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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Do I Conceive With Pcod Problem And Irregular Period?

Hi doctor I am meena. I am having 9 year old boy. now i am trying for anohter baby last one year. I had tubal pregnancy last june month and have pcod problem with irregular priod. my LMP was December 16, doctor told me take duphastone five days I took feb 1 to Feb - 5 when will get next period ? I am taking every day glucophage tablet also. My weight is 59 " My date of birth is 25-05-1981 What I have to to getting conceive ? Please Advice

Wed, 12 Feb 2014
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OBGYN 's  Response
Hello, I would be happy to help you with your question Meena.

In women with PCOD, they often have absent or irregular ovulation. Often they need progesterone to induce a period AND in your case, diabetes medication to treat the insulin resistance that comes with PCOD and affects your ability to ovulate. Also, you have the complication of a prior tubal pregnancy. Typically one might:

1. Use progesterone to induce a period (usually comes 2-3 days after stopping progesterone)
2. Continue with Glucophage
3. Consider a medication for ovulation induction, such as clomid
4. Track ovulation with an ovulation predictor kit
5. If no success within 3 months of regular cycles, then a procedure to assess your tubes to make sure that they are open and not diseased (given the prior ectopic pregnancy)

I hope that this helps and good luck!
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How Do I Conceive With Pcod Problem And Irregular Period?

Hello, I would be happy to help you with your question Meena. In women with PCOD, they often have absent or irregular ovulation. Often they need progesterone to induce a period AND in your case, diabetes medication to treat the insulin resistance that comes with PCOD and affects your ability to ovulate. Also, you have the complication of a prior tubal pregnancy. Typically one might: 1. Use progesterone to induce a period (usually comes 2-3 days after stopping progesterone) 2. Continue with Glucophage 3. Consider a medication for ovulation induction, such as clomid 4. Track ovulation with an ovulation predictor kit 5. If no success within 3 months of regular cycles, then a procedure to assess your tubes to make sure that they are open and not diseased (given the prior ectopic pregnancy) I hope that this helps and good luck!