Questioni am from Pakistan. i am of O years and married for last one year with a regular cycle of 7/30 days with normal bleeding. my height is 5.5 feet and weight 84 kg. i am unable to conceive because of hemorighic cyst on my both ovaries .on TVS uterus:A/V,N/S,7X4.5X4.2cm .Right ovary has a cyst measuring3.6x3.6cm and Left ovary has 2.5x2.1cm doctor advised me for laproscopy .my husband is OF 32 and diabetic type II and taking insulin. His sugar is poorly controlled with HbA1C 9. His sperm count is 50million with active motile 45%. what should i do to conceive as soon as possible?
AnswerHello Maleeha from Pakistan,
First, you DO NOT NEED a laparoscopy at this time. A hemorrhagic cyst will resolve on its own. I usually with recommend using the birth control for one month and if it is a hemorrhagic cyst, then it will resolve. If it does not resolve, then there is the possibility that it is an endometrioma, or endometriotic cyst. In this case laparscopy would be required to remove the cyst and treat any endometriosis that is present. If endometriosis/endometrioma is found, then IVF would be the treatment of choice and ICSI should be done because of the sperm abnormality. It would give you the highest chance for pregnancy in the shortest period of time.
If it is not endometriosis, then IUI would be the treatment of choice, assuming you do not have any other problems such as blocked tubes (this is determined by a test called an HSG-hysterosalpingogram).
Good Luck,
Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf
