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What Are The Chances Of Concieving If Having PCOD, Inovulatory Cycle, Insulin Resistance, Overweight?
Hello doctor , I am 27 yrs old, married for 2 and half yrs . We are trying for a baby but failed conception , tried for 5 months . my periods range from 29 to 35 days . shortest being 27 days and longest 35. recently i did a follicular scan on day 22 and it seems its a polycystic picture from the reports. doctor started me off wth metformin bd and folic acid. they say i have inovulatory cycle, have insulin resistance and have to lose weight. ihave family histry of diabetes, but my mother had normal cycles and no pcod. wat are the chances that i concieve?
Fri, 14 Feb 2014
Hi,
I understand that you have PCOD with insulin resistance. So the treatment started is fine. Metformin helps to sensitize tissue to insulin and weight loss does the same. The best management is weight loss by daily exercise and proper diet that helps restore the hormonal mileu.
Also you have tried for only 5 months. It is suggested that a couple must try to conceive for at least 8-12 months spontaneously before undergoing any infertility treatment. The main issue in PCOD is anovulation meaning ovum is not released to get fertilized. I suggest that you try the weight control and metformin for 2 months and then get an ovulation study [ultrasonographic] done to see if ovulation is occurring. If it is, then you may need to practice sexual contact on those days to achieve pregnancy.
If there is no ovulation with this treatment, you may need some ovulation inducing drugs along with follicular study and HCG to achieve ovulation.
These are common issues nowadays and many women in my OPD suffer from this problem. Please do not worry as the chances of pregnancy are good if you take proper treatment and follow your infertility specialist.
Hope I was able to help you. Thanks for using Health Care Magic.
I would be happy to answer any further queries.
Have a nice day.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
I understand that you have PCOD with insulin resistance. So the treatment started is fine. Metformin helps to sensitize tissue to insulin and weight loss does the same. The best management is weight loss by daily exercise and proper diet that helps restore the hormonal mileu.
Also you have tried for only 5 months. It is suggested that a couple must try to conceive for at least 8-12 months spontaneously before undergoing any infertility treatment. The main issue in PCOD is anovulation meaning ovum is not released to get fertilized. I suggest that you try the weight control and metformin for 2 months and then get an ovulation study [ultrasonographic] done to see if ovulation is occurring. If it is, then you may need to practice sexual contact on those days to achieve pregnancy.
If there is no ovulation with this treatment, you may need some ovulation inducing drugs along with follicular study and HCG to achieve ovulation.
These are common issues nowadays and many women in my OPD suffer from this problem. Please do not worry as the chances of pregnancy are good if you take proper treatment and follow your infertility specialist.
Hope I was able to help you. Thanks for using Health Care Magic.
I would be happy to answer any further queries.
Have a nice day.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
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