i had a d and c 3 months ago, have not had a period, and blood tests reveal no ovulation. I am 38years old and time is ticking!!! what can i do?? my gp has refered me to fertility associates, not sure what they can do to make me ovulate. please help!!! driving me nuts!!!
Hi, Thanks for writing to Chat Doctor. In your case I suggest you to get your thyroid profile done and serum prolactin levels checked. These abnormality in hormones causes disturbed cycles and ovulation. Meanwhile get ultrasound done to know you have poly cystic ovary disease(PCs). If you have then treatment will be accordingly. For your non ovulation you will be given Josephine citrate from day 2/3 for 5 days. Discuss this with you doctor. With this Chat Doctor. Approximately from day 8 estrogen tablets will be started so that your endometrium is well-developed .  After rupture of your follicle I would suggest you to go for GUI I.e. intrauterine ingestion of sperms as this will increase chances of conception.  Before GUI you need to get your tubal patency done.  Approximately after 1 day of rupture of follicle progesterone tablet will be started as it will help in implantation and maintain of initial pregnancy. This is routine treatment protocol. Hope I have been helpful. Regards 