What to do in case of failed pregnancy attempts?

Hi,

Welcome to icliniq.com.

I understand your concern.

Sorry to hear your expectations were not met. But I feel the main problem is your weight. Be it pregnancy anovulation (no ovulation) or any hormonal imbalance, the net result is the same clinical symptoms. From your history, I presume you have PCOD (polycystic ovarian disease). This is a congenital condition. I mean, it is genetically programmed, and you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, have not you seen obese men developing breast and in young obese girls, who develop periods at a younger age, they all have high levels of estrogen or female hormone). In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to hormone, which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle-stimulating hormone), as the name suggests, stimulates the follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture. In the next scan, you see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. You may have a family history of diabetes, especially your father or his family. This will not allow ovulation to occur at a time, and so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Your expected weight is 114 to 125 lbs. Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant, and pregnancy will be healthy. To reduce weight, I suggest the following:

• No fasting, no junk food, fast foods, or red meat. Reduce snacks in between meals.
• Have low-calorie food with high proteins.
• Regular exercise (especially for the waist and hip area), aerobics, yoga, and brisk walking (swing your hands well). Try to reduce 4 to 8 lbs a month. Do not hurry on weight reduction, as it will be difficult to maintain.
• As soon as you reduce at least 11 lbs you will see changes.
• If you are very keen to know if you are really pregnant or if you want to cross-confirm the urine test. Have blood serum beta HCG (human chorionic gonadotropin) tested. It can detect the smallest of pregnancies anywhere in the body.

By looking at the ovulation calendar, you are only trying to see the symptoms of the problem, but the main problem of hormonal imbalance still lingers in the ovary. Even if you get pregnant, the hormonal imbalance can stop the initial support of the baby. In the first three months, when the placenta is still not ready, abortion risk is present. Weight loss, to the extent I said, sounds impossible, but do give it a try. You will not need to have ovulation tests, and you will surely get pregnant.

Hope I have clarified your query.

Do write back if there are any more queries.

All the best.