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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Infertility In Women With Irregular Periods?

helo sir i m 24 yrs old, 76 is my weight and height is 5.8. i m trying to concieve from last 5 months but still badluck...i have irregular periods, without any medicine my periods are never on time. i also have excess hairs on body. my all reports including TSH,FSH,LH,prolactin,USG all are normal excpet DHEA but doctor says that this does not do anything with concieving. From last two months i m also taking duphaston on day 5 of my period to 20 days and also taking PROLAFIN for first 5 days of my period but as i told u still badluck...my husband serum test is good..dr says that there can b a possibility of PCOS inspite of all the tests are fine...so just guide me wat can be the possibility of infertility and wat is the solutuion... thanks
Mon, 6 Apr 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi, I have gone through your question and understand your concerns. Irregular periods, excessive hair on the body and increased DHEAS level is suggestive of polycystic ovarian disease. In this condition, there is infrequent or no ovulation and hence there is infertility.
The first line of management in PCOS is ovulation induction and prolafin is ovulation induction drug which you are taking.It has a success rate of 35-40% in each cycle, and can be taken for 6 cycles continously.
Duphastone is progesterone which supports the pregnancy by making uterine environment more favourable for conception.
I would suggest you to take the treatment as advised by your doctor and if you fail to conceive in 6 months, then do go for intrauterine insemination.
Hope you found the answer helpful.
Wishing you good health.
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What Causes Infertility In Women With Irregular Periods?

Hi, I have gone through your question and understand your concerns. Irregular periods, excessive hair on the body and increased DHEAS level is suggestive of polycystic ovarian disease. In this condition, there is infrequent or no ovulation and hence there is infertility. The first line of management in PCOS is ovulation induction and prolafin is ovulation induction drug which you are taking.It has a success rate of 35-40% in each cycle, and can be taken for 6 cycles continously. Duphastone is progesterone which supports the pregnancy by making uterine environment more favourable for conception. I would suggest you to take the treatment as advised by your doctor and if you fail to conceive in 6 months, then do go for intrauterine insemination. Hope you found the answer helpful. Wishing you good health.