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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From PCOS, Taking Metformin. Hormonal Profile Shows High LH And Low Prolactin. Cause For Not Conceiving?

hi dr..i have pcos and want to be pregnant...have bn takin metformin and evecare to help me regularise ma period,..i hv seen ma period consecutively for 3months now,i tink the evecare is helping out...i did a hormonal profile which stated my LH is high and low prolactin and that im not ovulating...iv bn trying for 2years now,im 32 and my husband is 42,although my husband does not stay with me fully,hes bn 3months on and 3months off...pls wat do i do?im trying so hard because of our age...so downcasted..
Mon, 11 Mar 2013
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Internal Medicine Specialist,  's  Response
Hello, welcome to hcm ,
i can understand how much you are worrying about your problem ,
As per ur details , u were having poly cystic ovary disease. In cases of PCOD , proper ovulation doesn't occur ..so for that u were not able to conceive. In this regard I advise u to consult a infertility specialist.. These are the steps that should be followed

1. Hormonal assays mainly DHEA, thyroid profile, LH and FSH., SERUM PROLACTIN AND estrogen progesterone levels

2. Follicular study

3. If ovulation is not happening then infertility specialist will try with ovulation inducing drugs

4. Having intercourse at the time of ovulation by serial follicular study



All above should be done by a infertility specialist..so see a specialist

As you have already done the hormonal tests , where LH is high indicates the problem with follicle maturation and ovulation , you consult a infertility specialist , she will do rest of the tests..

Hope this will help u a lot

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OBGYN,  Dr. Mrs Sumeet Baheti's  Response
Hello,
Thanks for writing your query to HCM,
The high level of LH, anovulation, irregular periods are all part of the PCOS syndrome.
You will need medication for ovulation induction along with metformin and evecare,and follicular study to monitor the growth of the eggs, when your husband is around.
Also, need to rule out any problem in semen analysis.
You should consult a fertility specialist.
Hope this helps you.
Dr. Mrs. Sumeet Baheti
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Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
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Suffering From PCOS, Taking Metformin. Hormonal Profile Shows High LH And Low Prolactin. Cause For Not Conceiving?

Hello, welcome to hcm , i can understand how much you are worrying about your problem , As per ur details , u were having poly cystic ovary disease. In cases of PCOD , proper ovulation doesn t occur ..so for that u were not able to conceive. In this regard I advise u to consult a infertility specialist.. These are the steps that should be followed 1. Hormonal assays mainly DHEA, thyroid profile, LH and FSH., SERUM PROLACTIN AND estrogen progesterone levels 2. Follicular study 3. If ovulation is not happening then infertility specialist will try with ovulation inducing drugs 4. Having intercourse at the time of ovulation by serial follicular study All above should be done by a infertility specialist..so see a specialist As you have already done the hormonal tests , where LH is high indicates the problem with follicle maturation and ovulation , you consult a infertility specialist , she will do rest of the tests.. Hope this will help u a lot This is a brief, free answer. In case you need an immediate, more detailed response to your question and any follow-ups you may have, please use the premium Ask a Doctor feature.