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Can I lose weight & have regular period w polycystic ovaries

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Hi Doctor,
Its been 6months since we are married, and im trying to conceive.But unfortunately im having irregular periods and was even on treatment for poly cystic ovaries before marriage. I went and consulted a gynecologist and took a scan which indicated positive sign of polycystic ovaries. I was put on medication for 1 month with Meta x capsule and folic acid tablet.Even then i missed my periods this month and gaining weight.I underwent a Beta HCG test and it shows 3.50,which is ultimately negative.What should i do now?Is there any way i could lose my weight and have regular periods.

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replied May 18th, 2013
Infertility Answer A43469
Welcome to ehealthforum.
If you have been diagnosed to have PCOS, consider discussing with your treating doctor/gynecologist about getting started on insulin modifiers along with the hormonal contraceptives for better control of PCOS and for regularization of periods (it is not impossible for women to get pregnant if they have PCOS, provided they have no other factors affecting fertility, and they are on right treatment for control of PCOS). PCOS usually responds to treatment with insulin modifiers as most common cause for PCOS is insulin resistance. Once the ovarian changes are reversed, hormonal contraceptives can be stopped (unless you wish to continue on them for birth control purposes). If required, and once you are ready for pregnancy, ovulation inducers (like Clomid) and HCG trigger injection can be started along with supplementation of external progesterone supplements to counter problem like LPD (luteal phase defect) if present. If you are not successful in getting pregnant with 3-5 cycles of conservative treatment, assisted reproductive techniques like IVF or ICSI could be helpful; in which, normal healthy sperms (from your partner) will be selected and washed to be fertilized with the egg, and then the embryos will be transferred to your womb. If you are trying for pregnancy, monitor cervical mucus changes and the BBT (basal body temperature) charting to predict your ovulation (along with the follicular study) and time your intercourse for having fruitful results. Have intercourse in positions that allow for deeper penetration for high deposit of semen. Have diet with foods rich in zinc content to ensure better maturation of egg and sperms. Take adequate rest. Drink plenty of water. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Incorporate exercises in daily routine to promote weight loss (to be in ideal weight for height range). Maintain low fat and low carb diet.
Take care.

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