case 5

C/o infertility since 16 years 

Unable to conceive 

C/o itching and rash at genital area

Pampi

1 year back -polyuria and hematuria 

Gives h/o recurrent UTI

8/12/21

AMH-0.24

TSH-7.46

DIAGNOSIS:

36 Yrs NULLIGRAVIDA WITH PRIMARY INFERTILITY WITH UNICORNUATE UTERUS WITH HYPOTHYROIDISM.

? RECURRENT UTI

INVESTIGATIONS- Haemogram,cue,RFT,TFT.

REFERALS- 

1) OBG REFERAL FOR INFERTILITY-

    -Adviced follicular study,

S.progesterone on day 21(29/12/21)

Repeat AMH

Semen analysis.

MRI PELVIS-

Unicornuate uterus is of 2 types,

(A) with rudimentary horn 

-with a communicating endometrial cavities

-with a non -communicating cavities

-with no cavities

(B) without nay rudime tary horn.

Even if the patient is having Biconuate and Bicollis it cannot be diagnosed on HISTEROSALPINGOGRAPHY, so MRI is 98% sensitive to diagnose MULLERIAN ANOMALIES.

(2)DEEMATOLOGY REFERAL FOR ITCHING AND RASH AT GENITAL REGION.

-Chronic  urticaria.

RX- Tab.TECZINE 5 MG OD X2 WEEKS

TREATMENT GIVEN:

- TAB.MVT PO/OD

-Tab.TECZINE 5 MG OD X2 WEEKS