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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should PCOS And Irregular Periods Be Treated For A Successful Pregnancy?

ello Doctor, I am a 32 years old woman married for 3 1\2 years. two years back i was diagnosed with ectopic pregnancy and since the left tube ruptured, it had to be removed through laproscopy.one year ago i was dignosed with PCOD where the follicle size is not growing more than 9 mm.( even on 24 th day since mensus).. I have irreular periods and many times get them after 2 to 3 months.. though i have taken levotal course once, could'nt keep contact with the husband on the crucial days.after the course i have not taken allopathic medicines. but instead opted for panch karma and ayurvedic treatment , but to no avail. eight years ago I was diagnosed with acute nephrotic syndrome , but now its fine, no traces of protein thru urine.No drugs hard on kidney allowed. rest thyroid reports are normal. Now I am very desperate and frustrated. Please help.
Thu, 4 Dec 2014
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OBGYN 's  Response
Hi
Noted your history.
I can give you advise on allopathy medicines.
Levotal is a antibiotic. I did not understand why you took this or may be you wrote the name of the medication wrong.
If your BMI is more than 25kg/M2 you must reduce weight. This is extremely important to improve your chances of ovulation and pregnancy.
You need to confirm that your right tube is functioning normally. So you need to get a tubal patancy test done.

Since you have irregular cycles it is clear that you are not ovulating regularly. You need help of induction of ovulation medications.When you are taking these medications ovulation should be confirmed with folliculometry studies( ultrasound examination to monitor the growth of follicles in the ovary). Discuss with your doctor regarding this treatment.
It is good to do a semen analysis for your husband if not done yet as the last pregnancy was two years ago.
Take folic acid 5mg daily
If your husband smokes cigarettes he should cut down on smoking.
All this is level one of treatment. Wish you conceive with this induction of ovulation.
Keep me updated about your treatment
So that I can be of help to you if need be
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How Should PCOS And Irregular Periods Be Treated For A Successful Pregnancy?

Hi Noted your history. I can give you advise on allopathy medicines. Levotal is a antibiotic. I did not understand why you took this or may be you wrote the name of the medication wrong. If your BMI is more than 25kg/M2 you must reduce weight. This is extremely important to improve your chances of ovulation and pregnancy. You need to confirm that your right tube is functioning normally. So you need to get a tubal patancy test done. Since you have irregular cycles it is clear that you are not ovulating regularly. You need help of induction of ovulation medications.When you are taking these medications ovulation should be confirmed with folliculometry studies( ultrasound examination to monitor the growth of follicles in the ovary). Discuss with your doctor regarding this treatment. It is good to do a semen analysis for your husband if not done yet as the last pregnancy was two years ago. Take folic acid 5mg daily If your husband smokes cigarettes he should cut down on smoking. All this is level one of treatment. Wish you conceive with this induction of ovulation. Keep me updated about your treatment So that I can be of help to you if need be