Hello doctor, I am 30 years old. I have been diagnosed with pcod way back and also hypothyroidism. I am taking 75 mg thyronorm. I took contraceptive pills for 3 months to regularise my periods. After stopping tablet I did not get periods for 42 days and had to take meprate to induce periods. I am trying to conceive. When I told my gyno, she suggested me to take letrozole which I took during this cycle. I was expecting to get pregnant this cycle but got my periods on 40th day (i used to have periods once between 30-45 days) usually. The bleeding is heavy. I am trying to conceive since a year and unable to. My prolactin and amh levels are within limits. Please suggest what to do further. I am really confused and worried.

Dr. Sujoy DasguptaGynaecologist18yrs exp

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For conception by naturally 3 things are needed- your ovary (checked by amh and afc), your tubes (checked by hsg) and your husband's semen. So you need to check all of these before getting the answer. Please continue folic acid as it is needed for brain development of the baby. Now your age is 30, which is ok, because the most important factor which decides the chance of conception is the age. In pcos it's difficult to regularize period, if you want pregnancy. Still pregnancy is possible by treatment. The first important thing is to control weight. Reduce weight by diet and exercise. Regarding letrozole, when you are taking it, it's important to do follicular study by tvs to see if your ovaries are actually responding to the medicines. If you respond, the chance of pregnancy is 10-15% per cycle. In such case, you should continue the medicine for 3-4 cycles. However, if you do not respond, as seen in tvs, there is no use of continuing the medicines months after months.  

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Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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Pcod/pcos is a common hormonal disorder in women which can lead to weight gain and irregular periods. While most women depend on pills to deal with it, these simple changes in your lifestyle will help you deal with the condition in a better way. 1.Nutritional approach: deficiency of micronutrients contributes to insulin insensitivity and compromise ovarian function. So, 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of plain water first thing in the morning (preferably within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, seasonal fruit (eat whole fruit not juice), a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. Take simple food like rice n dal in dinner. 6. Avoid fast foods n fried foods7. Take a lot of green vegetables n fruit. 8. Drink lot of water9. Everyday preferably sleep on same time10. Maintain active life style2. Exercise strategies: regular workouts are non-negotiable. They are essential to burn off fat stores for hormonal balance and regular ovulation. You should join a gym for weight training. Do it 2-3 times a week with at least 48 hours in between 2 sessions. Other days you can do cardio exercises like yoga, cycling, swimming etc. 3. Sleep: adequate sleep is non-negotiable too. Sleeping at a more or less fixed time every day and for an adequate number of hours is a prerequisite to keep hormones in sync. 4. De-stress yourself: love yourself more than anyone else, prioritize your health, learn to say no, take time out to exercise and relax. Pursue your favorite activities, learn a new skill, and never ignore your body signals. For more details you can consult me.  

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Dr. Richa SharmaIVF Specialist19yrs exp

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Lifestyle modifications are needed don't take Ocps like this . weight loss to be done at least 5-10% and then proceed for any infertility treatment 

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Dr. Parul MongaIVF Specialist10yrs exp

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You need to exercise , go on diet control , and continue with the treatment patiently . Only then you will see fruitful results  

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