Conversation: The conversation between human and AI assistant.
[|Human|] hello Doctor, Please my friend have irregular period and last month my doctor prescribe gynaecosid tablet 2 for her to insert into her vagina, after 6day she had an aunty flow but it did not flow very well (only 3days) after the period, her doctor prescribe clomid tab to be taken orally for 5days to generate ovulation. she said her period is due since 13th Nov but she haven t seen it and have done 2HPT and 1Blood test all the results are BFN. she went back to the doctor and he prescribe Gynaecosid for the second time. she is so scared and eager to get pregnant, please we need your advice
[|AI|]  Cellophane you for your query. Please consult an infertility specialist at the earliest. Gynaecosid will not help in pregnancy.She needs complete evaluation for irregular cycles. Stress, anxiety, weight gain, ingestion of hormonal medications, change in sleep or diet - these need to be ruled out first. After that, she would need to be examined for polycystic ovarian disease, hypothyroidism, endometrial hyperplasia etc. She needs total internal examination (per magnum and per spectrum) along with a pelvic ultrasound. Tests like FSH, LH, TSH, Prolactin, OG TT, RHEAS, free testosterone, Lipid profile, fasting serum insulin should be done.FOllicular monitoring to track ovulation and semen analysis are required. As a last step, laparoscopy to check patency of fallopian tubes is a must. Take care.