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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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PCOD And Hypothyroidism, Thyroid Level Normal, Irregular Periods, Taking X-fert, Clomifene

Hi doc..I have PCOD and hythyroidism also. My thyroid level with medicines are fine now. My Prolactin level is 6.1 recently got checked. I m three years married and want to have a kid now.. just stopped taking contraceptives from 2012. I have irregular mensis. I have been advised to take metformin , X-fert, clomifene . advise what should I do i have sub contious pressure about it.
Sat, 5 Apr 2014
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Internal Medicine Specialist,  's  Response
as such ur thyroid levels maybe biochemically normal but clinically not so.
thus itself maybe a cause of irregular mensus. I can comment on this only if I c the TFT results.
then ur PCOD itself is a state of insulin resistance and a cause of irregular mensus.
hypothyroid state can cause hyperprolactinemia but urs in normal (3-25).
u r on metformin for PCOD is Gud but ur dosing needs to be adjusted to ur body weight for effective action.
X fert tablet to my understanding is clomifene which is used to induce ovulation from a mature graffian follicle.
u can forget about irregular mensus but make sure u can u the ovulation kit to c if u r ovulating. then timely intercourse should get u pregnant.
do a hystertosalpingogram. it will help u in 2 ways - one to open up ur channel between ovary and Fallopian tube and other for diagnostic purposes.
if u don't conceive after 2 -3 attempts
my dear my honest advice is go for and IVF - there is nothing to worry these ur is a piece of cake for infertoligists.
May God Bless u with a Healthy Child.
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PCOD And Hypothyroidism, Thyroid Level Normal, Irregular Periods, Taking X-fert, Clomifene

as such ur thyroid levels maybe biochemically normal but clinically not so. thus itself maybe a cause of irregular mensus. I can comment on this only if I c the TFT results. then ur PCOD itself is a state of insulin resistance and a cause of irregular mensus. hypothyroid state can cause hyperprolactinemia but urs in normal (3-25). u r on metformin for PCOD is Gud but ur dosing needs to be adjusted to ur body weight for effective action. X fert tablet to my understanding is clomifene which is used to induce ovulation from a mature graffian follicle. u can forget about irregular mensus but make sure u can u the ovulation kit to c if u r ovulating. then timely intercourse should get u pregnant. do a hystertosalpingogram. it will help u in 2 ways - one to open up ur channel between ovary and Fallopian tube and other for diagnostic purposes. if u don t conceive after 2 -3 attempts my dear my honest advice is go for and IVF - there is nothing to worry these ur is a piece of cake for infertoligists. May God Bless u with a Healthy Child.