HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes Polycystic Ovaries?

Posted on Tue, 28 Apr 2015

Question: I have been to see fertility specialist. She suspects I have polycystic ovaries and hence do not ovulate.

I have had vaginal swabs and an internal examination today. She has done a pregnancy test which is negative. She has arranged an ultrasound scan and hsg to be done. Also bloods on day 2 of next cycle bloods requested are serum FSH, lh, e2

My bmi is 45 and she wants it down to 30 before commencing any type of treatment which she said will probably be tablets to make me ovulate.

Can I still get pregnant with polycystic ovaries if I ovulate some months?
What is a hsg and does it hurt?
Husband also has to produce a semen test I am going to have to talk him round and be persuasive.

I am worried if I don't lose weight I will never get pregnant. Clearblue fertility monitor in the past has shown ovulation and some months no ovulation do you think I could keep try to use this.

If I lose weight can I reverse things naturally and start to ovulate?

Answered by Dr. Mahesh Koregol (27 minutes later)

Brief Answer:
Weight loss surely helps

Detailed Answer:
Hi

Its good to know that finally you saw fertility specialist.

Yes. Loosing weight will help you to ovulate and be pregnant naturally also.

HSG is not very painful. Please get it done. Semen analysis is must.

Let me know reports of FSH, LH,E2 and AMH when they areive.

Polycystic ovaries make ovulation difficult. But medicines will help you to ovulate.

Keep me posted about progress so that I can help you.

Regards
Dr. Mahesh Koregol.
IVF and Infertility Specialist.

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

Follow up: Dr. Mahesh Koregol (1 hour later)

So if I lose weight I might need tablets for ovulation and if clear blue monitor shows ovulation sometimes it is possible I do ovulate on my own from time to time
I have just looked up about HSG I cant have it as I am allergic to shellfish so what can be done now?
Husband has agreed to semen analysis

Answered by Dr. Mahesh Koregol (9 hours later)

Brief Answer:
HSG needed

Detailed Answer:
Hi

Yes. If you lose weight you can conceive.
HSG is must please discuss alternate option of diagnostic laparoscopy with your doctor if they can't do HSG.

Let me know your husband's semen analysis report.

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

Follow up: Dr. Mahesh Koregol (3 hours later)

What happens if semen analysis is low I am panicking now

Answered by Dr. Mahesh Koregol (6 minutes later)

Brief Answer:
Dont panic till you see report

Detailed Answer:
Hi

If semen analyst is low, you might need to go for ICSI (Intracytoplasmic sperm injection) treatment which is extended form of IVF treatment.

Don't panic till you see report.

Regards

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

Follow up: Dr. Mahesh Koregol (8 hours later)

If husband smokes will sperm be low

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
Smoking sowa affect but not in all men

Detailed Answer:
Hi XXXXXXX

Smoking does reduce sperm count. But this is not true in all men. Let's hope your husband's sperms are not affected by smoking.

Let me know the report for further advice.

Regards

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

Follow up: Dr. Mahesh Koregol (3 days later)

How do I contact you in the future with any tests to let you know

Answered by Dr. Mahesh Koregol (10 minutes later)

Brief Answer:
Ask me a direct query on following link

Detailed Answer:
Hi XXXXXXX

I would be eager to see your reports and help you.

You need to send me a direct query by pasting following link in your browser:

http://bit.ly/askdrmaheshkoegol

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Mahesh Koregol (2 hours later)

Thank you for your help so I don't have to pay again or do I? Its no problem if I have to pay x

Answered by Dr. Mahesh Koregol (3 minutes later)

Brief Answer:
Please paste my link in your browser

Detailed Answer:
Hi

I think you might need to pay. Remember to go to my link as mentioned above:

http://bit.ly/askdrmaheshkoregol

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