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Suggest Treatment For PCOD And Fibroids
Question: Hello doctor..I am 31 yrs old married women..I am trying for a baby from last two years.When I had started for trying after two months it's July 2015, my periods was missed but pregnancy test was negative too...Then after medical check up I got to know that I am suffering from PCOD. after that till October 2014 I took Diane contraceptive for PCOd and then start trying again..but still not success..I tried III once ..that was also failed. now it's being Two years. I have a fibroids too of 26 cm at wall of uterus..My doctor suggested me for mymoctomy now...but after years of medication I still found PCOd in my reports which I am not understand why..during PCOD I can not get pregnent..Why PCOd is still remain same..it is the first problem and still I am facing after years now.
Plz find attached reports of mine.
Plz find attached reports of mine.
Brief Answer:
Myomectomy not needed in your case
Detailed Answer:
Hi dear,
I have gone through your questions and understand your concerns.
I have reviewed the reports and the prescription papers.
It shows bilateral polycystic ovaries. PCOS is a hormonal disturbance which leads to polycystic ovaries, irregular or no ovulation and hence infertility.
It do not resolves completely in the long run. Metformin is the drug improves the insulin resistance, helps in improving the hormonal profile and assists conception in PCOS patients.
The follicular study shows dominant follicle in the left ovary, which a sign that ovulation can occur in this ovary by giving hCG hormones, which assists in ovulation of a dominant follicle.
The fibroids in the uterus are very small and not in that location which are likely to affect the chances of conception. In this situation, myomectomy is not needed at all. Unnecessary myomectomy can lead to disruption of the uterine cavity further decreasing any chances of pregnancy.
Conception in PCOS patients can be achieved in a stepwise manner, the subsequent step to be followed when the previous one fails:
1. Ovulation induction with drugs.
2. IUI with Ovulation induction.
3. IVF
I will suggest you to discuss with your doctor the above options along with metformin to help you get pregnant.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Myomectomy not needed in your case
Detailed Answer:
Hi dear,
I have gone through your questions and understand your concerns.
I have reviewed the reports and the prescription papers.
It shows bilateral polycystic ovaries. PCOS is a hormonal disturbance which leads to polycystic ovaries, irregular or no ovulation and hence infertility.
It do not resolves completely in the long run. Metformin is the drug improves the insulin resistance, helps in improving the hormonal profile and assists conception in PCOS patients.
The follicular study shows dominant follicle in the left ovary, which a sign that ovulation can occur in this ovary by giving hCG hormones, which assists in ovulation of a dominant follicle.
The fibroids in the uterus are very small and not in that location which are likely to affect the chances of conception. In this situation, myomectomy is not needed at all. Unnecessary myomectomy can lead to disruption of the uterine cavity further decreasing any chances of pregnancy.
Conception in PCOS patients can be achieved in a stepwise manner, the subsequent step to be followed when the previous one fails:
1. Ovulation induction with drugs.
2. IUI with Ovulation induction.
3. IVF
I will suggest you to discuss with your doctor the above options along with metformin to help you get pregnant.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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