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Conception problem post PCOD treatment - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1723 Questions
Doctor :   Hello
Doctor :   How can I help, XXXXXXXX ?
User :   Hi, doctor iam his wife on line
Doctor :   ok
Doctor :   XXXXXXXXXXX please Proceed with your Query
Doctor :   Please provide these details of the person-Age: Occupation: Location: Marital Status: Weight and Height.
User :   I am 28 and have one kid of age 4 years. married for past 5 years and had a normal delivery.
Doctor :   ok
User :   i am 5.2 inch and weight is 71
User :   i am trying for second child and we are trying from past 2 years
Doctor :   ok
Doctor :   Did you get your Self evaluated for the same By the Gynecologist for any Ovarian or Uterine CAuse for not being able to conceive
User :   from 2006, it was found that i have cyst in the ovary which was described as heamorrhagic cyst
Doctor :   ok
Doctor :   Did your Hemorrhagic Cyst need any Treatment or has it Subsided
User :   doctor gave me ocp's to regularise my bleeding as i had DUB and adviced as to have a second child as soon as possible as ideal treatment for cyst
User :   doctor gave me ovulation induction once clomiphene citrate and other time letrozole
User :   after my bleeding got regularised
Doctor :   ok
User :   i have been taking sonography at regular intervakl to monitor the development of cysyt and other uterine abnormalities
Doctor :   Was it Polycystic Ovarian Syndrome or Hemorrhagic Cyst
User :   my gynecologist adviced later thatit iwas poly cystic ovarian disease
Doctor :   ok
User :   my current situation
Doctor :   Now that Shall need a therapy to be treated
User :   i have been not getting periods since july
User :   ruled out pregnancy
Doctor :   You shall need to regularize the periods
User :   now i ihave no cyst in the ovary
Doctor :   And then If you are obese you shall need to Reduce your Weight and
Doctor :   IF the Hormonal imbalance is present then you shall need to treat it
Doctor :   and Any raised Blood Sugars shall need to be treated
User :   however my endometrium thickness is not increasing beyond basl layer
User :   my gynaec had given me M2tone, regesterone
User :   she had evaluated my blood sugar, thyroid function test, prolactin level every thing is normal except my hemoglobin level which shows i am anemic
User :   she said that i am ovulating but not regularly hence some part of my ovary is rendered useless.
User :   at present i am not taking any medicine, do'nt know what is wrong.
Doctor :   Well you need to take Medications To regularize the Hormones Levels
Doctor :   How many Cycles Did you take Clomiphine Citrate
User :   can you explain which and why this hormonal imbalance, i took one cycle of CC and one cycle of letroz
Doctor :   Clomiphine Citrarte needs to be taken at least
Doctor :   4-6 Cycles and that shall
User :   my current problem is that i am not menstruating
Doctor :   help you regularize the hormonal Imbalance
User :   how
Doctor :   For that only you shall need to take the hormonal Supplements to regularize the Cycles and then you shall be menstruating and Ovulating regularly
Doctor :   and then that shall increase the chances of your Conception
User :   what type of hormonal supplements
Doctor :   the XXXor the General Oral contraceptives with the Different combinations and Dosages
User :   iam really tired of taking medicines on and off i get depressed due to these sometimes more over these ocp's will further increase weight
Doctor :   that shall ensure that
Doctor :   But theya re the essential once tjat are going to be able to help you with regularizing the
Doctor :   Hormone Levels
User :   anything else
Doctor :   and only after that your Ovulating and the Menstrual Flow are going to be normal and thus your chances of conception
User :   thanks
Doctor :   youa re welcome .
Doctor :   Please fill the feedback form say done when done
User :   see ya
Doctor :   Bye for now
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