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Having PCOS and unable to conceive. Medications - Tarana, Duphaston, Apcod. Follicular tests done.

I am 25 yrs old,I am trying to conceive .But I am having irregular periods problem.I have doctor gave my tarana for few days and did a scan and said they got treated 90%.But after taking duphaston also, iam unable to conceive,She sent me for follicular study.She observed that there are multiple small follicles still .and follicle size growth is also very less.

She prescribed me apcod sachet powder for 2 months as a last trial now, after that asking me to go to fertility centers.

I am worried now.Does APCOD sachet really works?Are there any chances of geeting pregnant in these two months?
Asked On : Sat, 20 Apr 2013
Answers:  2 Views:  409
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OBGYN 's  Response
Dear sravani, welcome to healthcare magic.
If you have irregular cycles, ultrasound picture of polycystic ovaries, excessive hair growth in your body, and serum LH > FSH, so you have polycystic ovary syndrome.
This syndrome doesn't prevent pregnancy but it only delays it or makes it difficult by the normal marital life.
It has short term (irregular cycles, acne, hirsutism and delayed pregnancy) and long term (impaired glucose tolerance, obesity, high blood pressure and liability for endometrial cancer if not treated) consequences.
My first advice is to loose weight and optimize your Body mass index as this sole advice may completely cure your problem and you can have regular cycles and normal pregnancy.
Then you should start regular visits with your doctor in order to give you induction of ovulation and put a plan for you in order to get pregnant.
You should start ovulation induction by clomid, or human menopausal gonadotrophins ( under medical supervision) for three to six months.
If there is good ovulation after clomid but still there is no pregnancy, may be there is another cause.
You may have three to six cycles of ovulation induction plus IUI ( intra uterine insemination ) and if still there is no pregnancy, you can have IVF ( in vitro fertilization ) or ICSI ( intra cytoplasmic sperm injection ).
There is no evidence that APCOD is usefull in such cases but it will not harm.
I hope this piece of information is useful to you and I wish you the best of luck.
Dr. Ahmed Bahaa.
Answered: Sun, 5 May 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

You need patience and perseverance
There are several approaches to the management and you have just begun...
Apcod does not bestow direct benevolence!

Glucose (GTT / Hba1c) is usually done for Insulin resistance / you may need Metformin
Hormone assays are also routine
Has your spouse been investigated?

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Mon, 6 May 2013
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