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Controlling PCOS and curing infertility - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2009
Answered : 351 Questions
User :   Hi I am sufferring from Polycystic overies from quiet some years, but since we were not planning for a baby my doctor was trying to regularize my periods, from past 4 months i am almost regularly getting my periods without taking tablets also. Now we are planning to have a kid and when contacted doctor on saturday i.e. 5th Feb i had my Abdomenal Pelvis scan, and both the ovaries were normal and today i.e. 7th Feb(13th day after my last period) doctor conducted an internal scan to check whether my egg was released, but he declared "No dominant folicle found" and endometrium is 3 line 7.5 mm and also found PCO in both the overies. He has asked to me take some folic acid tablets and also prescribed Glyciphage. My concern is 4 months my periods were regular and in pelvis scan the ovaries were normal then why in internal scan again it shows PCO and no egg is released yet. Are there any risk in my pregnancy? My prolactin harmone was also around 39 when i underwent the test 6 months back, now doctor has suggested to undergo that test again. Please let me know what is the percantage risk of my pregnancy and is it curable?
Doctor :   Hi
User :   hello
Doctor :   I am Dr
Doctor :   Please give me a few moments to go through your query.
User :   sure
User :   doctor are you there ?
Doctor :   Yeah
Doctor :   May I ask you a few more questions pertaining to your problem ?
User :   sure
Doctor :   May I know your age please ?
User :   26 yrs
Doctor :   Ok, That is very encouraging as you have better chances ahead for 4 more years.
Doctor :   PCOD is a world wide most common Gynecological Disease, And many woman conceive even with this problem.
Doctor :   This is the most important bottom line that you need to understand and not get panicky.
User :   i had been to UK for 6 months .. there i did regular aerobics and controlled my weight and i used to get regular periods also .. even in Jan i had my periods on the right time ..
Doctor :   Ok.
User :   i am even exercising daily, but again this month doctor said no eggs are produced and PCO is still thr
Doctor :   Ok.
User :   can you precribe some healthy diet so that i can follow
User :   i am a vegetaran
Doctor :   Ok.
Doctor :   Let me answer your queries one after the other : User :   ok
Doctor :   Before that have you been on any medication other than Glyciphage ?
User :   yes novelon
User :   for few months
User :   since i was travelling to UK
Doctor :   Ok
User :   he said not to take any tablets
Doctor :   Ok.
User :   since i wont be under his supervision
User :   but control my weight
Doctor :   Have you been tested for AMH levels ?
User :   i have undergone some thyroid tests
User :   and also prolactin test
User :   on 2nd day
Doctor :   This is a new test called Anti-Mullerian Hormone(AMH) LEVELS in the blood.
Doctor :   Ok.
User :   No i havent taken this test i beleive only FSH LH PRL and TSH
User :   tests have been conducted
Doctor :   1. Please take a medication of Clomiphene and other combination of drugs form your Gynecologist for 4 months.
Doctor :   2.Please do ask him about this and also A recent alternative to clomid is the new drug called letrozole( Femara). Letrozole, an aromatase inhibitor, which is now being increasingly used as an alternative to clomid for inducing ovulation in patients with PCOD.
Doctor :   Please do note down the points that I have mentioned.
User :   ok
Doctor :   3. If clomiphene does not work, HMG( gonadotropins, Repronex, Follistim ) can be used. Some doctors prefer to use pure FSH for inducing ovulation in PCOD patients
Doctor :   4. Difficult patients may also need a combination of a GnRH analog (to stop the abnormal release of FSH and LH from the pituitary) and HMG to induce ovulation successfully.
Doctor :   Please discuss these pints which are very relevant in your treatment.
User :   my FSH and LH is within normal limits
Doctor :   May I know from which place you are from ?
User :   bangalore
Doctor :   Ok.
User :   my FSH and LH is normal only Prolactin is more
Doctor :   How is your BMI AND WEIGHT ?
User :   its 38.42
Doctor :   Your prolactin level is not too much, as we have seen patients with even higher levels have had pregnancies by medical treatment.
User :   ok .. my height is 5'2 and weight is 67
User :   5' 2"
Doctor :   In some patients we have seen levels of 200 also who have come down and have had pregnancies.
User :   ok .. so none of my results are at higher levels .. and with medication i stay chances of pregnancy :)
Doctor :   Your BMI is 27.2 and you must be just 9 kgs less than the present weight.
Doctor :   Yes very much.
User :   so is only brisk walk sufficient or aerobics is effective?
User :   with some pelvic exercise
Doctor :   If you are very focussed and take acre of diet and exercise patterns than I am sure you should conceive in not more than 6 months
User :   can you prescribe some healthy diet?
Doctor :   Sure, Our dietician can help you out with this .
Doctor :   You can go to the link and she would advise you on a daily basis.
Doctor :   But I would advsie you very broadly on this.
User :   ok
Doctor :   1. Have lots of fruits and juices.
Doctor :   2. Have lots of fresh veggies .
User :   ok
Doctor :   3. Lots of sprouts and dry fruits.
User :   dry fruits are fatty right?
Doctor :   4. Carrot, beet root and green leaves.
User :   wont i put on weight?
User :   with dry fruits
User :   ?
Doctor :   4. Please do visit who are doing lot of research on this and wil help you a lot.
Doctor :   5. Have Kharjur or dates and Anjur rich in Iron .
Doctor :   Hope you have followed.
Doctor :   Please do XXXXXXXX namaaskars at least 13y day.
Doctor :   Which wil activate your Reproductive and hormonal sysytms.
Doctor :   Hope i have answered your query.
User :   ok
Doctor :   Thank you foer consulting me.
Doctor :   Tak e care , bye for now.
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