Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment To Normalize Menstruation And Fertility For A 27-year-old
Hello doctor. i am 27 yrs old i got married 18months ago my husband is 36yrs old. i didnt concieve yet we went for a treatment my LHt was high so they ask me to take ovral pills for 21 days and my husband sperm count was very less so he was taking fertsure-m but still we didnt get conceive so went for one more cycle of treatment now they gave APCOD sachet for me and fertisure-m for my husband so i got periods in 28days. normally i always have normal periods but after marriage it was iregular by 7,8 days. what should i do now to get pregnant normally pls suggest me.
Wed, 24 Aug 2016
Hallow Dear,
Your high LTH is suggesting that you may be having Polycystic Ovarian Syndrome (PCOS). Exact values of your FSH and LH would have been more reflecting.
Please submit yourself to ovulation monitoring by ultrasonography. If you are ovulating normally, there is no issue of concern, however, if you are not ovulating, it strengthens the suspicion of PCOS.
If you are ovulating normally, please try to utilise the days of ovulation and period around it for sexual relations.
Have you got your ultrasonography done? It can visually show the evidences of PCOS. PCOS is characterised be irregular delayed menses with heavy bleeding during menses, hairiness at the unwanted places like face, chest, etc., obesity, etc..
PCOS is a complex condition wherein there is dysfunction of ovulation and menstruation, high insulin levels and high androgen levels. The menstrual irregularities can be handled by regular use of oral contraceptive pills. However, the condition needs comprehensive management for fertility success.
Please check your BMI. There are many online BMI calculators available which can help you to calculate BMI. You should maintain your BMI under 24.9 by high protein and low fat and low carbohydrate diet.
Myo Inocitol is a medicine which can control high insulin, high androgen and effect egg release also. However, it should be taken by Gynaecologist's advice only.
Please report to your Infertility Consultant for the effective management of PCOS, if you have it.
Also get the anatomical normalcy and patency of your reproductory organs done by hysterosalpingography and/or Laparoscopy.
Your husband's low sperm count is a concern. He is undergoing treatment of Fertisure; let us see whether it improves the sperm quality and quantity. If it does not, you may opt for intrauterine semen instillation. If that also fails, you may have to opt for Artificial Reproductory Technique.
I hope this information will guide you for the initial steps. Then you may ask me direct question with the reports of all the investigations for any further guidance if needed.
Dr. Nishikant Shrotri
Your high LTH is suggesting that you may be having Polycystic Ovarian Syndrome (PCOS). Exact values of your FSH and LH would have been more reflecting.
Please submit yourself to ovulation monitoring by ultrasonography. If you are ovulating normally, there is no issue of concern, however, if you are not ovulating, it strengthens the suspicion of PCOS.
If you are ovulating normally, please try to utilise the days of ovulation and period around it for sexual relations.
Have you got your ultrasonography done? It can visually show the evidences of PCOS. PCOS is characterised be irregular delayed menses with heavy bleeding during menses, hairiness at the unwanted places like face, chest, etc., obesity, etc..
PCOS is a complex condition wherein there is dysfunction of ovulation and menstruation, high insulin levels and high androgen levels. The menstrual irregularities can be handled by regular use of oral contraceptive pills. However, the condition needs comprehensive management for fertility success.
Please check your BMI. There are many online BMI calculators available which can help you to calculate BMI. You should maintain your BMI under 24.9 by high protein and low fat and low carbohydrate diet.
Myo Inocitol is a medicine which can control high insulin, high androgen and effect egg release also. However, it should be taken by Gynaecologist's advice only.
Please report to your Infertility Consultant for the effective management of PCOS, if you have it.
Also get the anatomical normalcy and patency of your reproductory organs done by hysterosalpingography and/or Laparoscopy.
Your husband's low sperm count is a concern. He is undergoing treatment of Fertisure; let us see whether it improves the sperm quality and quantity. If it does not, you may opt for intrauterine semen instillation. If that also fails, you may have to opt for Artificial Reproductory Technique.
I hope this information will guide you for the initial steps. Then you may ask me direct question with the reports of all the investigations for any further guidance if needed.
Dr. Nishikant Shrotri
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....