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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Poly Cystic Ovary Syndrome?

Hello, On 7/17/14 I was life flighted to be treated for an ectopic pregnancy. I had a salpingotomy the next morning (on my right side). The tube was saved. I was ordered to have HCG levels done weekly. On my first week out 7/23/14 I got a call saying that my HCG levels were increasing rather than decreasing and I was sent back in to get a methotrexate injection. Unfortunately just a few days later (7/27/14) I was rushed back to the ER with a ruptured ectopic. The methotrexate and the salpingotomy somehow did not solve the problem. (The patho from the salpingotomy showed no chorionic villi) On the night of 7/27/14 I was taken back into the OR and had my entire right tube removed. To make things more complicated I was dx with PCOS on 7/11/14 after attempting to get pregnant for 16 months. I do have a 2 year old son. I have a few questions.. first when can I start trying again? Second, what are my options if I can t conceive naturally? What are my chances of getting pregnant? What if something is wrong with my remaining tube and how would I know?
Tue, 27 Feb 2018
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OBGYN,  's  Response
Having polycystic ovarian syndrome doesn’t mean you can’t get pregnant, just that it’s harder to do so. In your case having had an ectopic means there was something wrong with that tube but not necessarily both tubes are affected. To show if the other tube is affected you can have a procedure where the tube can be assessed. This could be a sonohysterogram, where you have a pelvic ultrasound and liquid is pushed into the uterus and if fluid goes through the remaining tube it can be seen in the ultrasound. There is also a procedure called an HSG or a hysterosalpingogram, in which a fluid is pushed into the uterus that can show up on an x-ray and can be assessed for patency that way.
The other part of your question, how to treat PCOS (polycystic ovarian syndrome) is more complex. It is always a good idea to try to lose a little weight if you are overweight or obese as that can affect ovulation in women with PCOS. The. depending on if you are ovulating or not you may need to take medications to induce ovulation. A general OB/GYN should be able to start you out in this process after some basic labs but if it is not working you may have to go to a specialist in infertility to help you get pregnant.
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What Is The Treatment For Poly Cystic Ovary Syndrome?

Having polycystic ovarian syndrome doesn’t mean you can’t get pregnant, just that it’s harder to do so. In your case having had an ectopic means there was something wrong with that tube but not necessarily both tubes are affected. To show if the other tube is affected you can have a procedure where the tube can be assessed. This could be a sonohysterogram, where you have a pelvic ultrasound and liquid is pushed into the uterus and if fluid goes through the remaining tube it can be seen in the ultrasound. There is also a procedure called an HSG or a hysterosalpingogram, in which a fluid is pushed into the uterus that can show up on an x-ray and can be assessed for patency that way. The other part of your question, how to treat PCOS (polycystic ovarian syndrome) is more complex. It is always a good idea to try to lose a little weight if you are overweight or obese as that can affect ovulation in women with PCOS. The. depending on if you are ovulating or not you may need to take medications to induce ovulation. A general OB/GYN should be able to start you out in this process after some basic labs but if it is not working you may have to go to a specialist in infertility to help you get pregnant.