Can Clomid and Progesterone help me ovulate with PCOS/PMOS?

Question

Hi doctor,

I do not ovulate due to my PCOS or PMOS. I have a kid, but I had taken Clomid to get pregnant. I was hoping to get it prescribed today. I was diagnosed with PCOS or PMOS when I was 20 years old. I got pregnant two years ago by taking Progesterone and Clomid. I also never had a period on my own since being diagnosed, but they have always been medically induced.

I have ultrasounds and blood tests showing that I have PCOS or PMOS. I have now been without a period for three months, and pregnancy has been ruled out. I have been prescribed Progesterone to help start my period, but I still need Clomid to help induce ovulation.

Kindly help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Given your history of needing Clomid (Clomiphene citrate) and Progesterone to conceive and regulate your cycles, it seems likely that a similar course of treatment could help again, especially since PCOS (polycystic ovary syndrome), now known as PMOS (polyendocrine metabolic ovarian syndrome), often results in irregular or absent ovulation.

You are already taking Metformin, which is commonly used to help improve insulin resistance in women with PCOS or PMOS, and it can sometimes help in regularizing ovulation.

Since you have not had a period in three months, Progesterone therapy to induce a withdrawal bleed could be helpful. However, you will still need Clomid or a similar ovulation induction medication to help stimulate ovulation, as you experienced previously. Clomid stimulates the ovaries to produce eggs, which is necessary for ovulation.

I suggest you do the following:

Maintaining a healthy weight.
Exercising regularly.
Following a low-carb, balanced diet can help improve ovulation and fertility naturally.

You should revisit your gynecologist. A physical examination by a gynecologist in a hospital is a must.

I hope this information will help you.

Thanks.