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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hypothyroidism, Amenorrhea And PCOD. Severe Pain In The Flank. Concerned About Conception Chances

Married since november 2011, declared hypothyroidic in april2012, suffered ammenorrhea for 3 months then diagnosed as a case of PCOD. Taking thyronorm 100 mcg, metformin 850 mg sr BD daily, took 3 cycles of clomiphene 100 mg OD x 5. Npw since approx 4months suffer with severe chronic pain in right flank, abdomen n leg. USG suspects endometrioma (6.7x5x4.5 cm) on rt ovary, now on analgesics.......fertility is the main concern. Plz suggest
Fri, 17 May 2013
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OBGYN,  's  Response
Hi,
The medication you are using at present is good enough to treat PCOD and hypothyroidism with proper monitoring and adjustment of doses. You did not say if you developed this pain after treatment with Clomiphene. The cause of the pain should be properly evaluated as you have pain in the leg also which is unusual with endometrioma. Ovarian endometrioma in itself does not impede the fertility unless the tubes or peritoneum are involved. You should approach an experienced infertility specialist and get treated. Meanwhile try to maintain a healthy weight and healthy diet. Hope this information is useful. Take care.
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OBGYN,  Dr. Dr. Rakhi Tayal's  Response
Hello.
Thanks for writing to us.
Since you are already having low thyroid hormone levels and PCOD with suspected endometriosis, spontaneous conception is less likely. You can take the help of assisted reproductive techniques for conception.
I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Regards,
Dr. RakhiTayal
drrakhitayal@gmail.com
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Have Hypothyroidism, Amenorrhea And PCOD. Severe Pain In The Flank. Concerned About Conception Chances

Hi, The medication you are using at present is good enough to treat PCOD and hypothyroidism with proper monitoring and adjustment of doses. You did not say if you developed this pain after treatment with Clomiphene. The cause of the pain should be properly evaluated as you have pain in the leg also which is unusual with endometrioma. Ovarian endometrioma in itself does not impede the fertility unless the tubes or peritoneum are involved. You should approach an experienced infertility specialist and get treated. Meanwhile try to maintain a healthy weight and healthy diet. Hope this information is useful. Take care.