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29 years old suffering from PCOS,taking letroz but no follicles found in scan. Is this normal ?

Hi Doctor , My wife has PCOS and she went for follicular scan on the 15th day of cycle She had taken Letroz from 2nd 6th day In the scan there was no follicles found Is it something to worry for? She has been taking Letroz for past three months but this is the first time she has gone for the scan. Hi Doctors, Thanks for your answers. Further to this query I want to add these details:- (1) Wife s Age : 28, My age: 29 years (2) Married for 5 years (3) She is not anemic . (4) On taking Letroz, Duphaston and Folinine for three months she got periods in - 28 days, 45 days, 36 days. (5) Is it possible that without the follicles being formed she will get her period? My understanding is that follicles leads to the formation of egg and then it is followed by either period or conception. Is it right?
Asked On : Sat, 9 Jul 2011
Answers:  3 Views:  119
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Nephrologist 's  Response
Thanks for the query. Please mention what follicles they are? If you are referring to the 'cyst' then there is nothing to worry about. Is she getting regular periods? Is she anemic? Meet a gynaec for further care. Have a healthy living
Answered: Sat, 9 Jul 2011
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General & Family Physician Dr. Shainaz Arif Kaware's  Response
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As it is the first scan she is having after taking Letroz let her complete the study and see if there is a delayed ovulation.Presently no need to worry let the study get over and if she is not having proper ovulation then consult your doctor again so that she can re assess your wife and change the medicine if your wife is not responding well to Letroz.
Answered: Sat, 9 Jul 2011
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Infertility Specialist Dr. Abhishek S. Parihar's  Response
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First of all plz tell me your wife's age. Age is very important factor in infertility. If your wife is not having follicles after treatment with letrozole then she need be evaluated thoroughly. First investigation will be to know present quantity of follicles in ovary( Ovarian reserve) by doing blood tests like FSH, Estrogen,day 2 antral follicle count by ultrasound. Other reason could be resistance/failure to letrozole. In case of resistance she may require other drugs for ovulation induction like clomiphene or gonadotropins. Consult an infertility specialist soon before its too late . All the best.
Answered: Sat, 9 Jul 2011
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