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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular Periods, Having PCOS. Prescribed Folic Acid, Goodova, Scan On 8th Day. Right Treatment?

We completed the 1 years of our marriage,we are planning for baby,I have irregular periods.I consulted doctor, after all tests they said i have PCO..my doctor suggested to take folic acid tablets daily and goodova 50mg on day 3 of periods till 7th day,scan on 8th day .. is it right treatment? whether i will pregnant . i am very tensed about this..please suggest me..
Fri, 25 Oct 2013
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OBGYN 's  Response
Hi,

Please do not get tense as PCOS is a common problem nowadays.
However there are different varieties of PCO depending upon the type of hormonal imbalance.
Let me explain the problem in PCO. Normally every month one ovum is produced and released in the female reproductive organs usually 14 days before the onset of periods. If on that day the sperm unites with it, pregnancy will result. In PCO the ovum remains trapped in the ovary and hence cannot meet the sperm and so pregnancy does not occur.
Tablet goodova is a good initial line of treatment for this as it helps the ovum to mature and release [helps ovulation to occur]. It must combined with an ultrasound to see if the ovum is actually released. An HcG injection may be used to help this process. If sexual contact occurs at the time of ovulation then pregnancy may occur. So this treatment may help.
If pregnancy does not occur after 3 cycles a laparoscopy and drilling of the cysts has excellent results.
There are a few more things that I want to clarify: PCO may be caused by any of numerous hormonal imbalances. So it is important that a complete hormonal profile called the PCOD profile must be done on day 2 or 3 of periods. If there is any abnormality it must be treated. Drugs like metformin are helpful in some cases. You need to discuss this with your treating Gynecologist.
Another thing is lifestyle modification which has amazing results, regular exercise, weight loss of 3-4 kilos, no sugar, no fat diet and meditation help to decrease the imbalance and induce ovulation. So please try these along with the other treatments.

Hope this was helpful. Don't worry and best of luck.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Irregular Periods, Having PCOS. Prescribed Folic Acid, Goodova, Scan On 8th Day. Right Treatment?

Hi, Please do not get tense as PCOS is a common problem nowadays. However there are different varieties of PCO depending upon the type of hormonal imbalance. Let me explain the problem in PCO. Normally every month one ovum is produced and released in the female reproductive organs usually 14 days before the onset of periods. If on that day the sperm unites with it, pregnancy will result. In PCO the ovum remains trapped in the ovary and hence cannot meet the sperm and so pregnancy does not occur. Tablet goodova is a good initial line of treatment for this as it helps the ovum to mature and release [helps ovulation to occur]. It must combined with an ultrasound to see if the ovum is actually released. An HcG injection may be used to help this process. If sexual contact occurs at the time of ovulation then pregnancy may occur. So this treatment may help. If pregnancy does not occur after 3 cycles a laparoscopy and drilling of the cysts has excellent results. There are a few more things that I want to clarify: PCO may be caused by any of numerous hormonal imbalances. So it is important that a complete hormonal profile called the PCOD profile must be done on day 2 or 3 of periods. If there is any abnormality it must be treated. Drugs like metformin are helpful in some cases. You need to discuss this with your treating Gynecologist. Another thing is lifestyle modification which has amazing results, regular exercise, weight loss of 3-4 kilos, no sugar, no fat diet and meditation help to decrease the imbalance and induce ovulation. So please try these along with the other treatments. Hope this was helpful. Don t worry and best of luck. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist