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Suggest Treatment For Difficulty In Getting Pregnant Due To PCOD

Posted on Mon, 7 Sep 2015

Question: Hi My wife(28 yrs,Wt :71kgs,Hgt 5.4f) is recently(11August 2015) diagnosed with epilepsy initial level(2mnts Fatigue & saliva from mouth) and neurologist has prescribed oxetol 300mg 1-0-1 and Folic Acid .CT scan /MRI are normal.In ultrasound test done in November 2014 she was identified with PCOD and she is having the following SYMPTOMS-PERIODS WILL COME WITH A DIFFERENCE OF Two TO THREE DAYS EVERY MONTH, & SHE ONLY BLEED PROPERLY ON THE FIRST DAY AND FROM 2ND DAY IT ALMOST STOPS ? SHE USUALLY FORGOT LOT OF THINGS VERY EASILY.HAIR FALL AND BLACK SPOTS LIKE STUFF ON HER FACE AND DOCTOR SAID IT IS DUE TO PCOD.SHE USUALLY GET SLEEP VERY EARLY LIKE 7:30 OR 8:30PM ITSELF.SHE WILL USUALLY GET TIERED EASILY WITHOUT ANY BIG TASKS. We have stated trying for pregnancy from last 3 mnths but she didn't get and the doctor said she need to take medications for PCOD then she will get pregnancy.now she is having epilepsy and she is under oxotel -300mg /2 tabs per day can we try for pregnancy? will there be any side effects? the neurologist who we spoke about epilepsy said he never find any issues with this.is this true? Current Medications: OROFER-xT AND MICRO d3 AS ADVISED BY GYNECOLOGIST .INITIALLY(9 months back) her serum IRON AND VITAMIN D3 AT SINGLE DIGITS NOW ALL ARE WITH IN THE RANGE.now she started oxetel 300mg .DOES SHE NEED TO UNDER GO ANY BLOOD & PHYSICAL TESTS FOR PREGNANCY like Ovulation Scan etc? ALL MY TESTS ARE IN NORMAL RANGE. i request you to give a brief advice for my query?

Answered by Dr. Dr. Rakhi Tayal (58 minutes later)

Brief Answer:
Oxetol should not be used during pregnancy.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The delay in conception is due to PCOD. She needs treatment for this. She can continue taking orofer and D3. It will also increase the blood flow during periods.
Tests like ovulation study are needed after taking the ovulation inducing drugs. Do get these prescribed from her gynecologist.
She should stop taking Oxetol while trying for pregnancy and even during pregnancy. This can cause fetal malformations. It is best to ask yoru neurologist to give her a safer drug.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (3 hours later)

Hi Mam,Regarding this we met Dr XXXXXXX XXXXXXX DM neurologist and he is from Kamineni Hospitals XXXXXXX We had a same question we have asked weather it is safe while pregnancy or not and he said very clearly that it is safe and there is no problems recorded till date,we can use it.but he again said to interact a gynecologist for a proper advice.Now my question is weather it is safe or not.if not what exact problems will face ? what is your suggestions ? what we have to do now?

Answered by Dr. Dr. Rakhi Tayal (5 minutes later)

Brief Answer:
It can cause structural defects in baby.

Detailed Answer:
Hello.
Thanks for writing again.
Use of oxetol during pregnancy can cause fetal structural abnormalities and other manifestations of developmental toxicity (embryolethality/ fetal death, growth retardation). Such side effects are seen with all the anti epileptic drugs. The only way is to reduce the doses to minimum required doses, continue taking folic acid and plan for pregnancy.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (3 hours later)

if we have to go for ovulation Ultrasound scan which is the right time.right now she is having periods and she is on 4 th day.

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
From day 11.

Detailed Answer:
For ovulation studies, an ultrasound scan is done from day 11 every alternate day till there is a rupture of the follicle. It is done on day 11, 13, 15, 17 and 19.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (10 hours later)

Hi Mam

In this case why my wife is not getting pregnancy ? do she has to undergo any other tests? if yes what are all the test to be done to find out the reason.kindly revert.

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
Due to PCOD.

Detailed Answer:
The delay in pregnancy is due to PCOD. It does not cause a proper ovulation. She needs to monitor for ovulation by ovulation studies and cosult an infertility specialist for proper treatment and conception.
Regards.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar