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Anovulation problem/lutenized unruptured follicle/ Advanced maternal age

Hello Experts,

I have always found answers here. So my current issue where I need guidance is:

I am 42 and have been trying for 2nd child since last many years. (1st child conceived naturally)
Recently got to know that I have lutenized unruptured follicle syndrome wherein my ovaries are growing follicles but they are not rupturing/not releasing egg. hence I need some help to start ovulating like normal.
All other hormone profiles and tests are normal. AMH is low (age related). In one of teh earlier cycles I had taken cyst drops by allen homeo and it helped to clear off the ovary cysts (which form every month when the follicle does not rupture). But the next cycle again the same story repeated. Is there any remedy for this?

thanks in advance!

(further details in the comments)
[Edited by shad0www on 2024-01-30 18:55:21]
 
  shad0www on 2024-01-30
This is just a forum. Assume posts are not from medical professionals.
details below:
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Age: 42
Marital status: married
Children: 10 year old son
Occupation: human resources (desk job)
Habits(like
smoking/ alcohol/ , partying etc): nail biting

1) Family Medical History:

Father/Mother:
Father : diabetic, cholesterol, glaucoma, cateract
Mother: diabetic, low BP, cataract

Grandparents(Maternal and paternal):
BP, diabetes,

Brothers and sisters
pre-diabetes

Spouse and children:
spouse: hypothoridic, myopia (-12)
child 10 years: myopia (-2.5)

2) Patients Medical History: (Include vaccination history and the
reactions to them if any)

major illnesses(Chronologically):
malaria, chicken pox, (childhood) cold/flu (once in 2 years), swine flu (2018), covid (2021)

Operations(if any chronologically):
LSCS (2013)

Present medication:
vitamin E, D, B; ayurvedic fertility meds. hCG injection for follicle rupture every month for last 6 cycles

Previous medication:

3) a) Present your Complaints in order of priority:(Give as much information as you can in your own words without much reference to medical and technical terms.)
primary concern: inability to conceive.
I have regular periods of 26-27 days without fail. I chart my temperature and see the expected classic basal body temperature profile every month but despite trying for last 3 years I hane not conceived.
I have gone in for IVF in June and got 2 euploid good quality embryos but we are not able to get a proper cycle to transfer these embryos as I am reluctant to take hormone pills and want to go in for transfer in a natural cycle.
every month, follicles are developing, uterus lining is thickening but follicle is not rupturing. Instead the body is directly moving on to the luteal phase as if ovulation has occured. my chief concern is this only. I want my follicles to rupture and ovulation to occur as normal.

b) Can you connect these complaints to any other events? What was going on in your life personally, physically, emotionally, socially, environmentally when the complaints came on?
I am told by allopaths that this is age related which may even be the case. But its just a little striking that every month follicles must grow and uterus must prepare itself with a good lining - these are somehow not impacted by age. only follicle rupture is getting impacted.
emotionally, I do have a lot of stress in my life due to job, raising my 10 year old, fertility journey itself can be quite taxing. I had conceived in 2018 but decided to abort as I wasnt emotionally ready at the time. This factor plays on my mind all the time and I do get pangs of guilt about this decision. I feel this is natures way of punishing me for my decision.
it was not easy to conceive my 1st child itself. Eg. we have never used any birth control, yet we only conceived 3 times in our 14 years of marriage. it is another matter that we have not had the most active conjugal relations, most of our time, unfortunately, has gone in interpersonal issues and infighting.

c) What are the things, which aggravate your suffering and which are those, which make you feel better? Example- time, temperature, pressure, rubbing, washing, eating, tight clothing, movement, climate, music, consolation, thunderstorm, exam or other important events, smell, noise,light etc. Are you worse on any particular side of the body ?
I like warm environments, blanket, pillows, sweaters, shawls. these give me comfort. I like soft soulful music. beats and harsh sounds iritate me. infact any amount of cacophony irritates me like clanking of utensils, chairs dragging etc. I like pin drop silence or music. Only then I feel comfortable. I get heaadaches from bright light, loud sounds and stress. I have touch sensitivity too. I hate clothes/surfaces with a tacky feeling eg. plastic table mats or cold glass or metallic tables I like wooden tables with fabric mats.
Another characteristic - I get diarrhea just before key events like speech, presentation etc.


4) Physical Profile:

Colour of hair: black/thin uneven hair strands
Colour of eyes: dark brown.
Skin: normal to dry skin. wheatish color (Indian)
Build: normal build. I have abdomen fat lately thanks to the fertility drugs.
Posture: laid back/relaxed posture when at ease/at home.
Height: 5 ft 2 inch
Weight: 58kg
Nails: normal nails
Other

5) Mental Profile:

a) Describe yourself in your own words:
see c below.

b) Any grief, broken relationship, any anger/resentment against anybody, any fears, any phobias?
grief about the abortion I mentioned earlier. I had some flings in the past which I am not proud of. I do have resentment against my parents as I feel they have not treated me fairly and always belittled/ignored my achievements over my siblings as well as ignored my life problems/calls for help.
my biggest fear and anxiety is my health. I want to be there and be healthy n mentally active for my son. I get anxieties over small issues and link it to some long term imaginary problem. Eg. if i forget something small, I begin to feel that my brain isnt functioning properly and Im on path to dementia.

c) Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?
I like things to be fully under my control. I fear loss of agency.
I am a perfectionist. introvert. dislike talking. avoid people. have no friends at all. just well wishers.

6) a) If Female:(Describe in detail where ever necessary)

Age of Puberty: 11 yrs
Cycle of periods:26-27 days

Please describe the irregularities in periods, like pains, moods, flow
type, clots, sensations etc if there are any?
just normal PMS pains and small mood swings 2 days before onset of period. I do see blood in my dreams when periods are approaching.

Pregnancy problems—before/during/after delivery: gestational diabetes
Number of pregnancies: conceived naturally 3 times. abortion 2 times. 1 child born thru c section.

If Menopause—headaches/flushes/sweats/dryness/mood swings/memory?:not applicable

Any problem with intercourse? : I;m not very comfortable to have intercourse with my husband. but its probably more of a compatibility issue rather than anything else.
 
shad0www 2 months ago
FIRST FEEDBACK AFTER 7 DAYS.

NUX VOM 200

15 drops in a cup containing an ounce of water, sip one third of it, 15 minutes later sip the next third of it, and 15 minutes later take the last third of it.HALF AN HOUR BEFORE DINNER.FOR 3 NIGHTS.


DAY 4 ONWARDS

NAT MUR 30.


Dose five (5) drops/pellets , taken at the same time 3 Times daily.

Take the remedies until symptoms are improved.

Keep all doses 30 minutes before or after food, drink and teeth brushing.

IN ADDITION CALC PHOS 6X AND KALI PHOS 6X FIVE TABS OF EACH THREE TIMES A DAY FROM DAY 1.
 
anuj srivastava 2 months ago

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