I have PCOS and was on treatment for the same. What should I do to conceive at the earliest?

Q. Do LH levels 3. 6 IU/L means I have no fertility issues?

Answered by
Dr. Uzma Arqam
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Nov 21, 2022

Hi doctor,

I have had PCOS since 12 years of age. I am 30 now and about to get married. I reduced my weight from 102 kg to 86 now. This helped me get periods on time with no medication, only Metformin at night. My scans now show no cysts. The doctor prescribed me an LH test on the second day of my period. The results show 3.60. Is it a good sign? It is the third day of my period and my wedding is in the next ten days. I want to conceive right after marriage. Please help.



Welcome to icliniq.com.

I understand that you are 30 years old and about to get married with a history of PCOS (polycystic ovary syndrome) from an early age. You are on Metformin and have managed to reduce weight to 86 kg and get regular periods. Your recent ultrasound was normal and your LH (luteinizing hormone) level is 3.6 IU/L. The only concern you have now is about fertility.

The normal LH level on day two should be between 3 to 10 IU/L. Congratulations your level is 3.6 IU/L, which is very normal. I would suggest leading a healthy lifestyle and habits to have healthy pregnancy soon after marriage. Regular exercise or walking, yoga, and healthy food with low salt and sugar are preferable. As you are already on Metformin, try to reduce more weight if possible. For conception, try to have intercourse from day 8 to 13 of your periods.

I suggest Folic acid 0.4 mg daily for a healthy pregnancy. Continue Metformin as previously. All the very best.

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