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Multiple Small Follicles

Married for 4.5 years with 2 missed abortions and currently undergoing infertility treatment. My gynec is administering me with tab.Siphene from day 5 to day 9 of every cycle followed by follicular scan. Till this may my ovulation was normal but for last two cycles my scan report says I have thin endometrium with only MSF till 23rd day of my cycle. Why this sudden set back? Please help me with this issue
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Doctor Answers (3) on Multiple Small Follicles

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Dr. Disha Sridhar Bangalore | Gynecologist/Obstetrician
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Even Siphene can lead to thinning of endometrium due to antiestrogenic action.There is no reason  why you should  not conceive if you get the correct information .In nature, healthy  reproduce. I am sure if I evaluate your case, I can show  you  the root cause of the problem  and how to reverse it.
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Good news is that your problem  can be totally reversed, not by masking the symptoms  but by addressing  the root cause of your issue. To know more on this, please read my blogs on www.truhealing.com or practo health feeds. Hope that helps....
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Dr. Mamta Pattnayak Gurgaon | Gynecologist
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Hi, there is a side effect of siphene that the endometrium will be thin for it you have to take some medicines on day 9 of cycle. And also siphene i gave from day 2 to day 3 of cycle. Do follicular study, if lining is thin go to gyn she will add medicines.
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Dear Ma'am,

Tablet Siphene has an additional effect of causing endometrial thinning. It is considered okay with minimal effect on conception.

The success of controlled ovarian hyperstimulation is judged by:

1. The ovulation seen on serial folliculometry.

2. Serum progesterone level on Day 21 of cycle.

3. The actual conception rate after 6- 9 consecutive cycles of clomifene.

The thin endometrium is a result of treatment, and not a adverse prognostic factor per say.

You may be prescribed Micronised Progesterone in the second half of cycle to maintain endometrium. However, that call shall be taken by your treating infertility specialist.

Regards,

Dr. Aditi Kishore Shinde

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