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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for infertility problem

Hi Doctors,

I am 29 year old, 5.4, 67 kg. married since a year and trying to conceive. I have been tracking my periods since a year this is the status -
I have skipped my periods for a month if I do not take Primolut N tablets. Hence, I have a tendency to take 5 tablets to induce periods regularly on a monthly basis. Last period that I got on tablets was 14th April 2011. Then I stopped the tablets and started herbal medicine (Angus Castus). Checked my ovulation using OPK and also monitored my cervical mucus. Got ewcm on 13th May morning, hence we had unprotected sex on 13th May night. I must highlight that my LH hormone was not high enough to be detected on OPKs as I would get only faint lines, hence went with the more traditional method of ewcm.

I have not got my periods since 14th April. I took hpt at 14dpo, 18dpo and 20dpo – considering 13th May as my day of ovulation. I have got –ve hpt, but ever since 13th may, I have experienced sinus problems, feel more tired than normal pms, feel tingly sensation on my lower abdomen, feel constipated, want to sleep all the time.

I am in UK and I approached my GP who suggested FMU to be tested. I have a history of cystic ovaries (as a child since I got my periods at the age of 11 – I was in India at that time). Its hard to get hold of gyno here and I am unable to convince my GP to get my harmones checked and do sonography to check my cysts (if I have them). GPs here tend to follow a process and unless I do not tick all boxes for their procedure, I will not get appointment with the gyno.

Sorry about the long story – but please can you help me. Much Much appreciated. Many Thanks!
Mon, 9 Nov 2015
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OBGYN 's  Response
Hi
Dr. Purushottam welcomes you to HCM virtual clinic!
Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.
1] Please do not panic.
2] from your history it appears that you have PCOS condition, leading to irregular cycles that makes you to induce periods with primolut N.
3] As you have noted ovulation day as 13th May, I will suggest you to do Urine tests after 27th May.
4] Because it is 14 days after ovulation you will get your periods or miss it if you are pregnant, so perform urine test only after 27 th May, if you don't get your periods.
5] As far as PCOS is considered have healthy diet pattern. And regular exercise regime. Avoid deep fried foods, bakery products and refined sugars. Have plenty of fruits , vegetables and salads in your diet.
I hope my answer helps you.
Thanks.
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