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PCOD, irregular periods, hormone test done, Thyroid, FSH, LH, high prolactin, taking cabgolin and progestin pill, trying to conceive

Iam a known case of PCOD since 2 years.recently with 4cm right ovarian cyst . My periods were regular for 1 yr but in between it takes 3 months for the chums to occur.Iam married since 1 yr and 8 months.. I took all my test including all hormones--everything were under normal limits ( Thyroid, FSH , LH, ) Only thing is prolactin was mildly elevated for which Dr. prescribed me Cabgolin for 6 weeks, its completed. My LMP is 28-02-12 which i got after 3 months by taking progestin pill for 1 week and still i did not get my periods, i did the preg card test yesterday and its negative. Can you help me , how should i get rid of PCOD and how to concieve this month.Iam not overweight but my neck skin has started hanging i dont know the reason why.Please suggest me.
Asked On : Fri, 6 Apr 2012
Answers:  1 Views:  97
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OBGYN 's  Response
Mar 2013
Thanks for writing to us with your health concern.
PCOD ( polycystic ovarian disease ) is basically a condition characterized by hormonal imbalance.
The ovaries are studded with multiple small cyst like follicles. However none of them regularly mature each month . There is a problem in their maturation hence ovulation and thus cycles are irregular and often delayed.
Please undergo the following complete evaluation set to grade PCOD - FSH and LH on day 2 of periods TSH, Prolactin, OGTT, Lipid Profile DHEAS, free Testosterone. Baseline pelvic ultrasound scan done transvaginally and follicular monitoring, also is a must as you need to conceive.
Metformin is often given to improve symptoms of PCOD.
If you are overweight, the biggest difference will be made by lifestyle modification and weight loss. Exercising for atleast 30 minutes 5 times a week, and following a strict diet chart - these are two musts.
Generally, tablets like Meprate are given once or twice a day ( depending on your body weight ), for 5 days. AFter taking the pills,you will have a withdrawal bleed within 7 days. If conception is not an issue, taking contraceptive hormonal pills like Krimson for a few months will also regulate your cycle.
Often ovulation inducing agents like Clomiphene citrate or gonadotropin injections are needed to induce proper egg development.
All the best
Please feel free to discuss further.
Answered: Fri, 28 Mar 2014
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