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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular Periods, Get Menses Only On Taking Medicines, Taken Treatment For PCOD. What Measures Should I Adopt To Conceive?

Hi I am 29 years of old and i am having very irregular periods. i am not getting my periods unless otherwise i take some medicines. i got married for 4 years and not able to conceive. my doctor confirmed bilateral PCOD and had ovarian drilling last year. doctor confirmed my uterus , tubes all are normal. please help me out to get conceived.
Fri, 25 Jul 2014
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OB & GYN Specialist 's  Response

hello,

For successful conception, both of you need to follow these suggestions:

1) First, you need a regular cycle with proper ovulation. Progesterone pill (D16 to D25) and other supportive treatment may be required in this case to regularize your monthly cycle.

As you are trying to get pregnant, then you should stop taking combined hormonal pill because it acts as a contraceptive pill.

2) For proper ovulation, you may need to take ovulation induction drugs like Clomiphene from D2 of her cycle. Serial follicular study (D12 to D16) is useful to monitor ovulation or you can use ovulation prediction kit (LH kit) to track down ovulation time in the middle of each cycle.

3) You have to do regular unprotected sex close to your ovulation day (14 days prior to actual due date) or (11th to 19th days of each regular 28 to 30 days cycle) to maximize the chance of pregnancy.

4) Both of you must take a healthy balanced diet with more fresh fruits and vegetables. Low carbohydrate diet is preferable. Take vitamin-E and folic acid supplements for 3 months in preconception period and there after.

5) Do light to moderate exercise for physical fitness and to reduce or control body weight. Avoid mental stress completely by regular meditation/ yoga. Maintain a healthy life style
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Irregular Periods, Get Menses Only On Taking Medicines, Taken Treatment For PCOD. What Measures Should I Adopt To Conceive?

hello, For successful conception, both of you need to follow these suggestions: 1) First, you need a regular cycle with proper ovulation. Progesterone pill (D16 to D25) and other supportive treatment may be required in this case to regularize your monthly cycle. As you are trying to get pregnant, then you should stop taking combined hormonal pill because it acts as a contraceptive pill. 2) For proper ovulation, you may need to take ovulation induction drugs like Clomiphene from D2 of her cycle. Serial follicular study (D12 to D16) is useful to monitor ovulation or you can use ovulation prediction kit (LH kit) to track down ovulation time in the middle of each cycle. 3) You have to do regular unprotected sex close to your ovulation day (14 days prior to actual due date) or (11th to 19th days of each regular 28 to 30 days cycle) to maximize the chance of pregnancy. 4) Both of you must take a healthy balanced diet with more fresh fruits and vegetables. Low carbohydrate diet is preferable. Take vitamin-E and folic acid supplements for 3 months in preconception period and there after. 5) Do light to moderate exercise for physical fitness and to reduce or control body weight. Avoid mental stress completely by regular meditation/ yoga. Maintain a healthy life style