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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Difficulty In Getting Pregnant Despite Taking Glucophage

Hi im 32 years old and have Pcos since chldhood my frst cycles came naturaly and aftr that they alwys cme wth medicine i always bleed after using medicine my prolactin level is hgh 3mnths bck aftr using dopergin it becmes normal 16 and last mnth it is 23.95 then i took dopergin and like last spell instead of decreasing it is increasing and now value is 29 tryng hard work to lose wait bt no significnt change what to do for ths i m tryng to cncieve bt no result married since 4years i also used glucophage 500 mg for one year and myofolic schets for 3mnths bt stil my periods r nt regulating plz guide what i can do my dr said ur uterous size is also smal Kindly plz help me im woried
Fri, 29 Dec 2017
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OBGYN 's  Response
Hi there,I have understood your concern and and I will suggest you the best possible treatment options.

First of all do not panic.

As you might be aware that PCOS is a lifestyle disorder. To overcome this, you need to change your current lifestyle.
Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep fried foods and bakery products.
Your treating doctor has rightly suggested to take Tablet Metformin.

Considering your overall clinical condition, I will suggest you to seek prescription support from your treating doctor for sustaied release tablets of Metformin 500 mg twice a day, Tablet Cabergoline 2.5 mg twice a week for 2 to 3 months, continue with Folic acid and vitamin B 12 supplements regularly.
Use of natural micronized Progesterone tablets from day 16 to 25 of the cycle is advisable.

Regular exercise and low carbohydrate diet will help in weight loss and will improve PCOS Condition.
USG should be done to know ovarian volume and echo texture. Afterwards, you can use Tablet Clomiphene citrate for ovulation induction and follicle study from day 10 onwards will guide you about ovulation. You can opt for IUI- Intrauterine insemination, on the day of ovulation or can have unprotected sex activity on and around the day of ovulation.

May God bless you with a bundle of Joy.
I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
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Suggest Treatment For Difficulty In Getting Pregnant Despite Taking Glucophage

Hi there,I have understood your concern and and I will suggest you the best possible treatment options. First of all do not panic. As you might be aware that PCOS is a lifestyle disorder. To overcome this, you need to change your current lifestyle. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep fried foods and bakery products. Your treating doctor has rightly suggested to take Tablet Metformin. Considering your overall clinical condition, I will suggest you to seek prescription support from your treating doctor for sustaied release tablets of Metformin 500 mg twice a day, Tablet Cabergoline 2.5 mg twice a week for 2 to 3 months, continue with Folic acid and vitamin B 12 supplements regularly. Use of natural micronized Progesterone tablets from day 16 to 25 of the cycle is advisable. Regular exercise and low carbohydrate diet will help in weight loss and will improve PCOS Condition. USG should be done to know ovarian volume and echo texture. Afterwards, you can use Tablet Clomiphene citrate for ovulation induction and follicle study from day 10 onwards will guide you about ovulation. You can opt for IUI- Intrauterine insemination, on the day of ovulation or can have unprotected sex activity on and around the day of ovulation. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar