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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Infertility While Suffering From PCOD Be Treated?

I am 23years old. Trying to conceive. Having PCOD. Right ovary 6ml volume left ovary 11ml volume. I m taking Duoluton L from 5th day of periods for 21 days. Primolut from 5th day 2 tablets twice a day for 3 days. Metformin 1 per day. Will these cause any side effects.. Will PCOD affect getting pregnant..?
Mon, 5 Feb 2018
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OBGYN 's  Response
Hi there, I have understood your concern and I will suggest you the best possible treatment options.

First of all do not panic.

As you might be aware that PCOS ,polycystic ovaries syndrome, is a lifestyle disorder.
Please opt for a healthy diet and regular exercise regimen.
Include more portions of fruits and vegetables and salads in daily diet.
Avoid refined sugars and deep fried foods and bakery products in the diet.
Drink plenty of water.
Regular intake of Folic acid and vitamin B 12 supplements is advisable.This helps to prevent various complications during conception, pregnancy and delivery.

The medication prescribed by your doctor will help you out to get regular cycle.
It is not meant to cure out polycystic ovaries.
Metformin is useful in reducing insulin resistance.It will help to improve hormonal imbalance.
In PCOS- there is absence of egg formation and excess of male hormone in female body. Also there is insulin resistance.
All this can lead to anovulation- absence of egg formation and will need attention while getting pregnant.
Also, insulin resistance makes such patients prone for gestational diabetes during pregnancy and type 2 diabetes and menstrual period irregularities in the later age group.

Please seek prescription support from your treating doctor for ovulation induction medicines like Clomiphene citrate 50 mg once a day for 5 days from day 2 of the cycle. USG for follicle study from day 10 of the cycle will help to know about the day of ovulation. You can opt for unprotected sex activity on and around the day of ovulation or opt for IUI- Intrauterine insemination on the day of ovulation.
This will help you to get pregnant.

SO LIFESTYLE CHANGES AND GYNECOLOGICAL SUPPORT WILL BE THE MAINSTAY OF THE MANAGEMENT OF PCOS.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar

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General & Family Physician Dr. Varinder's  Response
Welcome to Healthcare Magic

As far as PCOD is untreated the pregnancy is very difficult.
See the progress of therapy by ultrasound abdomen and lab test as FSH, LH, testosterone, thyroid status and sugar level.
If you have any further query then you can come back to Healthcare Magic. I will definitely help you and guide you appropriately .


With Regards,
Dr. Varinder Joshi
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How Can Infertility While Suffering From PCOD Be Treated?

Hi there, I have understood your concern and I will suggest you the best possible treatment options. First of all do not panic. As you might be aware that PCOS ,polycystic ovaries syndrome, is a lifestyle disorder. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep fried foods and bakery products in the diet. Drink plenty of water. Regular intake of Folic acid and vitamin B 12 supplements is advisable.This helps to prevent various complications during conception, pregnancy and delivery. The medication prescribed by your doctor will help you out to get regular cycle. It is not meant to cure out polycystic ovaries. Metformin is useful in reducing insulin resistance.It will help to improve hormonal imbalance. In PCOS- there is absence of egg formation and excess of male hormone in female body. Also there is insulin resistance. All this can lead to anovulation- absence of egg formation and will need attention while getting pregnant. Also, insulin resistance makes such patients prone for gestational diabetes during pregnancy and type 2 diabetes and menstrual period irregularities in the later age group. Please seek prescription support from your treating doctor for ovulation induction medicines like Clomiphene citrate 50 mg once a day for 5 days from day 2 of the cycle. USG for follicle study from day 10 of the cycle will help to know about the day of ovulation. You can opt for unprotected sex activity on and around the day of ovulation or opt for IUI- Intrauterine insemination on the day of ovulation. This will help you to get pregnant. SO LIFESTYLE CHANGES AND GYNECOLOGICAL SUPPORT WILL BE THE MAINSTAY OF THE MANAGEMENT OF PCOS. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar