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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delay In Conceiving?

I have a normal sized anteverted uterus with intact endometrium bilateral polycystic ovaries. What does it mean? I usually have an irregular monthly period. Ive been married for 5 years now and i still dont have a child. Do i still have a chance to have a child?
Wed, 4 May 2016
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General & Family Physician 's  Response
PCOS is the most common endocrine disorder among women between the ages of 18 and 44.
Polycystic ovarian syndrome, or PCOS, is a condition in which a woman’s levels of the sex hormones estrogen and progesterone are out of balance. This leads to the growth of ovarian cysts (benign masses on the ovaries). PCOS can cause problems with a women’s menstrual cycle,fertility.

Overproduction of the hormone androgen may be another contributing factor. Androgen is a male sex hormone that women’s bodies also produce. Women with PCOS often produce higher-than-normal levels of androgen.

Common symptoms are,
acne
weight gain
pelvic pain
anxiety or depression
infertility

PCOD diagnosed by,

Gynecologic ultrasonography, specifically looking for small ovarian follicles.

Serum (blood) levels of androgens (male hormones), including androstenedione and testosterone may be elevated.

Some other blood tests are suggestive but not diagnostic. The ratio of LH (Luteinizing hormone) to FSH (Follicle-stimulating hormone), when measured in international units, is elevated in women with PCOS.

Treatments,
Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation,
Medications for PCOS include oral contraceptives and metformin.

For overweight, anovulatory women with PCOS, weight loss and diet adjustments, especially to reduce the intake of simple carbohydrates, are associated with resumption of natural ovulation.

For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate[65] and FSH are the principal treatments used to promote ovulation.

For women not responsive to clomiphene and diet and lifestyle modification, there are options available including assisted reproductive technology procedures such as controlled ovarian hyperstimulation with follicle-stimulating hormone (FSH) injections followed by in vitro fertilisation (IVF).

so dont worry,PCOD is a common syndrome,and treatable also.
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What Causes Delay In Conceiving?

PCOS is the most common endocrine disorder among women between the ages of 18 and 44. Polycystic ovarian syndrome, or PCOS, is a condition in which a woman’s levels of the sex hormones estrogen and progesterone are out of balance. This leads to the growth of ovarian cysts (benign masses on the ovaries). PCOS can cause problems with a women’s menstrual cycle,fertility. Overproduction of the hormone androgen may be another contributing factor. Androgen is a male sex hormone that women’s bodies also produce. Women with PCOS often produce higher-than-normal levels of androgen. Common symptoms are, acne weight gain pelvic pain anxiety or depression infertility PCOD diagnosed by, Gynecologic ultrasonography, specifically looking for small ovarian follicles. Serum (blood) levels of androgens (male hormones), including androstenedione and testosterone may be elevated. Some other blood tests are suggestive but not diagnostic. The ratio of LH (Luteinizing hormone) to FSH (Follicle-stimulating hormone), when measured in international units, is elevated in women with PCOS. Treatments, Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation, Medications for PCOS include oral contraceptives and metformin. For overweight, anovulatory women with PCOS, weight loss and diet adjustments, especially to reduce the intake of simple carbohydrates, are associated with resumption of natural ovulation. For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate[65] and FSH are the principal treatments used to promote ovulation. For women not responsive to clomiphene and diet and lifestyle modification, there are options available including assisted reproductive technology procedures such as controlled ovarian hyperstimulation with follicle-stimulating hormone (FSH) injections followed by in vitro fertilisation (IVF). so dont worry,PCOD is a common syndrome,and treatable also.