.
Please revert in case of more queries.
Thank you.
Patient's Query
Hi doctor,
Unfortunately, I cannot get the above drugs without a prescription. Please could you send one?
Also as I am based in the western part of the world. Do you know of the alternatives to the above medications? I am finding it difficult to find the drugs on our sites here.
Thank you.
Hello,
Welcome back to Icliniq.com. I am not from your country. Hence, I cannot give you a prescription online according to my country's norms.
Please revert in case of more queries.
Thank you.
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Obstetrics and Gynecology
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