Q. I have undergone ovarian cystectomy six times, and trying to conceive soon. Kindly advice.

Answered by
Dr. Dattaprasad Balasaheb Inamdar
and medically reviewed by Dr. Nithila A

Hello doctor,

I am 36 years married since a year back, I had a history of six times laparoscopic ovarian cystectomy and my doctor did ovarian drilling twice, and I found AMH low and my period was normal every 30 days with the average amount, I used the ovulation kit for three months and there was no positive result (anovulatory). I want to get pregnant as soon as possible. Please advice for me.

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Dr. Dattaprasad Balasaheb Inamdar

MBBS., MS (OBGY)., DNB (OBGY)., FNB (REPRODUCTIVE MEDICINE
Infertility Obstetrics And Gynaecology

Hello,

Welcome to icliniq.com.

If you had checked with ovulation kit in the cycle while taking OCP (oral contraceptive pills), they bound to be negative. If the period is regular every 30 days (as you mentioned) and still kit showed no ovulation, it might have given a false negative result which is familiar with ovulation kits, especially if monitoring is not done as advised on it).

It is very rare for all cycles despite being regular to be anovulatory (it is ok if an irregular period is anovulatory). Still, considering your age, multiple surgeries, and low AMH, you can go for ovulation induction (initially at least with clomiphene citrate). You need to consult a doctor for a prescription and further ovulation monitoring. Controlled ovarian stimulation with injection FSH (follicle-stimulating hormone) and IUI (intrauterine device) will give a better chance of pregnancy than ovulation induction alone.

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