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Ovarian cysts and infertility - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3479 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   hi, im 21, female trying to conceive
Doctor :  
ok
User :   i had a laparoscpy for my ovarian cysts
Doctor :  
ok
User :   a hsg, but tubes seemes to be clear
User :   seem*
Doctor :   ok

User :   im on metformin 1700 mg per day
Doctor :  
ok
User :   a to z, and follic acicds
User :   the first month after my lap, i ovulated and menstruated on my own (with metformin)
Doctor :  
ok
User :   i had 2 follicles one was 31mm and the other 29
User :   quiet big
Doctor :  
ok
User :   but i ruptured with the help of injectables
User :   but this month my follicles arnt growing inspite of 2 mendacs
Doctor :   ok
User :   injections
User :   and i am quiet distressed beacuse iv been on medication for almost 6 years due to pcos
Doctor :  
yes these are the medications given for PCOD
User :   my husbands in the clear, hes got a good spern count motility etc
Doctor :   ok

User :   before my lap, my period never came unless i took contraceptives
User :   and so..i thought id take a second opinion
Doctor :   yes you can go for a second opinion

User :   yes so what do you thinki should do
User :   do you want other information?
User :   im on a follicular study
User :   but nothing seems to help
Doctor :   ok
Doctor :  
let me explain you something
Doctor :  
getting pregnancy and maintaining pregnancy all depends on a fine balance of sex hormones and other general hormones
Doctor :  
PCOD disrupts this balance causing difficulty in conceiving
User :   even after a laparoscopy
User :   ?
Doctor :   laparoscopy is just a diagnostic procedure
Doctor :   what laproscopic procedure was done can you name the procedure
User :   bilateral ovarian drillingn
Doctor :  
ok
User :   today is the 18th day of my ycle
Doctor :  
did you ovulate?
User :   on day 16, i had 2 follicles both measuring 10x9 and 11x9 and utres lining 8mm
User :   no i havnt
Doctor :   so this cycle is anovulatory
User :   iv taken menpdac 150iu injec on day 11 and day 13 of my cycle
User :   monodac**
Doctor :   ok
User :   i ovulated on my last cycle with the help of decapeptyl
User :   sorry i ruptured
User :   with the help of the above
Doctor :   ok

Doctor :  
so ovulation did occur with the help of medicines
User :   yes but they were very big follicles
Doctor :   you have been called on 21st day of your cycle for further study?
User :   i have another scan tommorow
User :   but what are my chnaces of ovulation for this month?
Doctor :  
this depends on the report of the scan tomorrow
Doctor :  
as i said not only ovulation is important
Doctor :  
even maintainence of the pregnancy is also important and that will be what the doc is looking tomorrow
User :   is letroz an okay medication?
Doctor :   in PCOD the most common cause for the infertility is lack of ovulation
Doctor :  
and in ability to maintain the pregnancy for 9 months
Doctor :  
so first thing to correct the ovulation
Doctor :  
and than to look for the condition to maintain the pregnancy for 9 months
User :   yes but im nto even ovulationg!
Doctor :   yes following continuous treatment the ovulation has been achieved
User :   according to you, what medications should i opt for (while consulting my gyno)
User :   i was also taking letroz for 5 days
User :   but some doctors say its quiet dangerous
Doctor :   ok
User :   is this true?
Doctor :   Letroz is used in the treatment of carcinoma
Doctor :  
it is found to be effective in making a women pregnant in difficult cases of PCOD
Doctor :   may i know your weight?

User :   56 kgs
Doctor :  
ok
Doctor :  
who prescribed you letroz
User :   my gynacoligist
User :   iv been taking it at the beginning of every cycle for 5 days
Doctor :  
at what day of the cycle it was prescribed
Doctor :  
ok
Doctor :  
fine
Doctor :  
now since you are in the middle of a treatment and you have achieved ovulation with the help of drugs
Doctor :  
i suggest to continue the same
Doctor :  
kindly mail us all your report to YYYY@YYYY
User :   from day 3 to 7
Doctor :  
yeah i got it when you are taking letroz
Doctor :  
even tomorrow scan also you please mail us
User :   ok i shall
User :   so according to you, should i suggets my doctor any drugs or injections?
User :   suggest*
Doctor :  
no there is no much options in your case
User :   also, what are the chances of me ovulating so late in my cycle?
Doctor :  
and the present treatment is going in right direction
Doctor :   you are not ovulating by yourself. it is under the control of doctor
User :   ohk..so you suggets i carry on with this medication
User :   and do you think its right to take letroz in my situation?
Doctor :   regarding letroz i shall inform you after looking at your reports
User :   ok ill email my reports etc to you tomorrow
Doctor :   fine
Doctor :  
have patience
User :   yes im holding in there!
User :   iv been on birth control pills since i was 16
Doctor :  
ok
Doctor :  
treatment for your PCOD symptoms is birth control pills
User :   yeah
User :   whats the difference between pcos and pcod?
Doctor :  
both are same disease
Doctor :  
PCOD is polysystic ovarian disease
Doctor :  
PCOS is polycystic ovarian syndrome
User :   ohk..
User :   anyway thankyou so much and i shall email my reports to you
Doctor :   please fill the feedback form
Doctor :  
i shall look forward for the mail
User :   ok thanks bye!
Doctor :   thanks for consulting healthcare magic
Doctor :  
bye for now
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