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Having polycystic ovary syndrome and fibroid in the posterior wall. Taking metformin. Advsie? - Online Doctor Chats

Date : 26-Sep-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:good afternoon
User:Good afternoon
User:Hi Dr
Doctor:please proceed with your query
User:i think u wud remember me
User:we have spoken quite a few times
User:abt the pregnany planning
Doctor:I do remember vaguely
Doctor:I am sorry
Doctor:I accidentally closed the chat window
User:oh ok
Doctor:please give me a moment while I see our chat history
User:am a PCOS with a 6am fibroid in the posterior wall
Doctor:I have read through it
Doctor:shall we proceed with your current concerns?
User:my gynae recommneded tht she wudnt like to touch the fibroid since the position will not hamper baby growth
User:also if she does operate on it the cervix will become loose to hold the baby
Doctor:that is right
Doctor:how long are you pregnant now?
User:i have been on metformin for few months
User:am not pregnant as yet
User:wish i was
User:responding well to metformin
User:my ovary size has reduced from being 11cc to 7cc
Doctor:Can you share the current scan report with me?
Doctor:Can you mail it to me?
User:wud need to send u a scan copy for tht
User:may be tomrw?
Doctor:not a problem
Doctor:you can mail me tomorrow at YYYY@YYYY
User:my ovulation has been perfect since last few months
Doctor:In the subject line mention attention to
Doctor:proceed further
User:i had taken follicular monitoring cycle once in Apr or may but the foliicle were not as appropriate
User:my LMP was 1st Aug last month
User:i was put onto clofeit from day 3
User:to do a follicular monitoring
User:since my ovulation was anyways happening doc gave me 50 mg only
User:everything happened perfectly
User:i had two follicles of 19 and 24
User:my uterine lining was little less so doc put me onto some medicines like argipreg, progynova etc
User:so even the uterine lining was apt
User:on day 11 or 12 th thy gave me hucog
User:and the follicle was seen ruptured on 14th day untrasound
User:i tried on the 13th and 14th night
User:post tht the doc told me to continue all medicines and also add sustene since i had a miscarriage last yr
User:till abt 5th sept i didnt get my periods
User:while my cycle is 28-29 days
User:so ideally if i wasnt pregnant i shud have had menses on 30th or 31st of Aug
User:so i became hopeful
User:but my urine tests on 30th and 4th were negative
User:so the doc told me to take blood test on 5th
User:which also was negative
User:thn she asked me to stop all medicines
User:i stopped susten and i started spotting on 6th
User:i am really dissappointed tht if everything happened the way it shud have
User:why the pregnancy didnt happen
User:wht are the causes even after things falling in place
User:perfect ovulation, rupturing, trying etc
Doctor:The pregnancy did not happen because of reasons post ovulation
User:whch cud be
Doctor:probabilities are:
Doctor:The egg was not well formed when released
Doctor:The quality of egg might not be good
User:tht depends on size of follicle whn it ruptures rite
User:that was perfect
Doctor:The inherent quality of egg is different
Doctor:that does not depend on the solely on the size
Doctor:also, there could be improper mobilization of the sperm
User:k, so wht can be done for tht
User:quality of egg i mean
Doctor:The sperms that were released may not have had the adequate motility to go up and fertilize the gg
Doctor:You can improve the quality of egg by exercising regularly
User:wht shud be the next step to correct this
Doctor:consuming vegetables and salads
User:exercising ok
Doctor:And keeping your weight ideal
User:does the heamglobin levels also effect the quality of egg
Doctor:Is your husband's semen analysis normal?
Doctor:yes, it does, if it is low
User:my haemoglobin does not rise above 10-10.2
User:husbands motility is 40
Doctor:Take iron supplements for some time for hemoglobin to increase
Doctor:ideally 50% motility is required for fertilization to occur
User:Dr Shanthi am minor thallesemic, so whch iron supplements can i take
Doctor:You can take orofer XT
Doctor:but please consult your doctor before taking one
User:this one is specific for minor thallesemic/
Doctor:This is for all anemias
Doctor:not specific for minor thallesemia
Doctor:You need to consult a hematologist to get the right drug prescribed for you
User:sure but if u r minor thaleseemic , u wud need some supplements whch do not go an deposit rite
Doctor:are you there?
User:my husbands sperm count in a yr bk report was 40 million/ml
Doctor:that is normal
User:active forward movement 30
Doctor:this is a little less
User:sluggishly motile 30
User:immotile 40
Doctor:not so good report
User:k, but am sure one report tht too last yr is not sufficient
User:he has been on capsule COQ on and off
User:does tht help
Doctor:yes,it does help
User:COQ or COQ forte?
Doctor:both would help
User:any u recommend for better and faster results
Doctor:please repeat the semen analysis for your husband now
Doctor:try IUI if things are not working fine
Doctor:Intra Uterine Insemination
User:u think i sud take another cycle wht i took last month
Doctor:Probably your husband's sperm quality need to be checked in the lab, processed and then put inside you
Doctor:how many times have you tried like the last month?
User:13th and 14th night
Doctor:not that
User:ovulation happened somewhere on 13th nite i think
Doctor:How many cycles of medications have you tried like the Hucog and other drugs?
Doctor:how many months did you take such medical treatment?
User:one cycle of clomid earlier in may i think
User:and now last month
User:results were apt last month
Doctor:you can try for a maximum of 3 months
Doctor:if this does not work out, then it is better to stop trying this mode
User:so shud i take for this month and next?
Doctor:you have already tried twice
Doctor:You can try one last time in the coming cycle
User:k, anothing thing
User:my spotting started on 6th
User:but my flow of menses happened on 8th
User:clomid needs to be taken on 3rd day
User:can i take from today
Doctor:please consult your gynecologist before starting any treatment again
User:and do u actually need it if ovulation is fine
User:ya ya that i will
User:am gonna XXXXXXX her today
User:am just asking am not late in this cycle for clomid?
User:can i still
Doctor:you are not late for clomid yet
User:my actual day 1 will be wht 6th or 8th
User:this susten i feel disrupted my cycle
User:does it??
Doctor:it helps to sustain a pregnancy
User:ya but in this case why my periods were delayed or happened just after i stopped susten
User:u thr
Doctor:in my view, I do not think you conceived for susten to act
User:ya i got tht
Doctor:susten would act only if there is pregnancy, to sustain it
User:my periods shud hav happened as normal cycle thn
Doctor:And since there was no pregnancy, after you stopped susten, your periods started
Doctor:When you take medications like these, your cycles would not happen on the expected day
Doctor:It is usually post poned
User:hmm so it can be a delusion thn
User:even while not pregnant, delayed
Doctor:yes, periods can be delayed while on medications
User:n do u actually need a clomid if ur ovulation is normal
Doctor:not required
User:the follicular study can happen without tht u mean
Doctor:yes, it can happen
User:any other thing tht cud have hindered pregnancy in my case last
User:wht abt pcos
Doctor:PCOS definitely poses threat to pregnancy
Doctor:May I know your age?
Doctor:and your husband's age?
Doctor:are you there?
Doctor:it seems like you are not responding
User:yes yes
User:he is 34
User:younger than me
Doctor:DO you have any more queries?
User:just some advises on wht all are remedies for good sperm quality, pcos and good egg quality
Doctor:exercise and diet for both PCOS and good egg quality
Doctor:For good sperm quality, milk, almonds and pistachios are good
Doctor:What is your current weight?
User:5'2 height
Doctor:Exercise daily
Doctor:eat healthy with more fruits and vegetables than junk food
User:shud i continue metformin?
Doctor:yes, you should
User:no harm?
Doctor:no harm at all
User: is it possible for u to call me
Doctor:any time after 5 is fine for you?
User:ya tht shud be fine, i wud leave for meeting my gynae at 6:30
Doctor:I shall call you then
Doctor:Shall we end the chat now?
User:sure, i will await ur call
Doctor:Bye for now
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