I had irregular periods. All my other test reports are normal such as LH, FSH, AMH, thyroid and FBS. I had done pelvis transvaginal sonography three days back, but last period date was 28 days back. My report summary is as follows. Pelvis shows an anteverted, uterus with central endometrial canal. The uterus measures 56x29x34 mm. The endometrial thickness measures 5 mm. Both the ovaries were well visualized and appeared bulky with multiple small follicles noted in parenchyma. Right ovary measures 38x24x37 mm, volume measures 17.4 cu mm. Left ovary measures 40x22x33 mm, volume measures 14.7 cu mm. There is no free fluid in cul-de-sac. Is everything normal? Will I be able to get pregnant? I am 30 years old and married for 4 years. I have not been pregnant earlier and have been trying for baby since 3 months only. Currently, I am taking Folic acid and other vitamin supplements.
Your endometrial thicknessof 5 mm is very less to support pregnancy. With Progesterone supplements, it is possible to maintain pregnancy. However, it can be slightly difficult to conceive. I suggest you to go for ovulation induction, as it will help. Also, I would like to know your husband's semen analysis report so that I can know his status as well.
I am yet to do the semen analysis for my husband. Could you please tell me about my ovaries as well as follicles? I understand that endometrial thickness varies depending on which phase we are going though like menstrual or luteal. Doctor has suggested me to take one medicine to have on third day of my periods to induce ovulation. But I am little scared, as I heard it might lead to multiple pregnancy. Please advise my further course of action in relation to this. Should I take this ovulation induction medicine prescribed by doctor? Kindly let me know, if any other special advice you would like to give me that will help in my further course of treatment. Thank you.
On day 22 your endometrial thickness should be high, yours is very less. It is even lesser than what is expected after menses. It is more like the way, it would appear in a postmenopausal woman. Ovulation induction can work but, even before that you need to get your husband tested. No treatment of infertility can be initiated before testing both partners. Your treatment will not be effective, if your husband's semen is not optimum.
Also you are correct regarding the side effects of these medicines to cause multiple pregnancy. But this effect is seen lesser with Clomiphene citrate (Clomid). I can guide you better only after seeing all your reports along with your husband's and prescriptions of all treatments you have already tried.
Was this answer helpful?
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. definitely start the ovulation induction within the first five days of periods.
The principle behind this is that the FSH (follicle-stimulating hormone) starts to rise from the second day of the period and by the fifth day, the follicles to be recru Read full
.. read a detailed description of your query. Beta hCG should increase around 66 % after every 48 hours in a normal healthy pregnancy. Have a strict check on your symptoms. Beta hCG if shows increase but less then 60 %, then ectopic should be excluded by Read full
.. definitely take a long flight. What you had was a biochemical pregnancy meaning pregnancy hormones only in blood and urine and not on the scan.
Urine pregnancy is positive when the blood level of beta hCG (human chorionic gonadotropin) hormone is 25 I Read full
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.