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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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PCOS, On Clomid, Trying To Conceive, Have Scanty Flow With Intense Cramps, Tender Nipples, Bloated Stomach And Fatigue, Negative HPT. Reason?

I suffer with PCOS , I am on clomid and am trying to conceive, for the past 2 months I have had light periods lasting up to 3 days with a brownish red colour but not a lot there but very bad cramps , my nipples also feel tender but not my breast, my upper stomach is always bloated, I feel tired all the time and I m always hot, done hpt and all negative, what is going on?
Fri, 17 Aug 2012
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General & Family Physician,  's  Response
Hi,

Welcome to HCM,

Your periods can be light due to effect of clomid.

During light period, blood takes more time in coming out, thus color blood changes due to oxidation.

If your upper abdomen is bloated, you should take Tab.Unienzyme twice daily just after lunch and dinner.

Many patients with PCOD, also have insulin resistance and have raised level of insulin.

These patients may not respond to clomiphen, thus treated with anti diabetic drugs like metformin and troglitazone.

Clomiphen is used to stimulate ovulation. Low doses of dexamethasone can be given simultaneously to suppress androgen production from adrenal gland.

If clomiphen doesn't work, a new anti-estrogen called Letrozole can be used.

Clomifen resistant women suffering with PCOD, may need HMG(gonadotrophis) to induce ovulation.

Difficult patients may require a combination of GnRH analog and HMG to induce ovulation successfully.

Thanks for trusting Healthcaremagic and posting your query.

Hope you found my response to your query informative and helpful.

With good wishes,

Dr.Chandra Shekhar Sharma
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PCOS, On Clomid, Trying To Conceive, Have Scanty Flow With Intense Cramps, Tender Nipples, Bloated Stomach And Fatigue, Negative HPT. Reason?

Hi, Welcome to HCM, Your periods can be light due to effect of clomid. During light period, blood takes more time in coming out, thus color blood changes due to oxidation. If your upper abdomen is bloated, you should take Tab.Unienzyme twice daily just after lunch and dinner. Many patients with PCOD, also have insulin resistance and have raised level of insulin. These patients may not respond to clomiphen, thus treated with anti diabetic drugs like metformin and troglitazone. Clomiphen is used to stimulate ovulation. Low doses of dexamethasone can be given simultaneously to suppress androgen production from adrenal gland. If clomiphen doesn t work, a new anti-estrogen called Letrozole can be used. Clomifen resistant women suffering with PCOD, may need HMG(gonadotrophis) to induce ovulation. Difficult patients may require a combination of GnRH analog and HMG to induce ovulation successfully. Thanks for trusting Healthcaremagic and posting your query. Hope you found my response to your query informative and helpful. With good wishes, Dr.Chandra Shekhar Sharma