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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delay In Periods?

hi i have pcos and i have been taking primolut n and clomid to try and conceive, i brought on a period in august and have been waiting for a period but nothing, so last week i started primolut again and i have noticed the past couple of days, mucous and ovulating!! how is this possible? since i took the primolut to bring on another period do i take the clomid again as well on days 5-9, help!!!
Mon, 25 Jan 2016
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OBGYN 's  Response
Hallow Dear,

PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome.

To achieve ovulation, you will need to take Clomiphene citrate, may be with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation. The period after that may be supported by Progesterone or hCG. If clomiphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation.

Along with the medicines, please have a control on this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition. So have controlled intake of calories with high protein and low carbohydrate and fat diet. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute.

I hope this advice will help you to have ovulation to conceive.

Dr. Nishikant Shrotri
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What Causes Delay In Periods?

Hallow Dear, PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome. To achieve ovulation, you will need to take Clomiphene citrate, may be with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation. The period after that may be supported by Progesterone or hCG. If clomiphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation. Along with the medicines, please have a control on this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition. So have controlled intake of calories with high protein and low carbohydrate and fat diet. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute. I hope this advice will help you to have ovulation to conceive. Dr. Nishikant Shrotri