Brief Answer:
PCOS first, Then further management, yes for depo
Detailed Answer:
Good day Miss PinkyBeany!
Thank you for asking.I am Dr S Khan and i would like to help you with your concern for getting pregnant.
Miss PinkyBeany i want you to know that Depo provera has a half life of 50 days and until it is out of your system, the odds for pregnancy are pretty low. one depot shot is for 3 to 6 months and pregnancy gets possible after 6 months of the shot but still hard to conceive for next few months, Its game of hormones and medroxyprogesterones that abundant are not friendly with conception.
Now another obstacle for the conception is the PCOS. Unless you treat this trouble for good, odds for pregnancy stays too low.
Losing weight would be a good start.But by natural means and avoiding cheap publicity stunts and even lipid lowering agents like statins in high doses.
Then modifying diet and using fiber; decreased refined carbohydrates, trans fats, and saturated fats; and increased omega-3 and omega-9 fatty acids,omega 3 fatty acids and vitamin d supplementation is next.
Then ADA diet for diabetics with metformin is next.
Following options you need to discuss with your doctor for PCOS treatment
Oral
contraceptive agents (eg,
ethinyl estradiol, medroxyprogesterone)
Antiandrogens (eg,
spironolactone, leuprolide, finasteride)
Hypoglycemic agents (eg, metformin, insulin)
Selective estrogen receptor modulators (eg, clomiphene citrate)
Topical hair-removal agents (eg, eflornithine)
Topical acne agents (eg,
benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%,
sodium sulfacetamide topical 10%)
If above methods fail, last resort at restoring ovulation would be surgical intervention like
Electrocautery
Laser drilling
Multiple biopsy etc
Remember In PCOS even if you conceive you will be at increased risk for
gestational diabetes, preeclampsia, cesarean delivery, and preterm and postterm delivery. In addition, your newborns will be at increased risk of being large for
gestational age, but they will not be at increased risk of stillbirth or neonatal death.
So my advice is first get rid of PCOS by doing as directed by your gynecologist.And then seeking a fertility consultant for further management.
Miss pinky bean hope it helps.Take good care of your self and have a good day.Dont forget to close the discussion please.
Regards
Khan