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PCOD, trying to conceive, on folwise and glycomet. Any other medication required ?

I have been suffering from PCOD since last couple of years. I am 30 yrs old and married since last 3 yrs. I am looking at getting pregnant for which i am taking folwise (one at night) and glycomet 1gm ( 1gm mrng and 1gm evening)on a daily basis. However its only when i am on medication do i get my periods. the month i do not take medicines i do not get my periods. Can u please adivise me on what else can i do to conceive. I am also overweight but hav been trying hard to loose weight but unsucessful. also i have no thyroid .
Asked On : Thu, 23 Aug 2012
Answers:  2 Views:  234
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Diseases and Conditions
General & Family Physician 's  Response

Welcome to HCM,

Patients suffering with Poly cystic ovarian disease have multiple small cysts in their ovaries. Thus ovaries become enlarged and produce excessive amount of estrogen and androgen hormones. This prevents ovulation and absence of ovulation causes infertility.

Many patients with PCOD also have insulin resistance and have raised level of insulin.
These patients may not respond to clomiphen, thus treated with anti diabetic drugs like metformin and troglitazone. You are already taking Glycomet (Metformin).

In these patients, Clomiphen is used to stimulate ovulation. Low doses of dexamethasone can also be given simultaneously to suppress androgen production from adrenal gland.

If clomiphen doesn't work, a new anti-estrogen called Letrozole can be given.

Clomifen resistant women suffering with PCOD, may need HMG(gonadotrophis) to induce ovulation.

Difficult patients may require a combination of GnRH analog and HMG to induce ovulation successfully.

Metformin can improve your fertility by reversing endocrine abnormality and improving your ovulatory response.

You can conceive, provided ovulation occurs and you have sex around ovulation day.

Thanks for your trust in Healthcaremagic and posting your query.

Hope you found my response to your query informative and helpful.

With good wishes,

Dr.Chandra Shekhar Sharma
Answered: Thu, 23 Aug 2012
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General & Family Physician Dr. Ganesh Dhakappa's  Response
Thanks for choosing HCM.
You are on proper medication for PCOD.
You have to lose at least 10% of your body weight by regular exercises, low carbohydrate diet, & consuming plenty of liquids.
Good luck.
Answered: Thu, 23 Aug 2012
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Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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