HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Difficulty In Conceiving When Diagnosed With PCOD

Posted on Mon, 31 Aug 2015

Question: I am 34 you old female. Have 9 yr. Old daughter who was conceived without any difficulty. I have pcod. Trying to have baby since last 3 years. Last year after taking cabergolin I conceived but had to undergo mtp due to fetal anomaly in week 14 scan. But not able to conceive since then despite regular relation with husband. Checked for ovulation 2 to 3 times and it was positive . What should we do.

Answered by Dr. Dr. BR Hudda (20 minutes later)

Brief Answer:
Need more information

Detailed Answer:
Hello
I had gone through your question and I can understand your concern.
Looking at your description I would advise you for detailed check up for infertility by an gynaecologist which includes
Semen analysis of your husband
Hormonal studies and Hysterosalpingography to look for patency of the fallopian tubes.

Here i would like further information for better assessment
Does your husband drink or smoke?
Are you having any irregularities in your menses.
Upload me a latest ultrasound report suggestive of PCOD.

Please write back to me with these details so that I will be able to tell you more accurately
Waiting for your reply
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. BR Hudda (8 hours later)

Hi, I have provided some attachments. Please review them.

Period 37-40 day cycle regular. Home opk positive result on day18. Tsh fsh prolactin etc all normal. Husband nonalcoholic nonsmoker. Gyn. Said no test for fallopian/endometrial etc as have 2 spontaneous conception. Husband no BP sugar thyroid or any other problem. mtp due to trisomy18 fetal.

Husband age 39 taking speman forte. Don't want to go for sat or any ART. Please suggest natural medication or supplements as we want to try for 3 more months only.

Answered by Dr. Dr. BR Hudda (2 hours later)

Brief Answer:
Please consider these guidelines

Detailed Answer:
Hello
welcome again
I had gone through your attachments which is not so clear.

You can naturally conceive, don't worry
In my opinion you should get your husband's semen analysis test.
Since you are ovulation study is suggestive of ovulation so there are good chances for you to naturally conceive
I would advise you to have intercourse near the day of ovulation which generally occurs 14 days prior to next expected period and this can be ascertained by ultrasound or hormonal assessment.
So don't loose hope, keep your self happy and cheerful

Hope this answers your question
Please feel free to ask for more clarification I will be happy to help you
Best wishes

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. BR Hudda (44 minutes later)

Can u give prophylactic medicine for husband like folic zinc supplements etc. What are next steps if there is misfinding in sat.

Answered by Dr. Dr. BR Hudda (39 minutes later)

Brief Answer:
Please consider these recommendation

Detailed Answer:
Hello,

Multivitamin like folic acid, biotin and cyanocobalamin and minerals supplements containing selenium, zinc will benefit him. He should take healthy food consist of meat, egg, dry fruit and fresh fruits

if you doesn't succeed to conceive with all efforts within 6 months or any significant abnormality found during evaluation then you may require IVF or artificial insemination.

Hope this answers your question
thanks for using our services
Please.feel free to ask for further queries, I will be happy to help you
Best wishes

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad