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What Causes Difficulty In Conceiving When Diagnosed With PCOS?

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Posted on Thu, 4 Feb 2016
Question: Hi. I went through a D&C in April 2015 and started TTC again since Oct 2015. It's been 3 cycles since I could not conceive my doctor has asked to take follicular study this month. At day 11 of my cycle I have multiple small follicles on both sides which are less than 10. Is this follicles size normal for someone with 26 day regular period cycles. The report says I have early triple line and 8mm endometrium. What does this mean. I am bit worried due to the small follicles size even on day 11.
doctor
Answered by Dr. Deepti Verma (24 minutes later)
Brief Answer:
Polycystic ovaries

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Multiple small follicles in both the ovaries on day 10-11 is indicative of Polycystic ovarian disease.
It is also one of the reason for infertility and difficulty in conceiving, as it is associated with irregular or no ovulation at all.
I will suggest you to continue your follicular study for next one week to see whether there is any ovulation.
If not, then you may require ovulation induction drug like clomiphene to assist conception.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepti Verma (18 minutes later)
Thank you doctor. How can I have developed this when my periods are very regular and I had undergone a ultrasound check up in July when they had said everything was fine. Do I need to undergo any additional tests to confirm or are you sure I have pcos
doctor
Answered by Dr. Deepti Verma (44 minutes later)
Brief Answer:
Diagnosis not confirmed

Detailed Answer:
Hi dear,
You are having polycystic ovaries, which is one of the component of PCOS. Presence of polycystic ovaries only, without other symptoms of PCOS, do not make the diagnosis of PCOS.
To confirm whether you have PCOS, you need to serum testosterone levels done.
If raised, then the diagnosis of PCOS is confirmed.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

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

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5064 Questions

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What Causes Difficulty In Conceiving When Diagnosed With PCOS?

Brief Answer: Polycystic ovaries Detailed Answer: Hi dear, I have gone through your question and understand your concerns. Multiple small follicles in both the ovaries on day 10-11 is indicative of Polycystic ovarian disease. It is also one of the reason for infertility and difficulty in conceiving, as it is associated with irregular or no ovulation at all. I will suggest you to continue your follicular study for next one week to see whether there is any ovulation. If not, then you may require ovulation induction drug like clomiphene to assist conception. Hope you found the answer helpful. Please do get back for further queries. Wishing you good health. Regards Dr Deepti Verma OBGYN Maternal and fetal medicine specialist