Hello
Thank you posting your query at DoctorSpring.com
Yes, the clinical picture is suggestive of PCOS.
WHat is your height and weight.
You should get the following investigations done on day 2 of your cycle -
FSH, LH, TSH,Prolactin, OGTT, DHEAS, Free testosterone, Lipid Profile.
Since when are you trying to conceive ?
Please let me know these details so that I can guide you further.
Take care.
Regards
Patient replied :
My height is 5 feet one inch my weight is 53 kg and w are trying to conceive from last two months yo ovulation occurs on 22nd day of cycle
my thyroid tests are also normal , I don't have report but doctor said it's ok tsh level
Hello.
Yes, in PCOS generally there are delayed cycles.
Metformin will help you.
Exercise and sensible eating will also help.
Also, do not stress out, as it has just been 2 months of trying to conceive.
You can try naturally with ovulation tracking for another 6 months, instead of straightaway taking Clomid.
If you do not conceive after 6 months, get your husband's semen analysis done, and your laparoscopy to check if tubes are open.
Take daily 5 mg per day folic acid.
Feel free to discuss further,
Regards.
Patient replied :
Last week I came to knw that I am pregnant. Now I am 5 weeks pregnant.
My doc said me to continue metformin 500mg and folic acid.
as pcos is not confirmed in my case , I told u earlier also.
Any special diet for me or low sweets?
Hello. Firstly, congratulations to you!!
Yes, please continue Metformin and folic acid.
As regards diet, eat sensibly and eat everything in moderation.
Avoid fried food, fats, oils, ghee, outside food, sugar, high salt foods etc.
Eat a lot of dairy products, drink lots of water, have fresh green leafy vegetables, fresh fruits, chicken, fish , egg etc.
Take care.
Regards.
Patient replied :
Hello doc,
I went for ultrasound at 6 weeks but u/s predicts I am 6 week and 6 days pregnant with crl 8.5mm but no heartbeat detected.
Doc said I may bleed in this week my doc said not good sign and come back a week after
. But I am sure of my ovulation dates because using basal body temp and ovulation surge 4 weeks ago.
can I expect viable pregnancy? I had pain in midnight three days before ultrasound for half an hour but no bleeding. now I am 6 w 3 days acc to my calculation but no bleeding yet.
As such by 6 weeks, cardiac activity should be visible in the fetus.
But PCOS is characterised by irregular cycles and erratic ovulation, so it is possible that the dates are not too reliable.
Give yourself one more week, and think hopefully before you arrive at any kind of conclusion.
Get a repeat scan after a week to check the viability of the pregnancy.
Meanwhile take rest, avoid any kind of stress or intercourse.
Take medications as advised.
Only a repeat scan will tell you the final results, so there is no point in worrying till then.
Take care.