My wife has PCOS/PMOS. Will she be able to conceive?

Question

Hello doctor,

My wife has PCOS/PMOS and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a primary infertility problem and she suggested Mychiro tablet for three months. Is there any severe issue for her? They mentioned in the report that E7 was 9.3 mm on the eighth day of the period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue.

Answer 1

Hi,

Welcome to icliniq.com.

For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur.

For ovulation to occur, there are hundreds of hormonal changes happening in the body. It is not possible to check all in a single step. You ovulate only once in a cycle. So, there is only one time chance of getting pregnant in one cycle. As you are married for eight months and if I believe that there were normal cycles, then there were only eight chances of getting pregnant. So, try yourself for at least a year in line and if no success, then go for treatment. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. Do some blood test if required for hormone and HSG (hysterosalpingogram). There are many treatment options such as IVF treatment (in vitro fertilization). But, go step by step and do not jump in between, so that you can confirm that other methods are not working and you have to go further to find a solution.