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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Chances Of Pregnancy While Being On Metformin And Duphaston For PCOS?

I want to get pregnant but I have PCOS. My ob-gyne recommended metformin and duphaston to regulate my menstrual cycle and I've been taking it for two months. HOwever, I am having breakthrough bleeding and my cycle is short (only 21 or 22 days since I started taking the medicines). I'd like to know what are the chances of me getting pregnant and how long should I take treatments?
Tue, 31 Jan 2017
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OBGYN 's  Response
Hi ,
Let me start by saying PCOS has a high chance of pregnancy.
By using hormone pills you are treating the symptoms not the cause.
That extra pad of fat around the mid-segment of body is responsible for the hormonal imbalance & no ovulation.
Your weight(Kg) should be Height in cms -100.
Have regular controlled diet, low calories diet, No junk food . NO FASTING.
Have regular exercise, especially for the mid-segment of body.
Kindly check if Thyroid profile & Serum Prolactin levels are normal.
Take Metformin , which helps in ovulation & also reduce weight.
Not only the chances of pregnancy increase , also chances of abortions reduce after fat reduction. Some docs advise Laparoscopic ovary drilling, but better avoided , as it will reduce lots of healthy eggs from ovaries.
In the meantime confirm your tubes are patent - by HSG ( X-ray with dye ) or SSG( scan with dye) or laparoscopy. Husband's semen analysis
After getting regular periods ,try for 6-8 mths without medications. If still negative try Ovulation induction medicines as Tablets +/- injections
All the best, be patient, everything has a time
Dr.Balakrishnan
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What Are The Chances Of Pregnancy While Being On Metformin And Duphaston For PCOS?

Hi , Let me start by saying PCOS has a high chance of pregnancy. By using hormone pills you are treating the symptoms not the cause. That extra pad of fat around the mid-segment of body is responsible for the hormonal imbalance & no ovulation. Your weight(Kg) should be Height in cms -100. Have regular controlled diet, low calories diet, No junk food . NO FASTING. Have regular exercise, especially for the mid-segment of body. Kindly check if Thyroid profile & Serum Prolactin levels are normal. Take Metformin , which helps in ovulation & also reduce weight. Not only the chances of pregnancy increase , also chances of abortions reduce after fat reduction. Some docs advise Laparoscopic ovary drilling, but better avoided , as it will reduce lots of healthy eggs from ovaries. In the meantime confirm your tubes are patent - by HSG ( X-ray with dye ) or SSG( scan with dye) or laparoscopy. Husband s semen analysis After getting regular periods ,try for 6-8 mths without medications. If still negative try Ovulation induction medicines as Tablets +/- injections All the best, be patient, everything has a time Dr.Balakrishnan