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Suggest Treatment For Difficulty In Conceiving When Diagnosed With PCOD
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Question: hi, im trrying to conceive since last 10 months,and I am having PCOD, stil my periods are regular but long 35 day cycle. my doctor adviced me to take duphaston 10mg frm day 5 till day 25. Can you tel me whether this will stop my ovulation? normally I see ppl taking it from 15th day or so, but my doctor advice me to take for 21 days from day 5. I don't know the exact reason behind this
Also, last month as adviced I took this medicine from day 5 and I got my periods on 18th day itself.
Also, last month as adviced I took this medicine from day 5 and I got my periods on 18th day itself.
Brief Answer:
Explained.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Duphaston will not stop your ovulation.
It will just help to regulate your periods.
Normally it is taken from day 15 onwards, to support the embryo in case you conceive.
But even if it is taken from day 5 to regulate your cycles, it will not suppress ovulation.
It is better however to take it from 15th to 25th day of your cycle, as even 10 days of dosage will suffice to regulate cycles, and to support the baby in case you conceive.
The medication has nothing to do with an early period, except if you missed a pill or two, or stopped it abruptly.
All the best
Please feel free to discuss further.
Explained.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Duphaston will not stop your ovulation.
It will just help to regulate your periods.
Normally it is taken from day 15 onwards, to support the embryo in case you conceive.
But even if it is taken from day 5 to regulate your cycles, it will not suppress ovulation.
It is better however to take it from 15th to 25th day of your cycle, as even 10 days of dosage will suffice to regulate cycles, and to support the baby in case you conceive.
The medication has nothing to do with an early period, except if you missed a pill or two, or stopped it abruptly.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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Hello Doctor,
THank you for your quick response.
To add more details, to it,this is the 2nd cycle I am taking duphaston and today is my 16th day, and again i got my periods today.
not sure why this is happening to me since last 2 months.
I did nt face this problem before having duphaston.
Also, before taking duphaston I was adviced to take chlome 10 mg medicine and did folicular study also,the follicular size growth was fine,
so on 18th day after size growth i was given an injection for ovultion( even though ovulation happens in my case with out injection, but on 19th or 20 day only as my cycle is 35 day long cycle)
so next day when we checked the follicule had ruptured everything seemed to be fine, but stil I could not conceive.
This happend for 2 months.and 2nd month i took chlome 50 mg
As this method did not work out, now my doctor has adviced me to stop chlome and take duphaston from next cycle.
Can you advice more on this regarding the treatment..or any indication which is stoping me from conceiving,
or any other medicine or treatment tht can help me conceive.
I did all possible tests, also the fallopian tube ttest is done.that is normal.
Also based on my above 4 months cycle history any idea why i am geting my periods on 18th day itself for last 2 months
(Note--last 2 months i am having duphaston 5mg)
THank you for your quick response.
To add more details, to it,this is the 2nd cycle I am taking duphaston and today is my 16th day, and again i got my periods today.
not sure why this is happening to me since last 2 months.
I did nt face this problem before having duphaston.
Also, before taking duphaston I was adviced to take chlome 10 mg medicine and did folicular study also,the follicular size growth was fine,
so on 18th day after size growth i was given an injection for ovultion( even though ovulation happens in my case with out injection, but on 19th or 20 day only as my cycle is 35 day long cycle)
so next day when we checked the follicule had ruptured everything seemed to be fine, but stil I could not conceive.
This happend for 2 months.and 2nd month i took chlome 50 mg
As this method did not work out, now my doctor has adviced me to stop chlome and take duphaston from next cycle.
Can you advice more on this regarding the treatment..or any indication which is stoping me from conceiving,
or any other medicine or treatment tht can help me conceive.
I did all possible tests, also the fallopian tube ttest is done.that is normal.
Also based on my above 4 months cycle history any idea why i am geting my periods on 18th day itself for last 2 months
(Note--last 2 months i am having duphaston 5mg)
Brief Answer:
Need few more clarifications.
Detailed Answer:
Are you taking Duphaston 5 mg or Duphaston 10 mg ?
What is your height and weight ?
Have you got your husband's semen analysis test done ?
What test has been done to ascertain patency of fallopian tubes ?
Can you upload all tests that have been done so far please ?
Please respond to these queries so that I can guide you in a better manner .
Need few more clarifications.
Detailed Answer:
Are you taking Duphaston 5 mg or Duphaston 10 mg ?
What is your height and weight ?
Have you got your husband's semen analysis test done ?
What test has been done to ascertain patency of fallopian tubes ?
Can you upload all tests that have been done so far please ?
Please respond to these queries so that I can guide you in a better manner .
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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I am taking Duphaston 10 mg.
My weight is 57 kg, height is 5feet 3 inches
Yes the test has been done normal ,the sperm count is 90million/ml
we did HSG test, result was normal and basically there was no blockages.
In month of Feb, I had taken clome 50 mg and simultaneously did follicular study.
size of follicle on 17th day was 2.07 * 1.29 cm in right ovary.It got ruptures on 18th day.
Same process was followed in March month also with clome 100 mg.
As above method did not work out, I was advised to take duphaston 10 mg from 5th day till 25 th day but i got my periods on 18th itself In April month cycle as well as May month.
In April month cycle I did a transvaginal scan on 2nd day of my cycle and right ovary had a dominant follicle of 1.6 * 1.7 cm based on which my doctor advised me to take Duphaston 10 mg from 5th day.
My weight is 57 kg, height is 5feet 3 inches
Yes the test has been done normal ,the sperm count is 90million/ml
we did HSG test, result was normal and basically there was no blockages.
In month of Feb, I had taken clome 50 mg and simultaneously did follicular study.
size of follicle on 17th day was 2.07 * 1.29 cm in right ovary.It got ruptures on 18th day.
Same process was followed in March month also with clome 100 mg.
As above method did not work out, I was advised to take duphaston 10 mg from 5th day till 25 th day but i got my periods on 18th itself In April month cycle as well as May month.
In April month cycle I did a transvaginal scan on 2nd day of my cycle and right ovary had a dominant follicle of 1.6 * 1.7 cm based on which my doctor advised me to take Duphaston 10 mg from 5th day.
Brief Answer:
As below.
Detailed Answer:
Okay, then you should be taking Duphaston 10 mg from 15th to 25th day of cycle, as this dosage currently is not suiting you, and is inducing early and irregular cycle.
Also, on day 2 of cycle, 16 by 17 cm follicle means basically an ovarian cyst, it is not a dominant follicle.
And to resolve such type of cyst, OC pills should be given for 2 months, or sometimes, it disappears on its own also.
Basically right now, on day 2 of your cycle, go for scanning and let me know the results.
You can go for maximum 2 - 3 more cycles of Clomiphene, and then if that fails, you need to consider IUI / IVF.
You can contact me directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
As below.
Detailed Answer:
Okay, then you should be taking Duphaston 10 mg from 15th to 25th day of cycle, as this dosage currently is not suiting you, and is inducing early and irregular cycle.
Also, on day 2 of cycle, 16 by 17 cm follicle means basically an ovarian cyst, it is not a dominant follicle.
And to resolve such type of cyst, OC pills should be given for 2 months, or sometimes, it disappears on its own also.
Basically right now, on day 2 of your cycle, go for scanning and let me know the results.
You can go for maximum 2 - 3 more cycles of Clomiphene, and then if that fails, you need to consider IUI / IVF.
You can contact me directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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Hello Doctor,
As mesntioned in above dsicussion on 18th day itself I got my periods and
Today is my 2nd day and took a scan.
I got the result as :-the right ovary measures 3.3*3.7*2.1cm and has multiple antral follicles.
left ovary measures 2.9*2.9*1.8cm and normal
and right ovary is poly cystic.
Now, based on above test result and my other background details in previous chats, can you suggest me what medicine or treatment can be taken for current month.
In case I need to take OC pill, then can you suggest me the pill name.
Also, I have almost completed my 3 years of marriage..so I am counting everymonth.so myself and my husband are very anxious
about baby.
Also, as per your method of treatment,can you suggest some doctor here in XXXXXXX as face to face discussion will help me better.
As mesntioned in above dsicussion on 18th day itself I got my periods and
Today is my 2nd day and took a scan.
I got the result as :-the right ovary measures 3.3*3.7*2.1cm and has multiple antral follicles.
left ovary measures 2.9*2.9*1.8cm and normal
and right ovary is poly cystic.
Now, based on above test result and my other background details in previous chats, can you suggest me what medicine or treatment can be taken for current month.
In case I need to take OC pill, then can you suggest me the pill name.
Also, I have almost completed my 3 years of marriage..so I am counting everymonth.so myself and my husband are very anxious
about baby.
Also, as per your method of treatment,can you suggest some doctor here in XXXXXXX as face to face discussion will help me better.
Brief Answer:
Can take clomiphene this month
Detailed Answer:
SO this month you are not having any big cyst .
So you can take Clomiphene this month too, and go for follicular monitoring.
Just take Duphaston from day 15 onwards, after the follicle rupture is confirmed, do not take it from day 5 onwards .
You can try for 3 more cycles this way.
After that, you will have to consider IUI / IVF.
Can take clomiphene this month
Detailed Answer:
SO this month you are not having any big cyst .
So you can take Clomiphene this month too, and go for follicular monitoring.
Just take Duphaston from day 15 onwards, after the follicle rupture is confirmed, do not take it from day 5 onwards .
You can try for 3 more cycles this way.
After that, you will have to consider IUI / IVF.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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Hello Doctor,
Thank you for your response.
I need few more clarifications:-
1) Can you tel me how much mg clome I need to take.
In feb i had clome 50 mg and maarch i had clome 100 mg
2) Duphaston after ovulation for how many days I need to consume.
3) Most importantly I am hesitating little bit to have clome, as my last 2 cycles were not regular.
I need not take any OC pill, or any other pill for regularisation?can I directly go ahead with clome?
4)If possible can you refer soem doctor in XXXXXXX who is on same lines like that of your treatment,
so that I can meet him/her face to face
Thank you.
Thank you for your response.
I need few more clarifications:-
1) Can you tel me how much mg clome I need to take.
In feb i had clome 50 mg and maarch i had clome 100 mg
2) Duphaston after ovulation for how many days I need to consume.
3) Most importantly I am hesitating little bit to have clome, as my last 2 cycles were not regular.
I need not take any OC pill, or any other pill for regularisation?can I directly go ahead with clome?
4)If possible can you refer soem doctor in XXXXXXX who is on same lines like that of your treatment,
so that I can meet him/her face to face
Thank you.
Brief Answer:
You can take one cycle of rest in between.
Detailed Answer:
You can try 1 cycle with clome 50 mg, and then 2 more with clome 100 mg.
Also, after ovulation, Duphaston can be taken for 15 days.
It is better to take tablets like Susten, Naturogest etc ( different and better formulations of progesterone ) instead of Duphaston.
They can be taken as vaginal tablets or vaginal gel.
See, your priority is to conceive, and if you take OC pills, you will lose another 2 - 3 months.
As such with PCOS., cycles will be irregular, so it is better not to focus on that, but to try and ovulate and get pregnant as soon as possible.
One option is to take nothing, no hormones at all ( no Clome , no OC pills ) and to take one natural rest cycle.
If you wish you can have scanning to know if you are ovulating naturally.
And then you can take Clome from next month, after one month of natural rest cycle.
I am not personally aware of any doctor in XXXXXXX since I am currently in XXXXXXX but there are excellent centres of medical care in XXXXXXX and you can ask your friends or local doctors for good names out there.
Dr. Kurien XXXXXXX ( XXXXXXX Nursing Home ) is one person who has a great reputation across the country, you can check this link -
http://www.justdial.com/Chennai/Dr-Kurian-Joseph-A-%3Cnear%3E-Near-Taylors-Road-Chetpet/044PXX44-XX44-0000-K6K6_BZDET
Again I have not dealt with him personally, but he has a great reputation amongst gynecologist worldwide.
You have the direct link to my profile also, you can click that and post a direct question to me anytime you wish to !
Have a great day, and lots of prayers for a pregnancy soon enough !
You can take one cycle of rest in between.
Detailed Answer:
You can try 1 cycle with clome 50 mg, and then 2 more with clome 100 mg.
Also, after ovulation, Duphaston can be taken for 15 days.
It is better to take tablets like Susten, Naturogest etc ( different and better formulations of progesterone ) instead of Duphaston.
They can be taken as vaginal tablets or vaginal gel.
See, your priority is to conceive, and if you take OC pills, you will lose another 2 - 3 months.
As such with PCOS., cycles will be irregular, so it is better not to focus on that, but to try and ovulate and get pregnant as soon as possible.
One option is to take nothing, no hormones at all ( no Clome , no OC pills ) and to take one natural rest cycle.
If you wish you can have scanning to know if you are ovulating naturally.
And then you can take Clome from next month, after one month of natural rest cycle.
I am not personally aware of any doctor in XXXXXXX since I am currently in XXXXXXX but there are excellent centres of medical care in XXXXXXX and you can ask your friends or local doctors for good names out there.
Dr. Kurien XXXXXXX ( XXXXXXX Nursing Home ) is one person who has a great reputation across the country, you can check this link -
http://www.justdial.com/Chennai/Dr-Kurian-Joseph-A-%3Cnear%3E-Near-Taylors-Road-Chetpet/044PXX44-XX44-0000-K6K6_BZDET
Again I have not dealt with him personally, but he has a great reputation amongst gynecologist worldwide.
You have the direct link to my profile also, you can click that and post a direct question to me anytime you wish to !
Have a great day, and lots of prayers for a pregnancy soon enough !
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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