Hi Doctor, Iam Married For 7 Yrs And Have Polycystic

Posted on Thu, 28 Nov 2019

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

Thu, 28 Nov 2019 Answered on

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Question : hi Doctor, iam married for 7 yrs and have polycystic ovaries.. I tried all types like clomid and natural try many times then Clomid with hormone injections and IUI twice but nothing worked out. iam 35 now and I had to under laproscopy treatment to identify any unknown reasons in end of May 2019. it is diagnostic hystero laproscopy. both hysteroscopy and laproscopy was normal only hydrosolphnix was detected. after 3 months sep I started the treatment again but in sep there was 3cm cyct found and after I got the cycle in Oct there was 4cm cyct found on 3rd day. attached recent laproscopy report and follicular study reports here. now IAM worried if any issue due to laproscopy. before laproscopy my endometrial thickness use to be 11cm or 12cm even on 12th or 13th day. I had issues in egg growth only. but now even in 18th day my endometrial thickness is 6cm only. for my doctor asked to take duphaston and I have to visit her once I get my periods. both in October and November due to follicule that was growing with rupture she said pregnancy is doubtful..now I want to know what should I do. should start thinking of IVF? please help

Follow up: Dr. Dr. Rakhi Tayal (0 minute later)

hi Doctor, iam married for 7 yrs and have polycystic ovaries.. I tried all types like clomid and natural try many times then Clomid with hormone injections and IUI twice but nothing worked out. iam 35 now and I had to under laproscopy treatment to identify any unknown reasons in end of May 2019. it is diagnostic hystero laproscopy. both hysteroscopy and laproscopy was normal only hydrosolphnix was detected. after 3 months sep I started the treatment again but in sep there was 3cm cyct found and after I got the cycle in Oct there was 4cm cyct found on 3rd day. attached recent laproscopy report and follicular study reports here. now IAM worried if any issue due to laproscopy. before laproscopy my endometrial thickness use to be 11cm or 12cm even on 12th or 13th day. I had issues in egg growth only. but now even in 18th day my endometrial thickness is 6cm only. for my doctor asked to take duphaston and I have to visit her once I get my periods. both in October and November due to follicule that was growing with rupture she said pregnancy is doubtful..now I want to know what should I do. should start thinking of IVF? please help

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
IVF will help you.

Detailed Answer:
Hello,
Thanks for trusting us with your health concerns.

Laparoscopy does not affect ovulation or endometrial thickness. The changes like cyst and decreased endometrial thickness are all related to polycystic ovaries. Due to hydrosalpinx natural conception or with clomiphene alone is difficult.

It is best to start planning for IVF. You can consult an infertility specialist for it.

Please feel free to discuss further. I will be glad to answer the follow-up queries that you have.

Wishing you good health.

Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Answered by Dr. Dr. Rakhi Tayal (0 minute later)

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr. Rakhi Tayal (1 hour later)

sure thanks doctor. I have cholesterol and at time sugar goes to borderline will it be problem? if we start IVF what will approx cost involved and what is success rate. I have AVN ( avascular necrosis in both hip joints and shoulders) when we have injections and other tablets for IVF whether it will worsen the situation? for IVF it's mandatory to be leave job and be at home in complete rest?

Follow up: Dr. Dr. Rakhi Tayal (0 minute later)

Answered by Dr. Dr. Rakhi Tayal (14 hours later)

Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
The cholesterol problem does not affect it. The raised sugar levels can be controlled with medicines and may be related to polycystic ovaries.
The cost of IVF varies from centre to centre and according to your severity of problem. It is best to consult an infertility centre regarding the costs.
AVN is not likely to be affected by IVF or its medicines. You need to avoid all heavy work and bed rest may be needed for 4-7 days in a cycle for the procedure.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Yogesh D