Integrated Summary
History of past illness: K/C/O Hypothyroidism ,
Current medication: Thyronorm 25 mg
Clinical Status: BP: 100/70 mm of Hg, Pulse: 68 per min, Weight: 52.8 kg, BMI: 21.42
Lab Tests:
| Lab Findings | Last Recorded Value | Lab Findings | Last Recorded Value |
|---|---|---|---|
|
Prolactin levels
(Normal range:4.79 to 23.3 ) |
8/8/14=22.26ng/ml
14/6/14=57.63ng/ml |
TSH Normal range:0.27 -4.2) |
5/9/14=2.48 ulU/mL
8/8/14=3.72ulU/mL |
|
T3
(Normal range 0.80-2.0 ng/ml) |
5/9/14=1.52 ng/ml
8/8/14=1.31 ng/ml |
Anti mullerian Hormone |
1.4 ng/ml (Low fertility) |
|
Free testosterone
(Normal :<4.1 pg/ml) |
8/8/14=3.20 pg/ml |
Testosterone total
(Normal range 0.06 to 0.82) |
8/8/14=0.516ng/ml |
|
T4
(Normal: 5.1-14.1 uIU/mL) |
5/9/14=8.15 ug/dl
8/8/14=9.61ug/dl |
Total chol
Normal range: <200 mg/dl |
161.3 |
|
HDL
(Normal:40-59) |
47.3 mg/dl |
Triglycerides
Normal: <150 mg/dl |
64.9 |
|
LDL
(Optimal:<100 mg/dl |
101.0 mg/dl |
ESR
(Normal 0-12) |
20 mm /1st hour |
|
HB
(Normal 11.5-15) |
12.7 |
Total count
(Norma:4000-1100/cumm) |
4700/cumm |
USG abdomen Impression: Small anterior wall intra mural uterine fibroid.
Husband semen analysis: 90million/ml, 80% motile.
Diagnosis: Secondary infertility.
OPT/IPT – IPT, Duration – 12 days
Main Treatments–
Confidential
Internal Medicines:
Confidential
Patient got her periods on 11/9/14.Patient observed good Menstrual flow.
Treatment Start Date: 11/12/14
Suggested to come back for Utharavasti (if not conceiving in that cycle).
16/01/15 – Early fetal scan report showed 6 weeks Pregnancy. Single intra uterine gestation detected. Estimated gestational age-6 weeks one day.
Medication suggested for Garbha Raksha:
Confidential
Outcome
| # | Outcome Parameters | 3/9/14 | 7/10/14 | 15/11/14 | 24/11/14 | 11/12/14 | 18/12/14 | 6/12/14 |
|---|---|---|---|---|---|---|---|---|
|
1. |
Sleep |
Good |
Good |
Good |
Good |
Good |
Good |
Good |
|
2. |
Appetite |
Good |
V.Good |
V.Good |
V.Good |
V.Good |
V.Good |
V.Good |
|
3. |
Bowels |
Regular |
Regular |
Regular |
Regular |
Regular |
Regular |
Regular |
|
4. |
Urination |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
5. |
BP |
100/70 |
100/60 |
110/70 |
120/80 |
110/70 |
110/70 |
110/74 |
|
6. |
Pulse (min) |
68 |
70 |
70 |
72 |
68 |
72 |
70 |
|
7. |
Weight (Kg) |
52.8 |
51.9 |
52.0 |
52.4 |
52.6 |
52.0 |
52.0 |
|
8. |
Diet |
Poor |
Good |
Good |
Good |
Good |
Good |
Good |
|
9. |
Menstrual flow |
Scanty |
Good |
Good |
V.Good |
December last week got conceived. |
December last week got conceived. |
December last week got conceived. |
|
10. |
Menstrual Regularity |
18/8/14 |
11/9/14 |
6/11/14 |
5/12/14 |
December last week got conceived. |
December last week got conceived. |
December last week got conceived. |
Conclusion
After achievement of healthy state of uterus and vagina (Reproductive system) with the help of treatment conception occurs with the union of healthy seed (sperms and ovum) possessing all its normal qualities.