PCOD and Infertility.

Dr. Honey Nandwani., BDS
 

Medical Case Details:

Hello,

I have a friend who is 31 years old has PCOD, and she is unable to conceive. She is not compliant with allopathic medications and wants to try Ayurvedic treatment. I would like to know if there is an ayurvedic treatment for infertility due to PCOD and obesity, which can guarantee results. Also, how long will she need to take the treatment to get pregnant? She has been trying for three years and is now desperate.

 


Discussions


Dr. Ishwar Chandra Rai
Ayurveda Specialist

Hello Doctor
As you know PCOD occurs due to hormonal imbalances. Releasing immature ovum unable to get fertilized, which leads to infertility. Normally after ovulation remaining immature follicles get dissolve but in PCOD these follicles becomes fluid filled cyst.
According to Ayurveda it's a Kapha predominat disorder. It can be managed through ayurvedic medicines and Yoga practices.
You should advice to your friend to consult Ayurveda Physician near by her.
Thank you to showing your interest in Ayurveda.

24.Jul, 10:46am

Dr. Honey Nandwani
Dentist

Thanks doctor..
Is this condition completely treated with ayurvedic treatment.

24.Jul, 10:49am

Dr. Ishwar Chandra Rai
Ayurveda Specialist

You are most welcome doctor.
It depends on the severity of the disease. But I've seen positive results in many cases.


24.Jul, 12:07pm

Dr. Gandhidas Sonajirao Lavekar
Ayurveda Specialist

Hello Doctor,

PCOS is a group of symptoms due to varied etiology, do not want to go in detail. No medical expert can give any guarantee, but your patient will get relief-results. We are having four such volunteers since two months some positive results are observed, if interested let me know, the product is OK in view of Quality, Safety and Efficacy. If like see my details on Research Gate , Linkedin, Google etc.

24.Jul, 12:11pm

Dr. Honey Nandwani
Dentist

Thanks doctor..
So does that mean that for faster improvement she should continue with allopathy?

24.Jul, 01:10pm

Dr. Gandhidas Sonajirao Lavekar
Ayurveda Specialist

Hello Doctor,

It is up to you and patient, in my view there is no satisfactory treatment with chemical medicine, Ayurveda treatment will be beneficial.

24.Jul, 01:36pm

Dr. Honey Nandwani
Dentist

Actually her main concern is to conceive and looking for ayurvedic treatment.

24.Jul, 01:37pm

Dr. Gandhidas Sonajirao Lavekar
Ayurveda Specialist

If desirous take Ayurveda treatment.

24.Jul, 01:41pm

Dr. Vinod Kumar Gupta
Ayurveda Specialist

Hi sir i want her reports to be attached

24.Jul, 10:17pm

Dr. Anjali Satish Patil
Ayurveda Specialist

Hello Doctor,
Regards,
Ayurveda has really good results in such cases.
Definitely no one guarantee of conception but she can try n follow Ayurveda surely.
First of all in her case weight management and proper counselling for boosting confidence is very important. Psychology has great importance in hormonal imbalance.
Some important points:
Lifestyles modifications
Proper Exercise and sleep
Proper and nutritious diet
Detoxification
Good. Counselling
As a start she can take shatavari kalp and kumari asav but better after consulting any good vaidya.
Thanks,
Dr.Anjali

25.Jul, 09:59am

Durga Kumari
Nutritionist

Hello doctor,
First off all pls advice to your friend to reduce weight by following
balanced diet with restriction in PCOS.
Thanks

25.Jul, 04:45pm

Dr. Qureshi Mohammad Imran Gulam Jeelani
Internal Medicine Physician

Hi Doctor,

In PCOS cases most probably harmonal imbalance and other etiology found but most of the cases harmonal imbalance with the overy distruction (Overy Cyst/Choclate Cyst) production happen to create the conceive problem.
In this case I need medical Reports and History for the conclusion like LH-PRL-FSH-TSH, Progestrone, Estrogen, AMA, ANA, LFT, Torch and Vitamins.

Thanks

27.Jul, 11:44am

Dr. Honey Nandwani
Dentist

All the tests are done and reports does not show any hormonal abnormalities..

27.Jul, 11:48am

Dr. Qureshi Mohammad Imran Gulam Jeelani
Internal Medicine Physician

What about the USG, Blood Sugar, Insulin Production and i have mentioned above other reports like AMA, ANA, Torch and Vitamins, Is there any CT-Scan or MRI Reports.

27.Jul, 11:53am

Dr. Honey Nandwani
Dentist

Transvaginal ultrasound shows multiple follicles arranged peripherally..

She has been induced with clomiphene upto 100 mg for 5 days but the largest follicle did not grow more than 15 mm and then regressed..
She is obese around 105 kg ..

27.Jul, 11:56am

Dr. Qureshi Mohammad Imran Gulam Jeelani
Internal Medicine Physician

Start Met-innovfol tablet twice a day for 15 days, cap. Rejunax Plus twice a day for 15 days, tab. Progestone 10mg - twice a day after meals, ask for reduce the weight, start eating dates, watermelon, and veg diet will get the result.

27.Jul, 12:06pm

Dr. Deepika Joshi
Obstetrician And Gynaecologist

PCOS is now recognised as a metabolic syndrome. Its not just the ovulation that is impaired , most of the women with PCOS have insulin resistance and impaired glucose tolerance. out of which around 10%develop diabetes in later life. Even if she is not compliant with allopathic treatment...she should get herself investigated properly...she should get her fasting sugar, insulin ,ogtt as well as lipid profile..she should loose weight weighloss itself decreases hyperandrogenic state and ovulation is resumed..if she is not ovulating with clomiphene 100 mg then dose can be increased as the max dose that can be given is 150 mg or gonadotropins can be used..if she has insulin resistance Metformin can be added...I have seen Excellent results after clomiphene and Metformin in obese Pco...but patient has to be compliant

29.Jul, 07:09pm

Dr. Deepika Joshi
Obstetrician And Gynaecologist

PCOS is now recognised as a metabolic syndrome. Its not just the ovulation that is impaired , most of the women with PCOS have insulin resistance and impaired glucose tolerance. out of which around 10%develop diabetes in later life. Even if she is not compliant with allopathic treatment...she should get herself investigated properly...she should get her fasting sugar, insulin ,ogtt as well as lipid profile..she should loose weight weighloss itself decreases hyperandrogenic state and ovulation is resumed..if she is not ovulating with clomiphene 100 mg then dose can be increased as the max dose that can be given is 150 mg or gonadotropins can be used..if she has insulin resistance Metformin can be added...I have seen Excellent results after clomiphene and Metformin in obese Pco...but patient has to be compliant

29.Jul, 07:09pm

Dr. Sunita Kothari
Obstetrician And Gynaecologist

PCOD is mainly in those patients who are lazy, eating Reading, earning, they don't know the importance of exercise and they are not diet conscious, so these patients are advised first of all do exercise and become physically active, eat protein rich diet avoid carbohydrates, eat fruits and vegetables and simultaneously regularse their periods with oral contraceptive if there is amenorrhoea, if no Amenorrhoea then she can take clomiphane citrate in increasing dose starting from 50mg,along with metformin 1000mg twice a day for 3months.,then ocp Gillette, 35is best ocp,, if no result by clomiphane, she can start letrizole, from 2nd day of periods., vitamins D3sachet regulates menses and improve follicles development. Start ovarichTm, it also improves quality of ovum. Trice a day for 3months.

30.Jul, 10:14am

Dr. Sunita Kothari
Obstetrician And Gynaecologist

Dr Honey Pl I want to talk on phone. My no is 9587400282

30.Jul, 10:16am

Dr. Anand Rao
Homeopathic Physician

I suggest homoeopathy for her

01.Aug, 12:22pm

Dr. Honey Nandwani
Dentist

Hi Dr.Anand.
Can homeopathy help her in conceiving??

01.Aug, 12:31pm

Dr. Anand Rao
Homeopathic Physician

Yes. Homoeopathy will definitely help her.

Homoeopathic treatment involves constitutional approach which means that we take in to consideration all the aspects of the human body i.e., physicals, pathological and also the main aspect the mental status of the patient. such an approach leads to homeostasis of the body and brings back the normalcy of the human pathology.

Treatment with homoeopathy is just to trigger the self defence mechanism of out body so that the body recovers on its own to normalcy. PCOS usually in many cases is associated with some kind of emotional disturbances and mental trauma in their life situation and if we take into consideration the mental aspect along with the physical and pathological aspect, cure is usually inevitable

she can conceive easily and I presume the time span of the treatment shall be usually between 6 months to 2 yrs depending upon the chronicity and other factors. her husbands evaluation should also be done in cases of infertility which is usually not thought of.

01.Aug, 12:44pm

Dr. Honey Nandwani
Dentist

Her husband's evaluation is also done.
His sperm count and motility are all within normal range.

01.Aug, 01:21pm


Dr. Prabhakar Laxman Jathar
Diabetologist

Well mine is a late entry in the discussion. As one the doctors has mentioned PCOS is considered as a metabolic syndrome. Use of Metformin is now considered as the best option, particularly in an obese patient. Metformin also can induce ovulation. If her all hormonal levels are normal, then with metformin she should be able to get proper control and even conceive. It is also essential to check her thyroid hormone levels and TSH. As hypothyroidism is quite often associated with PCOS. Thanks.

15.Aug, 01:00pm

Dr. Ishwar Mahadev Yamgar
Ayurveda Specialist

Dear Dr Honey the main cause of infertility is pcod as she is obese too it is hard ee can go with following management
1) Wt loss
2) ashok arishta
3) panch karma treatment
4)Drugs for ovulation induction

26.Dec, 11:51am

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