Patient's Query
Hello doctor,
One of my fallopian tubes is blocked, and the other one is patent. I have mild PCOS. What to do?
Please help.
Hello,
Welcome to icliniq.com.
I read your query.
You need only one tube to get pregnant. Many times, we remove one tube due to tubal pregnancy, and then the lady gets pregnant with one tube that is left.
Even if the egg on the blocked side ruptures, it will swim across to the opposite open side and find the sperm. Sperm and egg movement is not physical; there is a chemical attraction between them.
PCOD (Polycystic ovaries) is a congenital condition. I mean, it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into the estrogen hormone. In your body, too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone that tips the balance between FSH (follicle-stimulating hormone) and the ovarian hormone. FSH, as the name suggests, stimulates follicles from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture. In the next scan, you will see all these follicles as polycystic ovaries.
This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots or spotting.
You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, and oily facial skin.
This will not allow ovulation to occur at the time, and so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution.
Your weight has to be under control. Avoid junk food and reduce snacks in between meals. Have a protein-rich diet. Do regular exercises and practice yoga.
Hope it helps.
Thanks and regards.
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Answered byDr. Balakrishnan. R
Medically reviewed byiCliniq medical review team
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