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Suggest Treatment For Achieve Conception When Suffering From PCOD

Posted on Fri, 13 Mar 2015

Question: hello doctor ,i have PCOD tring to conceive gone under follicular study last month doc given hcg injection on 10th day ( Thrusday) and asked to have relations on same night and by next day but due to some reasons it didn't happened and we done on Saturday afternoon and on Tuesday done sonography and found that follicles are ruptured and doc asked me to insert neutrogest for 10 days i have done it and waited with my fingers crossed but unfortunately my periods came and again i didn't conceived. So my question is, is it due to we have not made relation on the same night and next day max?? or what can be the reason? in this cycle i felt very tired after ovulation phase so thought may b i have conceived but i was not. also there was continuous pains in my lower abdomen. during this period.please suggest what should i do and what can be the reasons? Though i have PCOD but my periods are absolutely regular since they have started.But i get lots of pain on 1st 2 days of my period. Also want to inform you that my LH,FSH thyroid all are normal.i was also taking OVALIFE for whole month.should i stop it or have to continue? please help and suggest i want to conceive asap.

Answered by Dr. Aarti Abraham (57 minutes later)

Brief Answer:
Need few more details.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Please let me know a few more details.
What is your age ?
What is your height and weight ?
Since how much time are you trying to conceive ?
Please upload all reports that have been done so far ?
Are your cycles absolutely regular ?
SO far, you have mentioned one cycle of follicular monitoring - did you take any drug ( clomiphene etc ) to develop eggs apart from HCG injection ?
What other treatment has been given so far ?
Looking forward to hearing from you.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (23 hours later)

I m 27yr old, height -5.3',weight - 76kgs. We not took any protection from 6 7 months still didn't conceived I am yet to complete my 1 wedding anniversary. I have undergone hirsutism treatment one year back so at DAT time I took aldactone.BT I stopped after my marriage. I have done only one follicular study in previous month BT did not conceived .. During this I have taken siphane for 1st 5days then done my sonography on 10th day size of follicular was 18mm so doc gave me hcg injection and asked to do intercourse n same day and next day.others details I have already told u in my previous question . I cannot upload my reports BT will tell u all hormone test reports r absolutely normal only prolactine was n higher side so I was taking clogimet .25mg (not remembering exact name) please help me out. Also I want to ask you if I play badminton then will it b harm if I get conceive in my this cycle? What's ur suggestion on exercise? I want to reduce my weight too...plz help.waiting for ur revert.

Answered by Dr. Aarti Abraham (4 hours later)

Brief Answer:
Explained in detail

Detailed Answer:
Hello again
Thanks for the updates.
Sometimes you do not conceive for many reasons.
Even if you could not remain sexually active on the days prescribed by the doctor, you were still sexually active around the time of ovulation.
So do not worry, that is not an issue.
There are various factors involved in conception - semen analysis, ovulation ( good eggs ), tubes that carry the sperm to the egg , the lining of the uterus etc.
Please try for atleast 1 year before going for any investigations.
Since your cycles are regular, please remain sexually active from day 10 to day 20 of your cycle, every alternate day ( counting 1st day of bleeding as day 1 ).
If you fail to conceive after 1 year of trying actively , please have the following workup -
Semen analysis.
Hormone tests on day 2 of period - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile.
Then go for follicular monitoring for 3 cycles, without any drugs ( you need SIphene only if you are not ovulating spontaneously ).
If 3 cycles of follicular monitoring fail, then please go for laparoscopy to check tubal patency.
Take 5mg folic aid daily.
You can definitely exercise, weight loss will only improve chances of conception.
There is no harm in conception in this cycle, or any cycle, with any form of exercise.
Take care.
you can reach me directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (22 hours later)

5mg folic aid tablet u asking me to take now only?? As per my knowledge folic aid tab doc gives after pregnancy detects for brain development.r u suggesting me to take now only? Let's c I started my 2nd cycle follicular monitoring what happens in this cycle let's c finger crossed. If I continuously play and if I get conceive then it will not to lead miscarriage ??also I think to much of any issues deeply... I m very emotional... Will it also effect?? Thanks in advance

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
Yes, start folic acid now itself.

Detailed Answer:
Yes, folic acid should be started atleast 3 months before planning for a baby, and continued throughout pregnancy.
Please do not have follicular monitoring blindly without getting the tests done.
You would not play continuously of course, you would be playing for only some time each day.
That will not lead to a miscarriage.
Emotional stress and tensions can affect both fertility and your health.
All the best
Wish you luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar