HomeAnswersObstetrics and GynecologypregnancyI have PCOS and missed period for a year. How can I get pregnant?

What are the ways to conceive in a PCOS patient?

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

Answered by

Dr. Aditi Laad

Medically reviewed by

Dr. Divya Banu M

Published At July 18, 2020
Reviewed AtJanuary 16, 2024

Patient's Query

Hello doctor,

I suffer with PCOS, I have lost 2 stone and now have a BMI of 33 and aim to get this lower. I have recently started Metformin to try and bring on ovulation/periods as I would like to get pregnant and have not had a period for over 1 year. A blood test this week indicated that my LH hormone is 17 IU/L. What must I do to fix this imbalance and get ovulating?

Answered by Dr. Aditi Laad

Hi,

Welcome to icliniq.com.

Continue taking Metformin. Try reducing weight at least 30 lbs in 6 months. Have you got your AMH and FSH levels checked? Please get it checked. Also have they given you any medicine for withdrawal bleeding? If not then take medicine for withdrawal bleeding as not bleeding for one year is not good. Get an ultrasound also done on day 2 of your periods. Review with the above reports.

Patient's Query

Thank you doctor,

I have done the AMH test which was very high but is this likely due to my PCOS condition? The result was 92.8 pmol/L. My FSH was 5.7 IU/L while my LH was 17.3 IU/L. Does this mean anything? I have not been offered medicine for withdrawal but will request this.

Answered by Dr. Aditi Laad

Hi,

Welcome back to icliniq.com.

Take tablet Regulate 5 mg (Progesterone) twice daily for 7 days. After stopping these tablets you will have bleeding in 7-10 days. Your AMH is very high but PCOS people have high AMH so do not worry. Continue taking Metformin and continue your lifestyle changes (diet and exercise). Also, start taking tablet Folvite from after two months when you start trying to conceive. In two months reduce at least 15 to 17 lbs weight and then start trying to conceive.

Investigations to be done

Ultrasound pelvis on day 2 of menses.

Treatment plan

Lifestyle modification Dietary changes Exercise Tablet Metformin 500 mg Tablet Regulate 5 mg twice daily for 7 days

Patient's Query

Thanks for your response. I have now taken Provera which has given me a withdrawal bleed. My doctor suggested a 21 day blood test which can show if I am ovulating, will this work if I am basing the 21 days on my period that was started due to the Provera? I bled on the 23rd July so intend to have the 21 day test on 13th August. Thanks
Answered by Dr. Aditi Laad
This is one way. Another way is follicular monitoring from day 11 of menses. In this doctor will call u every alternate from day11 till the follicle become big and than will give you medicine for follicular rupture. Continue rest of the medicine. Let me know report of your blood test. Also keep in mind day 11 to 18 is the fertile period. Try being close every alternate day from day 11 to 18.

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

Dr. Aditi Laad
Dr. Aditi Laad

Obstetrics and Gynecology

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