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HomeAnswersObstetrics and Gynecologymissed periodI have PCOD and delayed period. Please help.

Is it possible to get pregnant with PCOD?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At April 3, 2020
Reviewed AtMay 16, 2024

Patient's Query

Hi doctor,

I want to ask something about pregnancy. I have missed my period for 60 days. I got my last period before two months. I checked for pregnancy using a pregnancy kit. It showed me a negative result. When can I take my pregnancy test again? Before six months, I had PCOD. I was taking medicine for it. After three months, I went for a check-up and my doctor told me that PCOD is not shown in my ultrasound. Please suggest. Currently, I am taking Ovafit and Folic acid tablets. Can I continue taking this tablet?

Hi,

Welcome to icliniq.com.

You have delayed periods due to anovulation. As your pregnancy test shows a negative result taken after 50 days, it is good to check it again tomorrow. If it is negative, then it is advisable to take medications for having withdrawal bleeding. PCOS (polycystic ovarian syndrome) is not diagnosed based only on ultrasound reports. It is a lifestyle disorder. You need to modify your lifestyle by reducing your weight. You need to do a complete hemogram, glucose tolerance test, HbA1c (hemoglobin A1c) levels, lipid profile, RFT (renal function test), LFT (liver function test), serum calcium, vitamin D3, and B12 levels, serum fasting, and postprandial insulin levels, serum FSH (follicle-stimulating hormone), LH (luteinizing hormone), estradiol, prolactin levels, thyroid profile (T3 (triiodothyronine), T4 (thyroxine), TSH (thyroid-stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) antibody on the second or third day of your next menstrual period. Do regular exercises and have a modification in your diet. It helps to treat your hormonal imbalance. You can get your periods on time after following these steps. It helps to know your ovulation time. You can take tablet Meprate (Medroxyprogesterone acetate) or Deviry 10 mg (Medroxyprogesterone acetate) twice daily for five days and then stop taking it. You can get your withdrawal bleeding within seven to ten days. If you are trying for pregnancy, it can be achieved naturally without taking medications.

The Probable causes

You can have PCOS (polycystic ovarian syndrome) or thyroid.

Investigations to be done

You need to do a complete hemogram, glucose tolerance test, HbA1c (hemoglobinA1c) levels, lipid profile, RFT (renal function test), LFT (liver function test), serum calcium, vitamin D3, and B12 levels, serum fasting, and post-prandial insulin levels, serum FSH (follicle-stimulating hormone), LH (luteinizing hormone), estradiol, prolactin levels, thyroid profile (T3 (triiodothyronine), T4 (thyroxine), TSH (thyroid-stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) antibody on the second or third day of your next menstrual period.

Differential diagnosis

You can have thyroid or prolactin abnormalities.

Treatment plan

You can take tablet Meprate (Medroxyprogesterone acetate) or Deviry 10 mg (Medroxyprogesterone acetate) twice daily for five days and then stop taking it. You can get your withdrawal bleeding within seven to ten days.

Preventive measures

Try to reduce your weight. Maintain a menstrual diary. Do regular exercise for at least an hour daily. Have a lifestyle and dietary modification soon.

Regarding follow up

Have a follow-up with the results of your test.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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