#331 CASE SUMMARY
Secondary Infertility
Infertility
Fertility Report (Second Opinion)
IVF in Bangalore
Privacy Protected Case Summary
Understanding Secondary Infertility in a 23-Year-Old Woman — Irregular Cycles and Prior Missed Abortion
About the Couple
Patient Age:
23 Y/F
Location:
Bangalore, Karnataka
Duration of Infertility:
<no_data>
Key Clinical Finding:
Discharge summary notes secondary infertility for DHL with irregular cycles (LMP 8/02/2025) and BP 130/98 mmhg, PR 86 bpm.
Report Type:
Discharge Summary
Expert Interpretation
This discharge summary describes secondary infertility for “DHL” along with an irregular menstrual cycle (bleeding 3–5 days; last menstrual period LMP 8/02/2025). It also records BP 130/98 mmHg and pulse 86 bpm. The available information does not include a detailed fertility workup, hormone or imaging results, or specific treatment plan beyond prior noted history. In general, irregular cycles can make ovulation less predictable, which may contribute to difficulty conceiving; clinicians typically evaluate cycle patterns and underlying causes and may adjust treatment accordingly.
Previous Consultation
Treating Surgeon and Hospital
Dr Humerunisa,
OB/GYN
Key Findings From the Report
Diagnosis / Fertility concern:
PARAMETER
FINDING
Diagnosis
Secondary infertility for DHL
Secondary infertility for DHL is documented in the discharge summary.
Symptoms and reproductive history:
PARAMETER
FINDING
Chief Complaint
Anxious to conceive
Obstetric History
ML-3yrs, NCM; A1-Nov-2022 missed abortion; medical MTP done; OI conception
Treatment/Medication History (as stated in obstetric history)
Taken Tab Novelon 0-0-1 x 21 days from D3(10/2/2025); Tab D rise weekly twice
Chief complaint and obstetric history describe desire to conceive and prior pregnancy outcomes.
Menstrual pattern:
PARAMETER
FINDING
Menstrual History
Irregular cycle with bleeding lasting for 3-5 days; LMP-8/02/2025
Menstrual history shows irregular cycles with a specified last menstrual period.
Vital signs at discharge:
PARAMETER
FINDING
General Physical Examination
Afeverile
Blood Pressure (BP)
130/98 mmhg
Pulse Rate (PR)
86 bpm
General physical exam notes the patient was afebrile; BP and pulse are recorded.
Allergies and family/past history:
PARAMETER
FINDING
Allergies
NIL
Past History
NS
Family History
NS
Allergies are nil and family/past history are recorded as not significant or not specified.
Questions Patients Often Ask
What does “secondary infertility” mean?
Secondary infertility means difficulty getting pregnant again after a prior pregnancy. In this summary, the diagnosis is documented as secondary infertility for DHL.
How can irregular periods affect fertility?
Irregular cycles can make ovulation less predictable. This discharge summary notes an irregular cycle with bleeding lasting 3–5 days and an LMP of 8/02/2025.
Is there information about a specific fertility treatment plan?
The document includes treatment/medication history (e.g., medical MTP for a missed abortion and prior use of Tab Novelon and Tab D rise), but it does not provide a detailed current fertility workup or an explicit treatment plan.
What were the recorded vital signs in the discharge summary?
The summary records BP 130/98 mmHg and pulse 86 bpm, and notes the patient was afebrile.
Who was consulted for this case?
The discharge summary lists consultation with Dr Humerunisa (OB/GYN).
What This Means for the Patient
- You are documented as having secondary infertility for DHL, along with irregular menstrual cycles.
- Your recorded last menstrual period (LMP) is 8/02/2025, and bleeding lasted 3–5 days—this irregular pattern can affect the timing of ovulation.
- The summary records BP 130/98 mmHg and pulse 86 bpm, which may be important for overall health while pursuing fertility care.
- The available document does not include detailed test results (hormones/imaging) or a full current infertility treatment plan, so further evaluation may be needed.
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