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Suggest Ways To Conceive When Having PCOS

Posted on Tue, 3 Feb 2015

Question: Hello, I am having PCOS and I am planning for a baby. Last I had my periods on 29th of Nov. 2014, after that I have not got my periods yet. I tried with pregnancy test, but those are negative, now what should I do now?

Answered by Dr. Soumya (7 minutes later)

Brief Answer:
Please provide details

Detailed Answer:
Hello,

I understand your concerns about having PCOS and trying for pregnancy with negative results.

Before answering your question in detail, i require some additional information:

1) Do you have delayed periods everytime ? What is the average duaration and frequency of your menstrual cycles ?

2) Attach copy of semen analysis of your husband.

3) Have you undergone any blood tests, HSG or laparoscopy? Please attach reports if you have. You have a feature to upload the reports by yourself on the right side of this query page. Please utilize it.

Above information will help me in analysis of your problem better before answering.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Soumya (22 minutes later)

Hi Doctor, Thanks for your reply. I have been using regestrone to get the periods, for nearly one year. What used to happen was I took medicines for around 3-4 months, and then in 5th month periods used to occur naturally. Before that I used to get periods without any medicine in duration of 45 days or so. I had 3 tablets regestrone starting from 20th of nov, and got my periods on 29th. after that I did not use any pills as I am planning to conceive. Neither I nor my husband under went any of test, so I do not have any reports to be attached. My weight is nearly 65 kgs, and my height is 5'2'' inches. Do I have chances to conceive naturally? What will you suggest me now?

Answered by Dr. Soumya (9 minutes later)

Brief Answer:
You have chances to conceive naturally

Detailed Answer:
Hi
Thanks for information.

You need some basic tests and follow advise I have mentioned below as you are 29 years and have PCOS.

1) Please get semen analysis of your husband.

2) Get HSG ( hysterosalpingogram) for yourself to know if tubes are open.

3) You need to get regular follicular growth scan done to know growth of follicles. When follicles reaches 18 mm ( since this is delayed in PCOS), you have to start trying.

4) You have to lose weight of about 10 kg by regular exercise and diet. Losing weight will regularize your cycles and also increase chances of pregnancy 2 to 3 times.
5) You have good chances of conception. Please follow above advise.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Soumya (17 minutes later)

Would you recommend me to start taking periods tablet once again or shall I wait it to occur naturally? and if yes, then which one?

Answered by Dr. Soumya (5 minutes later)

Brief Answer:
Wait

Detailed Answer:
Hi

I suggest you to wait. If you are having a delayed implantation, you might be pregnant. Hence I suggest wait without medicines for periods to occur naturally.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Soumya (2 hours later)

Hi Doctor, Thanks for your explanation. Can you please elaborate what is delayed implantation, for my better understanding

Answered by Dr. Soumya (4 minutes later)

Brief Answer:
Delayed implantation explained

Detailed Answer:
Hi,

If ovulation is delayed, it leads to delayed fertilization and implantation. If normal ovulating woman ovulates on 14th day , you might ovulate after 20th day. This leads to delay in periods and possible pregnancy chances. Hence if the ovulation has occurred late, pregnancy might occur late.

If your ovulation and fertilization are delayed, there is possibility of delayed implantation and hence delayed positive in pregnancy test

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju