Dear Sir, Last month I did my follicular study i took Siphene for five days from 2nd day of my period. 3 follice ruptured my husbands sperms count is normal , my hormone test are normal . But I still did not conceive. I am thinking of doing follicular study once again . My sonogaphy report is also normal. My friend advise me that this time in follicular study i should tell doctor to call me for follicular study even after ovulation just to check what exactly happen after ovulation.
Hallow Dear, Sphere is a Camphene citrate medicine, used for induction of ovulation. This is an anti-oestrogenic medicine and hence has god adverse effect on the growth of the endometrium. Hence and due to some other reasons also, it has better success in ovulation induction; however success in achieving the pregnancy is lower. Please submit yourself for ovulation monitoring after Sphere. At the time of ovulation, please note size of the follicle(s) and thickening of the uterine lining (endometrium). Follicles between 18 mm to 21 mm size release the healthiest eggs and have better pregnancy chances. If the follicles are becoming larger, you may request your doctor to give you In. Chat Doctor when the size of the follicle(s) is(are) within this range. If the follicles are remaining smaller, you may have to switch over to HMG/Chat Doctor combination. The endometrium of thickness between 9 mm and 14 mm is most conducive for implantation of the fertilized ovum. If the endometrium at the time of ovulation is thinner, please do not attempt pregnancy at that cycle. Get your endometrium built up by some estrogenic preparation first. When it has reached the required thickness or more, then down regulate the estrogen and attempt pregnancy in the next cycle by induction of ovulation. May be, if Sphere does not work, you may have to switch over to HMG/Chat Doctor combination. Also, please find out by hysterosalpingography about the patency of your tubes. Husbands semen examination also is needed to find out the quality of the semen. I hope this has provided you preliminary guidelines. For detailed discussion, you may ask me Direct question with all your reports uploaded. 