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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For PCOS Patient When No Follicles Is Formed After Having Progynova

hi dr .my patient have pcos .i give her good ova plus tab 2nd day to 6th day of cycle .but 14 th day her endometrium size 4 mm and no follicles i prescribrbe her progynova 2 mg for day 11 but still no progress .what is the next treatment? last 2 months i gave her tab pco care
Tue, 13 May 2014
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General Surgeon,  's  Response
Hi,
Thanks for writing to HCM .

I would suggest you to prescribe ovulation inducing drugs like clomephine from day 2 to 6th day. This will help multiple follicles to mature and rupture .

I would suggest you to start sidenafil tablet per vaginal route from day 6 to 14. This will increase local blood flow and help endometrium to grow properly.

Continue estradiol from day 8 for 10days.
If clomephine also fails then you can add fsh injection with that.

In same setting you can go for IUI . This will increase chances of conception.

Hope I have been helpful .

Regards
Dr.Deepika Patil
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Treatment For PCOS Patient When No Follicles Is Formed After Having Progynova

Hi, Thanks for writing to HCM . I would suggest you to prescribe ovulation inducing drugs like clomephine from day 2 to 6th day. This will help multiple follicles to mature and rupture . I would suggest you to start sidenafil tablet per vaginal route from day 6 to 14. This will increase local blood flow and help endometrium to grow properly. Continue estradiol from day 8 for 10days. If clomephine also fails then you can add fsh injection with that. In same setting you can go for IUI . This will increase chances of conception. Hope I have been helpful . Regards Dr.Deepika Patil