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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infertility Because Of PCOS

im 22 n 1 year married but i cant concieve bcz my gynae says i have a PCOS n i have irregular periods before my marriage. im taking DIANE 35 and GLUCOPHAGE 1500 MG daily n last month i take clomid 50mg but now on thiz month same problem i had irregular period. my dr. recomment again diane 35.. kindly tell me what can i do??
Tue, 22 Jul 2014
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General & Family Physician 's  Response
Hello
If I were your treating doctor for this infertility case ( not getting pregnant ) and also having PCOD ( Poly Cystic Ovarian Syndrome or Disease) I would come up with these measures , these include.
1 Clomid or clomiphene or clomifene 50 mg daily for 5 days starting on the 5th day of menstrual cycle or at any time if there is amenoorhea ( or wait for menses date in spite of irregular date and count 1st day of bleeding as day one ) .
Now get in folliclular study on 14-15 day for ovulation . Keep watch over size of dominant follicle and its release date ( it must attain 19-20 mm ) . Sex on these days on regular basis from 13th to 15th days.
If ovulation does not occur, a 2nd course of 100 mg for 5 days may be used as commencing as early as 30 days after the previous therapy.
Further treatment may not be recommended if pregnancy has not occurred after a total 6 treatment cycles .
Glucophage 1500 mg you can take but in my opinion diane 35 ( cyproterone +ethinylestradiole ) tablet don't use it.
2 Also get in SEMEN analysis of your husband .
Hope these measures will be helpful for you.
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Suggest Treatment For Infertility Because Of PCOS

Hello If I were your treating doctor for this infertility case ( not getting pregnant ) and also having PCOD ( Poly Cystic Ovarian Syndrome or Disease) I would come up with these measures , these include. 1 Clomid or clomiphene or clomifene 50 mg daily for 5 days starting on the 5th day of menstrual cycle or at any time if there is amenoorhea ( or wait for menses date in spite of irregular date and count 1st day of bleeding as day one ) . Now get in folliclular study on 14-15 day for ovulation . Keep watch over size of dominant follicle and its release date ( it must attain 19-20 mm ) . Sex on these days on regular basis from 13th to 15th days. If ovulation does not occur, a 2nd course of 100 mg for 5 days may be used as commencing as early as 30 days after the previous therapy. Further treatment may not be recommended if pregnancy has not occurred after a total 6 treatment cycles . Glucophage 1500 mg you can take but in my opinion diane 35 ( cyproterone +ethinylestradiole ) tablet don t use it. 2 Also get in SEMEN analysis of your husband . Hope these measures will be helpful for you.