Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doc, I am 30 years old, I had a history of right and left ovarian cysts, right adnexal cyst measures - 4.0 x 3.2 x 4.1 cm and left adnexal cyst measures - 6.9 x 5.2 x 3.4 cm (on 01/10/2011). Left Ovarian cystectomy and adhesiolysis done on 24/10/2011. Biopsy reports suggest - Endometriotic cyst. After that I had taken Inj.Lupride Depot 7.5 mg im x 3 such in 28 days interval (Nov 11 , Dec 11 and Jan 12). My menstrual cycle was stopped due to Injection otherwise it was regular. After 1st mentruation on April 12, Doc prescribed Tab.Ovaral G 1 tab for 100 days then stopped for 7 days again continued for 100 days for 4 cycles (till July 13). Since after we are trying for baby and I am in Follice acid and my menstrual cycle is regular (27th to 29th days). My gynecologist adv for follicles study , on 4th day - follicle was 14mm , 9th day growth multiple follicles - 17mm and 14mm each , 11th day - 2mm, 18 mm, 13mm , 13th day - 23mm, 22mm, 18mm, 14th day - 26mm, 24mm, 18mm , 15th day - 27mm , 25mm, 20mm , 16th day - 29mm, 27mm, 20mm , 17th day - one is 31 mm , other two are partially ruptured , (today)18th day - 35 mm , other two are partially ruptured. i have taken Tab. Fertyl 50 mg from 4th day to 8th day , then to rupture the folllicle , Inj. Hucog 5000 IU on 14th day and now on Cap. Susten 100 mg since 16th day for 10 days. My question is with this partially ruptured follicles can I conceive this month or not ? If not what is next step for me. Please suggest.
[|AI|]  It i there, thanks for writing in. There are few things I would like to suggest.1. When we do follicular scan we can assess ovulation by noting that the follicle has collapsed and not visible and the fluid inside the follicle can sometimes be seen in the pelvis on scan. At times the follicle gets filled with blood and other tissues that it becomes difficult to know if ovulation has occurred. A good monologist makes use of other techniques like Doppler to assess ovulation. Having said that It's not always possible to tell certainly if the egg has been effectively released which applies to your scenario as well. But the possibility of pregnancy cannot be negated.2. Current evidence suggests in endometriosis of stage 1 and 2, mild, if the fallopian tubes are open, the best results are obtained when ovulation is achieved by gonadotropin (injections for achieving many follicles) and combining with intrauterine insemination provided your husbands' semen is normal.3. Make sure your fallopian tubes are open by getting tube test done. (Hysterosalpingogram). This is necessary for GUI. Please remember in fertility issues we only talk about probability and likelihood. It's good to be hopeful. Good luck.