Having polycystic ovary syndrome and fibroid in the posterior wall. Taking metformin. Advsie? - Online Doctor Chats
please proceed with your query
i think u wud remember me
XXXXXXX XXXX from XXXXXXX
we have spoken quite a few times
abt the pregnany planning
I do remember vaguely
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am a PCOS with a 6am fibroid in the posterior wall
I have read through it
shall we proceed with your current concerns?
my gynae recommneded tht she wudnt like to touch the fibroid since the position will not hamper baby growth
also if she does operate on it the cervix will become loose to hold the baby
that is right
how long are you pregnant now?
am not pregnant as yet
wish i was
responding well to metformin
my ovary size has reduced from being 11cc to 7cc
Can you share the current scan report with me?
Can you mail it to me?
wud need to send u a scan copy for tht
may be tomrw?
not a problem
you can mail me tomorrow at YYYY@YYYY
my ovulation has been perfect since last few months
In the subject line mention attention to
i had taken follicular monitoring cycle once in Apr or may but the foliicle were not as appropriate
my LMP was 1st Aug last month
i was put onto clofeit from day 3
to do a follicular monitoring
since my ovulation was anyways happening doc gave me 50 mg only
everything happened perfectly
i had two follicles of 19 and 24
so even the uterine lining was apt
on day 11 or 12 th thy gave me hucog
and the follicle was seen ruptured on 14th day untrasound
i tried on the 13th and 14th night
post tht the doc told me to continue all medicines and also add sustene since i had a miscarriage last yr
till abt 5th sept i didnt get my periods
while my cycle is 28-29 days
so ideally if i wasnt pregnant i shud have had menses on 30th or 31st of Aug
so i became hopeful
but my urine tests on 30th and 4th were negative
which also was negative
thn she asked me to stop all medicines
i stopped susten and i started spotting on 6th
i am really dissappointed tht if everything happened the way it shud have
wht are the causes even after things falling in place
perfect ovulation, rupturing, trying etc
The pregnancy did not happen because of reasons post ovulation
whch cud be
The egg was not well formed when released
The quality of egg might not be good
tht depends on size of follicle whn it ruptures rite
that was perfect
The inherent quality of egg is different
that does not depend on the solely on the size
also, there could be improper mobilization of the sperm
k, so wht can be done for tht
quality of egg i mean
The sperms that were released may not have had the adequate motility to go up and fertilize the gg
You can improve the quality of egg by exercising regularly
wht shud be the next step to correct this
consuming vegetables and salads
And keeping your weight ideal
does the heamglobin levels also effect the quality of egg
yes, it does, if it is low
husbands motility is 40
ideally 50% motility is required for fertilization to occur
Dr Shanthi am minor thallesemic, so whch iron supplements can i take
You can take orofer XT
but please consult your doctor before taking one
this one is specific for minor thallesemic/
This is for all anemias
not specific for minor thallesemia
sure but if u r minor thaleseemic , u wud need some supplements whch do not go an deposit rite
are you there?
that is normal
active forward movement 30
this is a little less
sluggishly motile 30
not so good report
k, but am sure one report tht too last yr is not sufficient
he has been on capsule COQ on and off
does tht help
yes,it does help
COQ or COQ forte?
both would help
any u recommend for better and faster results
please repeat the semen analysis for your husband now
try IUI if things are not working fine
Intra Uterine Insemination
u think i sud take another cycle wht i took last month
Probably your husband's sperm quality need to be checked in the lab, processed and then put inside you
how many times have you tried like the last month?
13th and 14th night
ovulation happened somewhere on 13th nite i think
How many cycles of medications have you tried like the Hucog and other drugs?
how many months did you take such medical treatment?
one cycle of clomid earlier in may i think
and now last month
results were apt last month
you can try for a maximum of 3 months
if this does not work out, then it is better to stop trying this mode
so shud i take for this month and next?
you have already tried twice
You can try one last time in the coming cycle
k, anothing thing
my spotting started on 6th
but my flow of menses happened on 8th
clomid needs to be taken on 3rd day
can i take from today
please consult your gynecologist before starting any treatment again
and do u actually need it if ovulation is fine
ya ya that i will
am gonna XXXXXXX her today
am just asking am not late in this cycle for clomid?
can i still
you are not late for clomid yet
my actual day 1 will be wht 6th or 8th
this susten i feel disrupted my cycle
it helps to sustain a pregnancy
ya but in this case why my periods were delayed or happened just after i stopped susten
in my view, I do not think you conceived for susten to act
ya i got tht
susten would act only if there is pregnancy, to sustain it
my periods shud hav happened as normal cycle thn
And since there was no pregnancy, after you stopped susten, your periods started
When you take medications like these, your cycles would not happen on the expected day
It is usually post poned
hmm so it can be a delusion thn
even while not pregnant, delayed
yes, periods can be delayed while on medications
n do u actually need a clomid if ur ovulation is normal
yes, it can happen
any other thing tht cud have hindered pregnancy in my case last
wht abt pcos
PCOS definitely poses threat to pregnancy
May I know your age?
and your husband's age?
are you there?
it seems like you are not responding
he is 34
younger than me
DO you have any more queries?
just some advises on wht all are remedies for good sperm quality, pcos and good egg quality
exercise and diet for both PCOS and good egg quality
For good sperm quality, milk, almonds and pistachios are good
What is your current weight?
eat healthy with more fruits and vegetables than junk food
shud i continue metformin?
yes, you should
no harm at all
is it possible for u to call me
any time after 5 is fine for you?
ya tht shud be fine, i wud leave for meeting my gynae at 6:30
I shall call you then
Shall we end the chat now?
sure, i will await ur call
Bye for now
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