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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Irregular Periods And Infertility Be Treated?

Hi doctor. I am trying to conceive again. I have pco and I am in metformin. Have been married 10years with irregular periods until I was prescibed primolut to get my period and after that period I was conceived with a premature boy who died at 22weeks because cervix dilated too early. After I gave birth 9months ago I have my periods now and not sure why I am not pregnant again. Still trying. Do I need to take primolut again to stimulate something or just keep up with my exercises and take metformin?
Mon, 10 Jul 2017
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Infertility Specialist 's  Response
Hi I think you need some medicines like clomiphene for inducing ovulation. Track your follicles growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Continue metformin and try losing some weight. Hope it helps.
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How Can Irregular Periods And Infertility Be Treated?

Hi I think you need some medicines like clomiphene for inducing ovulation. Track your follicles growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Continue metformin and try losing some weight. Hope it helps.