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

Trying to conceive. Have PCOS, taking Diamet and Osure. Semen analysis normal. Took Clomid and follicule analysis. Further?

User rating for this question
Very Good
Answered by

Infertility Specialist
Practicing since : 2002
Answered : 673 Questions
We are trying to conceive for almost eight months. Wife has PCOS and taking Diamet 500 BLong F and Oosure.The doctor said her PCOS is not serious at all. She is not over weight, but slim. She is 26 and I am 29. I did a semen analysis and everything looks fine. She had clomid 50 for 3 cycles , still not got pregnant. Last month doctor asked us to do Follicle analysis without clomid. She ovulated the 17th day past LMP. We had an intercourse for almost a week, but got disappointed as she got periods. Could you please suggest us the next steps to be taken on the treatment. We havent gone to an infertility specialist yet, but a gynecologist. Please advise. No blood tests taken so far except the thyroid test. Please advise me on the next level treatment and will IUI be a good option?
Posted Fri, 6 Sep 2013 in Infertility Problem
Answered by Dr. Dattaprasad 24 hours later
Brief Answer:
No need of complicated treatment right now.

Detailed Answer:
Welcome to XXXXXXX
When ovulation is occurring regularly, both tubes are patent & semen is fine; chance of conception in 12 months is 85%.
In your case I don't know whether wife's menstrual cycles are regular or not.
If cycles are regular, you have tried just for 8 months. You can wait safely for another 3-4 months before going for further treatment.
If cycles are irregular & ovulation occurred only with Clomid (Except last cycle), you have tried just for 4 cycles. In that case also you can try for another 3 ovulatory cycles before going for further treatment.

Whether wife's tubes have been tested?
If wife had any abdominal surgery in past OR any episode of pelvic infection in past, tubal patency test needs to be done. If there is no such history, you need not do it right now.

One general advice for improving fertility is not to restrict intercourse around ovulation (You can try twice or thrice a week irrespective of ovulation). It will take down the stress & help in conception.

For exact advice I need following information.
1. Report of semen analysis.
2. Whether menstrual cycles are regular or not? What is the length of cycle?
3. Whether any tubal patency test was done? If yes, what was the result?
4. Whether wife had any abdominal surgery in past OR any episode of pelvic infection in past?

Awaiting reply.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an Infertility Spclst

© 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