Dr. Sameer Kumar
MBBS., MS (OBS/GYNAE)., FMAS., DMAS., FELLOWSHIP IS ASSISTED REPRODUCTIVE TECHNIQUES
Infertility, Obstetrics And Gynaecology
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I have gone through the reports (attachment removed to protect patient identity).
1. You have an early LH (luteinizing hormone) surge as on same day LH is high, and FSH is normal. This causes immature folliculogenesis and first ovulation, which are incapable of forming corpus luteum to secrete adequate progesterone and hence the thin endometrial ling as well.
2. Testosterone levels are high borderline.
3. Progesterone levels are low for day 21 of cycle indicates less production by corpus luteum of no ovulation at all.
4. Presence of small anterior wall fibroid which would not affect pregnancy at present or likely cause of infertility but is expected to increase with cycles.
5. Thin endometrium due to poor estrogenisation of the endometrium during the cycle.
Keeping all in mind, this does not indicate PCOD, but it does indicate a hormonal imbalance between early LH increase, low FSH, and low progesterone. Please get AMH levels done as well.
You can and should be treated for hormonal imbalance with low dose combined OC pills for three cycles first before planning pregnancy, which would be mandatory in your case, unless you wish to hurry up for pregnancy, then ovulation induction can opt again with estrogen and progesterone support during the cycle and possible recombinant FSH injections if required. Success rate universally remains 35 to 40 % only, even with assisted techniques.