Welcome to HCM,
Patients suffering with Poly cystic ovarian disease
have multiple small cysts in their ovaries.
Ovaries become enlarged and produce excessive amount of estrogen and androgen hormones.
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
Clomiphen is used to stimulate ovulation. Low doses of dexamethasone
can be given simultaneously to suppress androgen production from adrenal gland.
If clomiphen doesn't work, a new anti-estrogen called Letrozole
can be used.
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.
Kefpod and metrogyl
are probably prescribed to you, to treat infection. You have to take these for a limited prescribed period only.
Glycomet in an anti diabetic drug, which contains metformin.
This can improve your fertility by reversing endocrine abnormality and improving your ovulatory response.
Thus you can conceive, provided ovulation occurs during treatment and you have sex around ovulation day.
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With good wishes,