My irregular bleeding is disturbing my cycle to conceive even with medications. What to do?

Hello,

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The PCOD (polycystic ovary disease) is confirmed by ultrasound transvaginal and there is a presence of a small fibroid as well in the posterior wall of the uterus along with a left ovarian endometriotic cyst. (attachment removed to protect patient identity). This simply confirms that there is an estrogen depletion and testosterone excess in your body which needs to be rebalanced and that can be done with the help of oral contraceptive pills and Myo-inositol and D-Chiroinositol supplementation for at least three cycles. You have to understand that PCOD is alike diabetes and cannot be completely treated but can be controlled and prevented with lifestyle and dietary modifications post-medical treatment. You need to be placed on medications before you start ovulating naturally which you are not due to PCOD. The presence of a hemorrhagic cyst, unlikely endometriotic too can be addressed with the PCOD regimen. The insulin resistance in your body would too have to be controlled and you need to avoid oily, spicy, and fried foods to an extent along with brisk walking daily with adequate daily water intake. Please do not opt for an ovulation induction cycle as that would be an attempt in vain.