Fertility Masterclass 76- Stimulation Protocols for Natural Pregnancy in Endometriosis

[@meghapandove5186]

do you suggest d1 of cycle - inj cetrorelix
Then letrozole 2.5 mg od + hmg 150 iu daily fr 7 days, then follicular monitoring till 18-20 mm and trigger her with hcg 10k? Won’t she hyper stimulate?

[@DrJayMehtaGynecologist]

Yes

[@priya18won]

Sir, we need WLE? Fulguration of peritoneal patches is not sufficient?

[@DrJayMehtaGynecologist]

Ofcourse yes.

[@amikaaggarwal4114]

Pre surgery or prestimulation ..any role of leupride??

[@DrJayMehtaGynecologist]

None

[@Nilu_polu]

Sir, I am a gynecologist....you told to trigger with letrozole and HMG...but at which day of cycle i should start lereoz+hmg...is it D3 or D1???

[@DrJayMehtaGynecologist]

Either d2 or d3

[@AdarshAgrawal-e4y]

Sir , Do you take body weight of patient while calculating dosage of HMG?

[@DrJayMehtaGynecologist]

No

[@AdarshAgrawal-e4y]

Thanks sir, I used to see all your series and specifically the induction protocols are too good.

[@itmomdad6356]

Sir what if after trigger injection your egg does not rupture what should we do then in this case ?

[@DrJayMehtaGynecologist]

Check class on LUFS

[@red3329]

Combination of PCO AMH 13 with endometriosis with recurrent hemorrhagic cyst post ovulation. Will stimulation dose change ?

[@DrJayMehtaGynecologist]

Yes

[@samyuktabscn1803]

Sir for luteal phase support .. if progesterone gel is not available.. can we use micronised progesterone.. its dose sir??

[@DrJayMehtaGynecologist]

Yes can use, 400mg 1-0-1

[@samyuktabscn1803]

Thank you sir

[@red3329]

On Day 2 if there is persistent hgic cyst can we give 2 doses of antag prior to stimulation?

[@DrJayMehtaGynecologist]

Do e2 also

[@sushmagupta3312]

Why the uterus should be midflexed or retroverted

[@DrJayMehtaGynecologist]

It depends

[@artistbymood]

Sir why does in follicle rupture induction (10,000)process and forms into cyst -?

[@DrJayMehtaGynecologist]

Watch this class

[@sushmagupta3312]

Sir if we give stimulation with let and hphmg 150 follicles starts earlier on 9th or 10 day and reaces 18 _20mm on 11th or 12 th day( even more then 5_7 follicles .what shod i do deacrease the dose in next cycle

[@DrJayMehtaGynecologist]

No

[@kalpanajaiswar1071]

Hi doctor mujhe postrat wall par 6.5 CM ka fibroid hai kya hai laproscopy se nikal sakata hai

[@DrJayMehtaGynecologist]

Yes

[@Hadi-b6r]

Hello mam mera biopsy tesa Mesa se b nill sperm count aya hy Kia ab koi dosra rasta hey? Ya medicine hy ap k medical science me 😢?

[@DrJayMehtaGynecologist]

[phone] for appointments of Dr Jay Mehta

[@artistbymood]

Sir your consultant fee is too high i cant afford this😔😞

[@DrJayMehtaGynecologist]

The consultation fees is 3000₹. It's been the same for the last 3 years. The best doctors will be slightly high on the fees madam

[@abidasultana8137]

Sir itna high hai hum jaise garib ja ni payenge 😢

[@artistbymood]

My ca-125 is 43.7

[@DrJayMehtaGynecologist]

Decent

[@monikapatani2315]

Too gd talk

[@DrJayMehtaGynecologist]

Thank you

[@rishiraj2548]

🙏🙂

[@DrJayMehtaGynecologist]

Thank you