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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Infertility While Having PCOS

Dear Doctors, I am suffering PCOS. My height is 157cm and my weight is 75kg. I used to be 46 kg. Because I took anti depressant, i gain weight alot. Now I m on paliperidone 75mg injection monthly basis and labelatol for high blood pressure twice daily. For me, losing weight back to 46kg or even 50kg, is extremely difficult, while I eat much lesser now than before when I was not on anti depressant. I work out regularly around 1 - 3 times weekly. I and my boyfriend are planning to conceive starting next year 2017. The doctors advised me to get more weight loss, and to enable me to conceive, and to prevent risk of diabetes due to obesity. Could you please advise me what medications can assist me to lose weight? It will assist me to conceive more easily. How about Duromine? does it suit my conditions? Can I conceive with PCOS conditions? Based on my latest blood test, everything is good, but I have to lose more weight, and my liver is a bit fatty. Any medications to help me conceiving twins ethically? I am a catholic and I would like to do ethical ways per catholic church. Thank you very much!! GBU!!!
Thu, 16 Jan 2020
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General & Family Physician,  's  Response
Hi,

I am afraid Duromine may not suit you, especially when you are on antidepressant drug. In my opinion, if you really want to reduce, you should try to reduce by changing your lifestyle. Do not depend on drug for that. A strong psychological resolution is essential for that & it will also help you to get rid of depression. Please get your blood sugar & thyroid testing done to exclude diabetes & low thyroid level. Lifestyle changes should include strict diet plan + regular drastic exercises, regular sound sleep only for 6 hours. PCOD is irregular or no ovulation. You can conceive with a spontaneous ovulation by chance but pregnancy & delivery would be difficult to manage so better go for:
1. Weight reduction
2. Simultaneous treatment of PCOD

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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Suggest Treatment For Infertility While Having PCOS

Hi, I am afraid Duromine may not suit you, especially when you are on antidepressant drug. In my opinion, if you really want to reduce, you should try to reduce by changing your lifestyle. Do not depend on drug for that. A strong psychological resolution is essential for that & it will also help you to get rid of depression. Please get your blood sugar & thyroid testing done to exclude diabetes & low thyroid level. Lifestyle changes should include strict diet plan + regular drastic exercises, regular sound sleep only for 6 hours. PCOD is irregular or no ovulation. You can conceive with a spontaneous ovulation by chance but pregnancy & delivery would be difficult to manage so better go for: 1. Weight reduction 2. Simultaneous treatment of PCOD Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician