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Suffering from pcos, tubes opened after surgery. Having few drops of bleeding. Conception chances?

hai doc, i am suffering from pcos . In 2010 i had a miscarriage .In 2011 laproscopy done due to check the tubal functions. my left tube was blocked. After surgery my both tubes are open.After that 3 iui done. at that time no ovulation happened. me & hubby are not satisfied the treatment. Then we changed doctor, All the tests are taken.everything normal. they give 3 months for natural conception. but we are failed. my last 3 cycles are sep6,oct 11,dec 1. In last period i have only a few drops of bleeding.2,3,4,no bleeding.3rd day we visit doctor, he prescribed me ubiphene for 5 days.then 8,9,10,11 for injections.12 th day scanning. i want to know is it a menstural period or not. Any hope for coneception.
Asked On : Thu, 6 Dec 2012
Answers:  1 Views:  30
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM

Before getting answers to all your queries, it is important for you to understand the natural history of the disease- Polycystic ovarian syndrome/disease (PCOD/PCOD).

In a normal monthly ovarian cycle, either ovary releases one ovum/ egg. In the development of this ovum a number of follicles mature and one develps to form a dominant folliclle. This dominant follicle re;eases the ovum per cycle. In case the ovum meets the sperm, conception takes place.
PCOD/PCOS is a condition in which follicles develop but none of them matures into the dominant follicle to release the ovum/ egg. So, even if sperms are present there is no ovum to fertilize the ovum.
PCOD/PCOS is associated with hormonal imbalance. LH (a hormone released by anterior pituitary) is raised. Estrogen (female hormone) levels are low and androgens (male hormone) are high.
This hormonal imbalance may cause mentrual cycle irregularities.

The management includes:
1. Weight reduction
2. Metformin
3. Clomiphene citrate- This drug stimulates maturation of the follicles in the ovary and hence release of ovum/ egg.
The preparation 'Ubiphene' contains clomiphene.
After starting with the treatment, follicular scan needs to be done. This scan tracks the maturation and hence release of the ovum.
Menstrual irregularities- less flow, irregular cycles can be treated with progesterones.

Discuss your problem with your doctor for further investigations and management.

Thanks and take care
Dr Shailja P Wahal
Answered: Thu, 6 Dec 2012
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