Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
163 Doctors are Online

Trans vaginal ultrasound scan shows multiple small follicles. Have PCOS. Could I conceive naturally?

Mar 2013
User rating for this question
Very Good
Answered by
Practicing since : 1998
Answered : 5620 Questions
I have pcos can I conceive naturally? I currently weigh 17 stone if I lose weight will I conceive? I have a regular cycle every 28-30 days but I have bleeding mid cycle. Trans vaginal ultrasound scan shows multiple small follicles. I am out of my mind that I wont conceive cos I bleed around ovulation which means I cant have intercourse. Clearblue fertility monitor shows ovulation some months but not every month. Is conceiving naturally possible please?
Posted Wed, 20 Nov 2013 in Women's Health
Answered by Dr. Aarti Abraham 2 hours later
Brief Answer: LINE OF TREATMENT OUTLINED BELOW Detailed Answer: Hello XXXXXXX Thanks for writing to us with your health concern. Please mention your height so that I can know your BMI, and guide you accordingly. about the necessary weight loss. In addition to a tranvaginal ultrasound scan , the following tests need to be done to establish PCOS - FSH LH Prolactin TSH DHEAS Serum free testosterone Oral glucose tolerance test Fasting serum insulin. Please have these done to conclusively establish the diagnosis, as well as to know how severe the condition is. Also, normally mid cycle there is small amount of spotting, barely lasting for a day or two. This can be because of ovulation. If you are having a proper mid cycle bleed, that needs to be investigated - a per vaginum and per speculum examination and a pelvic ultrasound scan, at the very least needs to be done. If it is only ovulatory spotting, then you can definitely have intercourse during those days. Women with PCOS often have difficulty in conceiving naturally, because there is difficulty in ovulating each month. Given your age, I would like to enquire for how long have you tried to conceive naturally ? If it has been over a year, please seek the help of an Infertility specialist. Go through a cycle of follicular monitoring ( observing the growth of ovarian follicle with serial ultrasound throughout the month ). If ovulation is documented, you can then go for further attempts at natural conception, but with the aid of follicular monitoring to target the ovulatory period. If ovulation is not observed, as I suspect would be the case, because of PCOS, then it is advisable to undergo ovarian stimulation with agents like clomiphene citrate which will induce egg formation, in conjunction with follicular study again. If 3 - 6 such attempts fail, go for further testing of the patency of the fallopian tubes. If they are blocked, then you would need ART ( assisted reproductive techniques ) to achieve conception. Meanwhile, take regular folic acid supplements, and maintain a healthy lifestyle to maximize chances of pregnancy. All the best. Please feel free to ask for further clarifications.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor