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What Are The Chances Of Pregnancy When Having PCOD?
Question: Dear Dr. Sree Gouri SR. I am 28 years old and got married last year (Aug 14). I am planning to start a family. Let me bring to your knowledge that mine is a border line PCOD case . Have been under going medical treatment for last 2 yrs approx (was consuming Krimson 35, Cetapin XR 500 n Evion - 600 vitamin). After marriage got a few tests done (Blood test and lower abdomen ultra- sonography). Doctor says the uterus is fine n no sign of any cyst.
Presently am consuming (as per doctor's advice) Duphaston 10 mg (from the 17th day of my cycle) and continuing with Cetapin 500 n Folvite (Folic Acid). Have been trying since December 14 but have not been able to conceive yet.
Kindly advise what steps should i take up now. Am anxious And am bit concerned that these prolonged medication will it affect me in any way and what steps should i take in order to avoid any future concerns.
Presently am consuming (as per doctor's advice) Duphaston 10 mg (from the 17th day of my cycle) and continuing with Cetapin 500 n Folvite (Folic Acid). Have been trying since December 14 but have not been able to conceive yet.
Kindly advise what steps should i take up now. Am anxious And am bit concerned that these prolonged medication will it affect me in any way and what steps should i take in order to avoid any future concerns.
Brief Answer:
Better to go for ovulation induction drugs
Detailed Answer:
Hi XXXXXXX
Thanks for the query.
I understand your concern.
Poly cystic ovary syndrome presents with symptoms like irregular menstrual cycles, anovulation, insulin resistance, excess growth of hair on face etc due to gonadal hormonal imbalance, excess androgen levels.
If hormonal imbalance is severe that can lead to infertility.
By decreasing the weight and taking treatment with insulin sensitizers, hormonal pills etc, severity of PCOD can be decreased to some extent.
As you have taken hormonal pills in format of Krimson 35 and cetapin XR as insulin sensitizer, there drugs might have decreased the severity of PCOD and at present you are having no cysts in ovaries.
Now as you are not able to conceive naturally since December, better to go for ovulation induction drugs.
By taking ovulation induction drugs between 2nd and 6th day of menstrual cycle and undergoing follicular studies by ultrasound from 11th day of cycle, the time of ovulation can be correctly estimated and intercourse can be planned during that period.
This will increase the possibility of pregnancy.
Better to check the seminal parameters of your husband to rule out male factor abnormalities.
Folic acid tablets are recommended from three months before expected pregnancy. So, you can continue them.
You can prefer natural micronized progesterone tablets and can stop cetapin once you conceive.
Hope I have answered your query. I will be available to answer follow up queries.
Take care.
Better to go for ovulation induction drugs
Detailed Answer:
Hi XXXXXXX
Thanks for the query.
I understand your concern.
Poly cystic ovary syndrome presents with symptoms like irregular menstrual cycles, anovulation, insulin resistance, excess growth of hair on face etc due to gonadal hormonal imbalance, excess androgen levels.
If hormonal imbalance is severe that can lead to infertility.
By decreasing the weight and taking treatment with insulin sensitizers, hormonal pills etc, severity of PCOD can be decreased to some extent.
As you have taken hormonal pills in format of Krimson 35 and cetapin XR as insulin sensitizer, there drugs might have decreased the severity of PCOD and at present you are having no cysts in ovaries.
Now as you are not able to conceive naturally since December, better to go for ovulation induction drugs.
By taking ovulation induction drugs between 2nd and 6th day of menstrual cycle and undergoing follicular studies by ultrasound from 11th day of cycle, the time of ovulation can be correctly estimated and intercourse can be planned during that period.
This will increase the possibility of pregnancy.
Better to check the seminal parameters of your husband to rule out male factor abnormalities.
Folic acid tablets are recommended from three months before expected pregnancy. So, you can continue them.
You can prefer natural micronized progesterone tablets and can stop cetapin once you conceive.
Hope I have answered your query. I will be available to answer follow up queries.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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