Can a 30-year-old female with PCOD and subserosal fibroids become pregnant?

Question

Hi doctor,

I am a 30-year-old female with a height of 5 feet 3 inches and weighed of 60 kg. I have been trying to conceive for a year. I have irregular periods. I was diagnosed with PCOD. I treated PCOD now cleared. But I have two subserosal fibroid being constant in size. Approximately 5*3 cm. I left treatment for four months. I am only taking Thyroxine-25 for thyroid, which is currently 2.8 ug/dL, but doctors told me to take it regularly. I had my LMP 11 months ago. Since then, I have had no periods. A few days back, I did a negative home pregnancy test. I have a few pregnancy symptoms, like cramps and pain in my legs, food carving, morning sickness, and sometimes feel hot flushes. I do not know if I am pregnant or not. I need suggestions on what I should do. Is this because of my thyroid, or am I pregnant?

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

From your history, I do not feel you are pregnant. However, as the urine test is negative, you can confirm with blood serum beta hCG (human chorionic gonadotropin). This will diagnose the smallest of pregnancies anywhere in the body. Once confirmed negative, it is best to have any birth control pills like Novelon (Estrogen and Progesterone), one tablet twice a day for ten days (throw away the 21st pill). No matter the cause, you will get periods within seven to ten days.

The thyroid hormone is not such a serious or dangerous hormone to prevent you from getting pregnant. Your level of hormone levels is normal.

Kindly see if the following investigation is done.

1. Male partner's semen analysis and blood sugar levels.

2. Your blood sugar levels.

3. That fibroid needs to be evaluated if it distorts the uterine cavity or is close to the fundus of the uterus or the point of embryo implementation.

4. Most important tubal patency test is done by HSG (hysterosalpingography, x-ray with dye) or hystero-laparoscopy. This is where the egg meets sperm to form the embryo and, unfortunately, is not seen on any scans.

I hope you find it helpful.

Kind regards.