How To Overcome Trouble Conceiving Due To PCOD?

Posted on Fri, 19 Sep 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 19 Sep 2014 Answered on

Sat, 11 Oct 2014 Last reviewed on

Question : Dear sir
My wife had PCOD problem. we married in 2013 jan. Laproscopy & hysteroscopy done in April'14.
She has been advised to take Lynorol, CCQ & metaformin. She took for four months but not conceived yet. Sir what to do next....Both mine & her reports attaced...plz suggest...

Answered by Dr. Mahesh Koregol (41 minutes later)

Brief Answer:
IUI

Detailed Answer:
Hi

I read your query and I understand your concerns. I have gone through your reports.

Following is my reply

1. You both are young and have good chances of pregnancy.

2. Your husband's semen analysis is normal.

3. You can try with above medicines and follicular growth scan for another 3 months.

4. If you dont conceive by then you can go for IUI.

Let me know if you have any more questions.

Regards
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Mahesh Koregol (2 hours later)

Dear Sir
Quaestion 1 -
Wht about my Report? Is it normal after laproscopy n cyst removal?
2nd Question
The endometrial thickness was 9 mm before laproscopy & there was no DF (Dominant folicile)
Does ovarian drilling & laproscopy had any impact on its size
Regards

Answered by Dr. Mahesh Koregol (17 minutes later)

Brief Answer:
AMH & FSH

Detailed Answer:
Hi,

Your reports seem to be fine about laparoscopy surgery and removal of cyst.

You need to try for next 3 months. If not go for IUI as there is possibility of cyst recurring.

If the laparoscopic drilling is excessive, it is possible that ovarian tissue is damaged and hence dominant follicle is reduced.

Get Serum FSH and AMH blood test done on day 2 of next cycle to know impact of laparoscopy on ovary and endometrium.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Mahesh Koregol (1 hour later)

Sir

1) As i have not conceived Doc asked us to come on 5th day of p oeriod.Why is it necessary & to check what?

2) After Laproscopy was done the interval between the periods were 38, 32, 27 respectively for 3 months. This month i escaped period, i did pregnancy test on 40 th day & it was negative... doc asked to do it after 7 days which i will do on this monday...Sir, why this time i escaped period? is a matter of concern?

3) Sir how many days we need to stay in hospital for doing IUI & what is the cost involved?
Regards

Answered by Dr. Mahesh Koregol (1 hour later)

Brief Answer:
IUI

Detailed Answer:
Hi

1. Your doctor wants to check your egg count. Si called on day 5.

2. The time between periods is fine and not a matter of concern.

3. IUI can be done within 5 minutes. No admission is needed. It costs about 2 to 4 thousand rupees only.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar