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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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PCOS, On Total Fertility Supplements. Will It Show Improvement?

Hi i was recently diagnosed with pcos on august 4 2012 my dr has put me on Total Fertility supplements(3times a day) progyluton from day 3 of my period predinsolone from day 1 and Dostinex because i have high level of prolactin ...she also added folic acid .. Are my meds helping me get pregnant?? My last period was august 2 2012 so my dr saw me two days after i began my cycle...tomorrow i finish my medication. I was wondering are thesr medication imporving my fertility? I have read most people with pcos are taking metformin ..why havnt she put me on that?
Mon, 27 Aug 2012
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General & Family Physician 's  Response
Hi

PCOS is one of the most common causes of infertility in women. It is characterised by irregular periods, cystic ovaries , elevated androgen levels (shown by acne, excess hair growth). Women may also have resistance to insulin (elevated blood sugars and in some cases blood pressure) and may be overweight.

Treatment of PCOS depends on if the woman desires pregnancy or not. General treatment in both cases would be weight loss if there is excess weight because this reduces the insulin resistance and is associated with increased fertility and the use of metformin. Metformin has been shown to be effective in improving fertility in PCOS and will also improve insulin resistance.
Your doctor may have a reason for not initiating this yet, you should speak to her for clarification.

There are other causes of decreased fertility such as increased prolactin which you stated was also a problem. This is treated with the dostinex/carbergoline which inhibits the parts of the brain where prolactin is normally made.Little is known about the effects of this medication and pregnancy , in some cases it is switched to another agent if pregnancy is expected

Progyluton will decrease the symptoms of the PCOS by regulating the cycle but will not assist in ovulation.It also will not stop pregnancy since you are trying to conceive

i hope this information is helpful to you, wish you the best
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PCOS, On Total Fertility Supplements. Will It Show Improvement?

Hi PCOS is one of the most common causes of infertility in women. It is characterised by irregular periods, cystic ovaries , elevated androgen levels (shown by acne, excess hair growth). Women may also have resistance to insulin (elevated blood sugars and in some cases blood pressure) and may be overweight. Treatment of PCOS depends on if the woman desires pregnancy or not. General treatment in both cases would be weight loss if there is excess weight because this reduces the insulin resistance and is associated with increased fertility and the use of metformin. Metformin has been shown to be effective in improving fertility in PCOS and will also improve insulin resistance. Your doctor may have a reason for not initiating this yet, you should speak to her for clarification. There are other causes of decreased fertility such as increased prolactin which you stated was also a problem. This is treated with the dostinex/carbergoline which inhibits the parts of the brain where prolactin is normally made.Little is known about the effects of this medication and pregnancy , in some cases it is switched to another agent if pregnancy is expected Progyluton will decrease the symptoms of the PCOS by regulating the cycle but will not assist in ovulation.It also will not stop pregnancy since you are trying to conceive i hope this information is helpful to you, wish you the best