Is it possible to get pregnant with fibroids and polycystic ovaries?

Hi,

Welcome to icliniq.com.

I understand your concern,

1) You have bilateral polycystic ovaries that causes hormonal imbalance which leads to irregular periods.

2) There are three fibroids which are of significant size, one in the anterior wall, one in posterior wall and one in the fundus. These require treatment as they will affect the fertility later.

3) Thin endometrium means the lining of the uterus is thinned out (not the uterus itself) other than that your scan is fine.

Now to answer your questions,

1) The treatment plan has to be three fold to treat the polycystic ovarian syndrome, treat the thin endometrium, and the fibroid.

2) There are many options but the treatment depends on the symptoms the patient presents.

3) No other tests or diagnosis is required as these are benign masses.

4) Polycystic ovaries have to be treated with combined contraceptive pills along with life style changes like exercise and diet. The contraceptive should have antiandrogenic properties like Krimson 35 (Cyproterone Acetate and Ethinyl Estradiol) or Dronis (Drospirenone and Ethinyl Estradiol).

5) It so wise to go for surgery, especially the minimal invasive surgery suggested by your doctor to remove only the fibroid (laproscopic myomectomy) because in future this will cause problems in conceiving.

6) Fibroids can be managed medically, but when fertility is in question it is better to go for surgery, otherwise it will require serial monitoring and medication which may not work even.

7) Waiting till you sort out all problems espcially the fibroids will increase your chances of a sucessful pregnancy. With fibroid there is a chance of miscarriage.

8) The combined contraceptive pill which will be prescribed for pcos will also act as a barrier against pregnancy. Also use of condom is always recommended in combination with other forms.

9) Operating fibroids before pregnancy is better as during pregnancy the fibroid becomes vascular and bleeds a lot. Laproscopy before pregnancy is the best option.

10) Kindly take the medication prescribed by your doctor, it will help to induce your period and also ask if you need to start oral contraceptive pills after your periods start.

I hope this was helpful. Regards.

Hi,

Welcome back to icliniq.com.

I cannot provide you a prescription for medication without a video consultation. But for now, you need to take the Valest (Estrogen) 2 mg. This will help thicken your endometrium and Regestrone (Norethindrone), which will lead to the shedding of the thickened endometrium. So that once you stop, you will get your withdrawal bleed (usually occurs within seven days of stopping Regestrone). Once the bleeding starts, on the second day, you will need to start pills. So kindly get back to me on the first day of your period. Meanwhile, kindly get your thyroid profile and fasting blood sugar and fasting insulin levels checked (to diagnose insulin resistance in polycystic ovarian syndrome patients). I hope it was helpful.