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Getting pregnant treatment with PCOS - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Getting Pregnant
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   HiIam 23 years old and got married 9 months back.Had undergone marsupialization for bartholin's cyst in Dec,2009When i took ultrasound,thyroid test,blood test , everthing was fine in feb,2010.I got missed periods in May2010(Got negative in pregnancy test.).I had not have my periods in 65th day.When i consulted a gynecologist, i was advised, it was due to hormonal imbalance.Then i took ultrasound, early PCOs was encountered.
I was treated with glycomet0-250 and now again i got missed periods..but negative pregnancy resultPlease advise me.....I wanna get preganant....Myself and my husband are very craze abt child.Doubt:To get my husband tempt, i sometimes make position in sense"Iam on up for some times during my intercourse"will the sperm penetrated before the day will come out? Pleaseeee help me in postion also...Please help me how can i pregnant quickly?positions and treatment plzzzzzzzzzzzzI beg you.....
Doctor :   hi.
Doctor :   Dr. XXXXXXXX here
Doctor :   let me read what you have typed
User :   Are you a gynaecologist?
Doctor :   I am a general practitioner. I can help you with my expertise.
Doctor :   if needed I will suggest specialist to you.
User :   ok
Doctor :   for getting pregnant, since you are having PCOS
Doctor :   you should be started on ovulation inducers if PCOS is under control
Doctor :   to help with egg release
Doctor :   positions do not matter much, although positions allowing for deep penetration are good
Doctor :   some amount of semen leaking out from vagina is common
User :   for sometimes during intercours...iam on upper position and my hubby is on opp..Does this affect?
Doctor :   you can avoid this from happening by being in down position
Doctor :   and placing pillow under your buttocks
User :   after intercourse, shuld i in same position or ?
User :   can i got for bathroom?
User :   go*
Doctor :   you should be in same position for atleast 1/2 hour
User :   not taking pillow?
Doctor :   it should be kept before, not after ejaculation is done
User :   after intercourse , i can remove pillow and shouls be in same position for 30 i right?
User :   Am going in night shift for 5 days in a month.Does this affect my fertlity?
Doctor :   no, you have to keep them in position for next 30 minutes
Doctor :   to allow semen to get inside the uterus
Doctor :   yes it could affect, if you are not taking adequate rest or sleep of 6-8 hours daily
User :   ok.
User :   may i know about ovulation inducers??
Doctor :   these are drugs used to facilitate ovaries to release eggs on patients with PCOS who do not ovulate
Doctor :   these are to be given when PCOS is controlled with other drugs
User :   May i know how many months i need to take this?
User :   when i take this drug, i will get periods ..right?
Doctor :   this is given in cycles, and usually maximum of 5 cycles are tried
Doctor :   you will get your periods, it is prescribed to be taken after 5th day of periods
User :   once i get regular periods, shall i try for baby?
Doctor :   yes once you get your regular periods, discuss with your gynecologist about getting started on ovulation inducers
Doctor :   to help you get pregnant
User :   now iam taking glycomet250..will this useful?
Doctor :   yes it is useful in controlling PCOS, continue on it
Doctor :   if you still do not get your periods regularly while being on it, discuss possibility of getting the dose readjusted.
User :   Is this a serious problem for not getting pregnant?
Doctor :   it is one of the causes for infertility.
User :   will i able to be get pregnant soon?
User :   Also my weight got increased
Doctor :   with adequate treatment and positive attitude you will be able to get pregnant. do not worry
Doctor :   be in constant follow up
Doctor :   with your gynecologist or infertility specialist
Doctor :   get into weight control program, eat right to lose weight, not eat less to lose weight
User : weight also increased
Doctor :   wiegh gain is a common prroblem associated with PCOS
Doctor :   once it is under control, you will be fine
User :   iam doing yoga regularly...
User :   ok
Doctor :   try to have a well balanced diet, and regular exercises like cardio workout
Doctor :   to help reduce weight
User :   Is there any diet needs to followed?
Doctor :   check the calories you take, choose low calorie foods
User :   ok
Doctor :   avoid saturated fats, include more of fruits and veggies
Doctor :   which shoul dmake it 3 servings of veg and 3 of fruits per day
Doctor :   including juices (fresh fruits juices)
Doctor :   avoid caffeine and caffeinated products.
User :   dmake?
Doctor :   *should make
Doctor :   *which should make it 3 servings of veg and 3 of fruits per day
User :   Iam taking dates daily
User :   is this increase my sugar level?
Doctor :   yes it had good iron content, and is good
Doctor :   it will not increase your sugar levels, but keeping a low carbohydrate diet will be good
User :   Iam taking rice only for lunch.Is this fine?
Doctor :   yes it is fine.
Doctor :   have you followed what I said uptil now?
User :   So first i should take ovulation inducers and then ?
User :   yes
Doctor :   you should first get your weight and PCOS under control, start with regular periods
Doctor :   and then start with the ovulation inducers
User :   ok
Doctor :   is there anything else you would like to ask me?
User :   Can you please tell me wat food should i take more for fertility?
Doctor :   take food containing zinc, usually abundantly found in sea food
Doctor :   it helps is having healthy eggs for women and healthy sperms for men
Doctor :   for a detailed discussion on food to be taken, consult a nutritionist
User :   fine...Iam taking ghee produt for a while in a this affect?
Doctor :   include more fruits and veggies in forms of salads, take a low carbohydrate and low fat diet
User :   product*
Doctor :   ghee is saturated fat, avoid it
User :   ok..
User :   Sure
Doctor :   is there anything else you would like to ask me?
User :   My body gets heated frequently..same thing for my hubby also
User :   is this affect? wat should be doen to make cool?
User :   done*
Doctor :   check the calorie content of foods you consume, stick to the recommendation made
Doctor :   it will help both of you
User :   Many are telling dairy products will reduce your fertility...
User :   is this true?
Doctor :   do not believe in myths. you should have a well balanced diet, but for your condition, it should be low carbohydrate and low fat diet
User :   ok..
Doctor :   to make sure your body is cooled down and produces good quality eggs and sperms
User :   Shall i take pappaya?
Doctor :   no, it is known to have abortive properties
User :   what kind of fruit /veg shoul i take?
Doctor :   it will heat up body more
User :   ho
Doctor :   stick to citrus fruits and fruit juices.
Doctor :   avoid papaya, sapota, and pomegranate
User :   ok
User :   pomegranate?
Doctor :   among veg avoid cabbage, cauliflower, potatoes
User :   ok
Doctor :   is there anything else you would like to ask me?
User :   Thanks for your valuable time
Doctor :   thanks for consulting me. bye for now.
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