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We are trying for child about 1year. started the medication

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Hi Doctor,
I am 25 year old, height:157cm ,weight : 67kgs.
I have been married since 2 years.We are trying for child about 1year.I have PCOS.I started the medication from October 2014(METFORMIN and OVIZONE).period get only after DUPHASTONE.hormone analysis did 2nd day of period all of them are normal. I have no sugar and BP.Husband did semen analysis, active is 40.He taking FERTISURE M.Doctor, i think PCOD is hormone imbalance problem.but from my hormone analysis all of them are normal and i have no sugar.then why my period didn't get regular and i couldn't get pregnant?how many times possible to take clomid? my first doctor give it in 3 cycle,but not in continous cycle. now i compled another 2 cycle of clomid.after 45 days of last prd saw little blood like starting day of period.what was that? i had vaginal dryness and black colour around the neck ,now this are that the indication of decreesing pcod?.can i continue with gynocologist or i want to meet fertility specialist?

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replied October 27th, 2015
Infertility Answer A54539
Welcome to ehealthforum,
PCOS is known to cause long gaps in periods or irregular menstrual cycles. If you have been diagnosed to have PCOS/PCOD, 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. PCOS usually responds to treatment with insulin modifiers as most common cause for PCOS is insulin resistance. 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. 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 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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