Suggest Ways To Conceive While Treating PCOS

Posted on Fri, 20 Feb 2015

Question: i had two abortions. the last one in April 2014, since the i don't have regular menses. my menses used to be 28 cycle but now 31 cycle. accompanied with very tender breast. i have been trying to get pregnant for the past six months. what could be the cause.

i have been diagnose with PCOS last week but the the doctor wants to confirm if my fallapions tubes are ok, so he has asked me to do an HSG but i was unsuccessful because my the doctor could not locate my cervix so he suggested laparoscopy.

i believe my fallopian tubes are not blocked since i have been pregnant twice. my doctor wants to comfirm this before he can start any treatment.

please advise

Answered by Dr. Mahesh Koregol (17 minutes later)

Brief Answer:
Laparoscopy not required. Get HSG from another doctor

Detailed Answer:
Hi,

I read your query and I understand your concerns.

Following is my reply:

1) Menses between 28 to 31 days are normal. If you are getting cycles every 31 days regularly, its normal.

2) There will be hormonal variation after abortion which takes time for it to get right.

3) PCOS with weight gain after abortion is one of causes of irregular bleeding and bleeding.

4) HSG is not necessary as you got pregnant earlier. If doctor could not find your cervix, please go to another good radiologist who can do an HSG.

5) Laparoscopy is totally unnecessary procedure for you and I am not in favour of it.

Let me know if you have anymore questions.

Regards,
Dr. Mahesh Koregol

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

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

thank you Dr. XXXXXXX

so should I start treatment for PCOS. I have symptoms like estrogen dominance. very tender breast(PMS). WHAT Medicine will you suggest for this.

Answered by Dr. Mahesh Koregol (2 minutes later)

Brief Answer:
Clomiphene Citrate

Detailed Answer:
Hello

Only drug needed is clomiphene Citrate for 5 days from 2nd day of your cycle.

You need to undergo regular follicular growth scan while you are on clomiphene Citrate. Thats all you need.

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

Follow up: Dr. Mahesh Koregol (14 minutes later)

why do I have to go for follicle scan.

I want to understand everything before I see my doctor.
I don't want him to impose anything on me

Answered by Dr. Mahesh Koregol (2 minutes later)

Brief Answer:
Need to know egg growth for maximum success.

Detailed Answer:
Follicular growth scan shows growth of eggs . Egg growth needs to be monitored as best time to try for pregnancy is when follicle reaches 18 mm in size. The pregnancy chances are higher around that time.

This can only be identified by follicular growth scan.

If you think doctor is imposing then change the doctor.

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

Follow up: Dr. Mahesh Koregol (23 minutes later)

thank you DOC.

THESE ANSWERS ARE SO SATISFACTORY

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Please write Review

Detailed Answer:
Hi

If you wish to ask queries to me directly next time, please start your question after writing "Query for Dr. Mahesh Koregol"

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

Follow up: Dr. Mahesh Koregol (21 hours later)

Query for Dr. XXXXXXX Koregil

hello Doc, I have change my doctor. and this new doctor has put me on metformin.
will this also work?

Answered by Dr. Mahesh Koregol (2 hours later)

Brief Answer:
Good

Detailed Answer:
Hi

Yes. Metformin works in PCOS.
You seem to be on right track.
Go ahead with metformin.

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