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Has high level of serum insulin. Will that reduce the chances of pregnancy?

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Practicing since : 2005
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My wife age is 32, she has the high level of serum insulin (PP) 34.5, will that reduce the chances of pregnancy? please adivse.
Posted Mon, 14 Oct 2013 in Infertility Problem
Answered by Dr. Rhea Chanda 11 hours later
Brief Answer:

Detailed Answer:
Serum insulin is usually done if there is suspicion of a hormonal condition called polycystic ovaries . Patient may have irregular cycles in which case pregnancy may be may be difficult . You haven't mentioned any history regarding your wife's cycles . But if she has irregular cycles then there is suspicion possibility of pcos . Pcos causes a hormonal imbalance in the bodywhich in turn , may cause difficulty in concption . However with medication chances of pregnancy nowadays is much better .
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Follow-up: Has high level of serum insulin. Will that reduce the chances of pregnancy? 24 hours later

Thanks for the response.

I am XXXXX here. I do have 5 1/2 years old daughter.We are trying for the second one.
Meanwhile the healthcheckup reveals high serum insulin.Always my default cycle is prefectly 28 days, for the past 6 months it just changed to 29-30 days
(for this past 6 months we are trying for another babay).
Pls let us know how to proceed next and how i can reduce my insulin level.
Answered by Dr. Rhea Chanda 40 minutes later
Brief Answer:
undergo these tests

Detailed Answer:

hello, since you have a child already, some tests need to be done first. The first step to be taken is to regularise your cycles. With normal bleeding. Check your hormone levels for LH, FSH, tsh and Prolactin. Your serum insulin is already high. Start metformin tablets daily. If you are over weight then weight loss is important. High insulin levels can cause weight gain. An ultrasound of the pelvis needs to be done to determine features of pcos. If the hormone levels are all normal, then the next step would be to do an hsg. Its basically an xray to find out if there is any tubal blockage. If its clear then folliculometry will determine whether you are ovulating. If not, then ovulation induction drugs will ne required. This is a long drawn out process. You should see a infertility specialist who cam guide you. It will be prudent to get your husbands semen analysis done also. Its a long process and has to be taken step by step. Once all the reports are done, you will get a better idea how to proceed.
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