How do I conceive a child despite having irregular periods and experiencing side effects of medication?

Hi,

Welcome to icliniq.com.

I understand your concern.

You have a history of irregular cycles and had tried birth control pills to regulate them but were unsuccessful. Discovered hormonal imbalance and increased testosterone, so Ortho Tri-Cyclen was prescribed, which was self-stopped six months back, and since then no periods occured as well.

Many points and previous investigations are still missing especially previous ultrasound and hormonal blood reports. Your history presents you as a patient of polycystic ovary syndrome. BMI is too high with testosterone as well. As a result, chronic menstrual irregularities have even stopped for six months. My sincere advice is to start all over. This means trying to have a healthy lifestyle, take precautions, do investigations and start treatment, have regular cycles, and then try to conceive. Daily walk, exercise, yoga, healthy nutritious short meals primarily vegetables and fruits, seafood, less salt, and sugar or quit both, less fried, stop alcohol, tobacco smoking, cocaine and other recreational drugs having long term side effects on health and fertility. Try to have regular cycles that would be regular after weight reduction. Start folic acid 0.4 mg daily. Then have sex activity, especially from day 8 to 13, the regular 28 days cycle for conception. Do get blood investigations of your serum testosterone, FSH, LH, serum insulin, serum prolactin, and thyroid function test on the second day of the cycle after taking birth control pills. Progesterone-only pills or mini pills that contain only progestogen as estrogen-containing ones are dangerous for your health. Do one transvaginal scan for a clear view of ovaries and uterine pelvic pathology. Try to contact us here with laboratory and ultrasound results or your gynecologist for the best treatment. Try to have complete treatment of any other disease like diabetes or thyroid if you have one. I have given a future treatment and precautions, hoping you get my point for a healthy, happy life. No need to hesitate if you want to ask about obstetrics or gynecology-related questions.