Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. Firstly, you should get evaluated for the cause of irregular cycles. Suspecting from your clinical history, I think you might have PCOS - polycystic ovarian syndrome. Please get a baseline pelvic ultrasound scan. ALso, hormonal tests like - FSH, LH, TSH, Prolactin, OGTT, DHEAS, free testosterone, lipid profile, fasting serum insulin. Then go for one cycle of plain follicular monitoring without any induction - this will reveal if you are ovulating or not. Women with irregular cycles often do NOT ovulate regularly. Normally in a 28 day cycle, ovulation occurs around day 14. By day 14, the follicle should be atleast 18 - 20 mm in size. In your case, you have taken Clomid ( clomiphene citrate ) this month. In response to Clomid, more than 50 % of women ovulate in the first attempt. Considering day 12, the size of the follicle is still not adequate. However, as you have irregular cycles, it is possible that ovulation might be delayed. Continue the follicular monitoring for one week more, that will reveal if the dominant follicle is growing. If the follicle size is optimum, then you might need to take HCG injection to trigger ovulation. Continue remaining sexually active, as erratic ovulation might occur anytime. Take regular folic acid tablets, and maintain ideal BMI. Avoid stress and negative thinking If you fail to concieve after 3 - 6 cycles of Clomiphene therapy, please go for laparoscopy to check if your fallopian tubes are open. If they are blocked / stimulation fails, then consider IVF - In Vitro fertilization. Also, get your partner's semen analysis done. All the best. Please feel free to discuss further.

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Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Yes, you do not need to take any medication for the high T4. For your answers - 1. You can continue taking them daily after breakfast, the timing should be constant. 2. Yes, there is no option but to go for follicular monitoring and ovulation study, other than that your chances of natural conception are very low due to irregular cycles. As you did not ovulate in the previous cycle, if the same phenomenon occurs this time, you might need higher doses of Clomiphene or injections added to clomiphene. If 3 - 6 cycles of ovulation induction fail, please go for laparoscopy ( if you do not conceive inspite of ovulation ) or IVF ( if no response to ordinary stimulation is observed ). 3. Yes, please continue folic acid tablets. They will not affect your weight. Take care. Do not delay conception for long, with age, the problems will only increase, not decrease.

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