Hello and welcome to HCM
Before getting answers to all your queries, it is important for you to understand the natural history of the disease- Polycystic ovarian syndrome/disease (PCOD/PCOD).
In a normal monthly ovarian cycle, either ovary releases one ovum/ egg. In the development of this ovum a number of follicles mature and one develps to form a dominant folliclle. This dominant follicle re;eases the ovum per cycle. In case the ovum meets the sperm, conception takes place.
is a condition in which follicles develop but none of them matures into the dominant follicle to release the ovum/ egg. So, even if sperms are present there is no ovum to fertilize the ovum.
PCOD/PCOS is associated with hormonal
imbalance. LH (a hormone released by anterior pituitary
) is raised. Estrogen
(female hormone) levels are low and androgens
(male hormone) are high.
This hormonal imbalance may cause mentrual cycle irregularities.
The management includes:
1. Weight reduction
citrate- This drug stimulates maturation of the follicles in the ovary and hence release of ovum/ egg.
The preparation 'Ubiphene' contains clomiphene.
After starting with the treatment, follicular scan needs to be done. This scan tracks the maturation and hence release of the ovum.
Menstrual irregularities- less flow, irregular cycles can be treated with progesterones.
Discuss your problem with your doctor for further investigations and management.
Thanks and take care
Dr Shailja P Wahal