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What Is The Best Time To Conceive In Case Of PCOS?
hello doctor i have pcos,i got married by nov 2011.we r tryng to get pregnancy from last two months.my doctor prescribed ubiphen and dubagest for last month and clomipure and duphaston for tis mnt.last month i got date aftr 32days,and for april it was 36days. and my qtn how to knw severity of pcos and what is the best time to concv saranya
Fri, 2 Dec 2016
Dear Saranya,
In case of Polycystic ovarian syndrome (PCOS), better to conceive as early as possible.
Both Ubiphen and Clomipure contain Clomiphene citrate while dubagest and Duphaston are Progestational medicines. Clomiphene citrate is a medicine which induces the ovulation. Progestational medicine supports the pregnancy after conception.
However, in PCOS, along with the menstrual and fertility problem, the insulin and male hormone levels are increased in the body and they may not give success to only Clomiphene. Addition of Metformin helps reducing insulin level and the success to Clomiphene may be better. Myo inositol controls both insulin and male hormones levels and hence the results of Clomiphene are still better.
Clomiphene should not be taken for more than 6 cycles; if it fails to cause pregnancy, ovulation induction may be tried with HMG/hCG combination.
After the medicines for induction of ovulation, please monitor the ovulation by ultrasonography so that you can plan your sexual relations on and around the day of ovulation.
Controlling weight is of prime importance in PCOS. You should maintain your BMI under 23.9. Diet control with high protein with low carbohydrates and low fats along with appropriate exercises will help you reduce the weight.
I hope this helps you.
Dr. Nishikant Shrotri
In case of Polycystic ovarian syndrome (PCOS), better to conceive as early as possible.
Both Ubiphen and Clomipure contain Clomiphene citrate while dubagest and Duphaston are Progestational medicines. Clomiphene citrate is a medicine which induces the ovulation. Progestational medicine supports the pregnancy after conception.
However, in PCOS, along with the menstrual and fertility problem, the insulin and male hormone levels are increased in the body and they may not give success to only Clomiphene. Addition of Metformin helps reducing insulin level and the success to Clomiphene may be better. Myo inositol controls both insulin and male hormones levels and hence the results of Clomiphene are still better.
Clomiphene should not be taken for more than 6 cycles; if it fails to cause pregnancy, ovulation induction may be tried with HMG/hCG combination.
After the medicines for induction of ovulation, please monitor the ovulation by ultrasonography so that you can plan your sexual relations on and around the day of ovulation.
Controlling weight is of prime importance in PCOS. You should maintain your BMI under 23.9. Diet control with high protein with low carbohydrates and low fats along with appropriate exercises will help you reduce the weight.
I hope this helps you.
Dr. Nishikant Shrotri
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