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Difficulty in conceiving. Ultrasound showed bulky and polycystic ovaries. Partner with low sperm count. Suggestive treatment?

hi i m Nancy, i am 30years and have been married for four years.We have also been trying to get pregnant but all seems abortive .I also been missing my monthly periods some times but for the past 1and a half years it has been normal.I went to see a gynea he sent me for an ultrasound which showed i have bulky ovaries and partially located in the pouch of douglas and they are polysystic.i m scared because i really need to get pregnant and have my baby.my husband also has low sperm count of less than i million and the motility is low?pleas i need your advice.thanks email: YYYY@YYYY
Asked On : Mon, 28 Jan 2013
Answers:  2 Views:  35
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General & Family Physician 's  Response
Sep 2012
Hello, Welcome to HCM, I am Dr. Das

look, you have to be treated meticulously. Here you means both of you.

Specially, you should be treated with metformine and oral contraceptive agents containing oestrogen and progesterone analogues.

Your husband should be investigated first with color doppler study and ultrasonography of scrotum for search of any abnormality.

After that he has to be treated with coenzyme q and vitamin E should be given.

Lastly, consult with an infertility specialist for further management.

Regards.
Answered: Mon, 28 Jan 2013
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OBGYN Dr. Nilofer AR's  Response
Hello,
Thanks for the query.

Refer your husband to a andrologist.

Following are the treatment modalities for you:
Weight reduction,
Healthy diet,
investigations like FSH,LH, SR Prolactin.,HSG.
Ovulation induction
IUI.

Hope this helps,

regards,
DR NILOFER

Answered: Mon, 28 Jan 2013
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