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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why He Gave Contraceptive While Trying To Conceive?

hiii doctor m 24 yrs old, 3 yrs old married girl I was suffering from pcos n my doctor gave me 3 month course of elestra with y cyst m now my cycle is regular from last 2 months we are trying for conceive with diva hmg n hcg 1000 inj n my follicle ruptured in both past cycle but not conceived so doctor suggested me LEVO E this month.. my question is why he gave me contraceptive this month?
Mon, 30 Jan 2017
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OBGYN,  's  Response
Hi ,
Nice to hear that you had ovulation with those injections .
When you are stimulated with hormones you get multiple follicles. Especially when you have PCOD, you may produce 5-10 follicles at a time. All these may not rupture, only biggest of these would have ruptured. The remaining
un-ruptured follicles stay on for some time & keep producing hormones & it may affect your cycle & hence may affect follicular output of next cycle.
By using contraceptive pills doctor is suppressing those unwanted hormones, suppressing those unruptured follicles & after this suppression next cycle when stimulation is done you will get better & healthier follicles. This is called Hormonal Down-regulation.
All the best
Dr.Balakrishnan
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Why He Gave Contraceptive While Trying To Conceive?

Hi , Nice to hear that you had ovulation with those injections . When you are stimulated with hormones you get multiple follicles. Especially when you have PCOD, you may produce 5-10 follicles at a time. All these may not rupture, only biggest of these would have ruptured. The remaining un-ruptured follicles stay on for some time & keep producing hormones & it may affect your cycle & hence may affect follicular output of next cycle. By using contraceptive pills doctor is suppressing those unwanted hormones, suppressing those unruptured follicles & after this suppression next cycle when stimulation is done you will get better & healthier follicles. This is called Hormonal Down-regulation. All the best Dr.Balakrishnan