What is the chance of getting pregnant by follicular scan of a woman having PCOS?

[getsujoyonline]

Hi,

We have passed 1 yr married life and wanted to get a baby in the normal way. My wife has PCOS in peripheral of both ovaries what got detected almost 2 years back. Also she is over weight (+20KG) and her prolactin hormone stays high usually and now is 57 (normal till 25).

Our doctor has given her bromocriptine tablet 5mg every day which is causing nausea and throat discomfort a much. This tablet is given to reduce the prolactin level so that she can conceive.

More over she is taking Lutrozole tablet 2-5 days of her current cycle. From 9th day of her period she is supposed to do follicle scan and probably would have artificial semen injection during ovulation detected by the scan.

We are eagerly waiting to have a baby and trying to get rid of the PCOS/Prolactin problem. Can we get success in the above process?

[brokenbutterfly]

Oh, almost forgot, about the swimmers falling out, I was worried about that too. I have started using Instead menstrual cups (the soft cups). It's different than other cups as it fit snuggly against her cervix holding your sample right where it needs to be, and keeps air out too. It takes some time to get the hang of using them, I practiced before my fertile window. It's basically a flexible ring with a plastic bag attached, it seems way too big but it goes back pretty far. You want to pinch in together in the middle and slowly feed in in the long way, when you're mostly in SLOWLY let go and the cup will kind self fit. It fits right behind the pubic bone, and if it's in right she won't feel it, plus all your swimmers have a better chance. I wear mine to bed and remove in the morning. Removal, she must relax and bear down as if having a BM and use one finger to hook around the rim, then again slowly remove. I yanked mine the first day (I kinda panicked) and there was a bit of painful suction. The custom fit really well. She will notice left over seminal fluid in there the next day, but don't worry all you good swimmers are still inside. It's just fluid, and the bad sperm. I read where one Dr. compared these to doing an IUI. I love them!!! no more messy panties. Not sure where you're from, but the Instead brand softcup is the only one I know of that holds it close up to the cervix that way. Diva cups and others are much lower, some use that to sway for a girl as those sperm can withstand more. I think you and I can't afford to be picky, eh? Good luck!!

[Elaine Brown, MD]

Hi!
The absolute BEST thing your wife could do would be to lose weight.  That very well might solve all of your fertility problems.  However, since it is difficult to lose weight, and takes a long time, I would probably treat with medications as your doctor has done.
You should have more information once your wife has the ultrasound scan at mid cycle.
There should be at least one good follicle of about 20 mm size.
If this cycle doesn't work, I would be tempted to add Metformin to your wife's regimen.
This medication helps to treat insulin resistance which is a part of PCOS, and seems to improve fertility when used in combination with Letrozole.
Also, Dostinex can be used to treat elevated prolactin levels, and seems to have fewer side effects than Bromocriptine.
Good luck!
Dr B

[brokenbutterfly]

Hi, I'm hoping that this can help some who are trying to understand PCOS (Polycystic Ovarian Syndrome) also called Polycystic Ovarian Disease (PCOD). This really should be re-named to Polyfollicular Ovarian syndrome, as the cysts are actually follicles. Follicles normally mature and release an egg each cycle. With PCOS they cysts are actually follicles that failed to mature and release an egg. It helped my understanding of the "cysts" alot to know this. If you have alot of "cysts" and TTC it is sometimes beneficial to go on birth control for a cycle or two. This will shrink down and dissolve the cysts, and kind of reset your system a bit. I know many women with PCOS, and I've known many of them to fall pregnant after a cycle or two on BCP. I know there are Drs. on here who have a wealth of information, for PCOS a Reproductive Endocrinologist is the specialist you want to see. Many gyn's are very helpful and knowledgeable on the topic, but PCOS is a VERY complex syndrome. Unfortunately you can not cure it, you can manage it. Many women fall pregnant and have success, but it usually takes some more doing. There are TONS of things you can do with medicine and alternative therapies. The best advice for any with PCOS, or for the very loving husband who started this post is " Take charge of your health, and do all you can to learn about PCOS, what it is, and how to treat it". As I said there are many natural things you can do to get your body back in balance. Some women need to get IVF to become pregnant, but don't rush into that. It may be a simple matter of balancing your hormones. Even if you do need IVF, if you balance your hormones it will give you a greater chance for success! Good luck, and if anyone has questions feel free to message me, I've learned alot about PCOS, and would love to help others as well.

[swatigoel]

i had pcod of 13mm in left ovary and now after taking treatment nw i have 20mm follical in right ovary on 12th day and on 14th day i have 25.3mm follical in right ovary.... is this positive sign to concieve....

[brokenbutterfly]

Sorry, I forgot something as I'm tired. I think this info may be valuable to others who stumble upon it as well. On fertile days, when there's no time or frankly we're to tired, I will help him "fill the cup quick" and insert this. Very similar to artificial insemination, great for mornings when you don't have alot of time. That's when your semen is most concentrated. Hope all this helps you. I'm currently trying to get my mind off the waiting game.

[brokenbutterfly]

taking such an interest! I too have PCOS, and when it came on gained 30lbs in 6wks!! I wasn't eating any different. I have been put on Metformin, and this has brought back a regular mentstrual cycle, and gotten me to ovulate as well. It seems like your Dr. may have skipped over the Met, that should be the first line of treatment. Met did not help me lose so much as it stopped the crazy gaining. Your wife will want to cut out sugar,and simple carbs ( I know it sux, but that is poison to PCOS) I also use alternative meds along with traditional, and the 2 things that have made the biggest difference is a 2 month wheatgrass cleanse, it's easy take 1/4tsp wheatgrass powder mixed in water or juice each a.m. before eating, don't eat for 30mins then go about your normal day. I couldn't stand the taste, so I got empty gelatin capsules and fill them. 1 capsule per morning (don't buy the tablets, fill your own, it's easy) and drink plenty of water. Wheatgrass will help flush her body of excess hormones, balance hormones, help with weightloss, and so much more. You can take this as well. You will feel wonderful. It has so many health benefits I can't list them all here, but it's a super food and won't interfere with the other meds. And don't let the "wheat" part fool you, it's gluten free and is no issue for those with wheat allergies. Sorry this is long, I've done alot of researching PCOS since my diagnosis. My absolute favorite thing I do to help my fertility is also natural, and will not interfere with her meds. It's self fertility massage. I ordered a DVD from Amazon for 30 bucks, and was a bit miffed at the price, but it's the best 30 bucks I've ever spent. It helps with pretty much every aspect of infertility including PCOS. I was doubtful at first, but after my first cycle doing this (do not do after ovulation or during Aunt Flo) I've had the best cycle EVER!! It is gentle and natural, but also very powerful. Physically stimulating the repro organs with the proper techniques will help get everything working as it should, and I know it will help me get pregnant soon if I'm not already. If you'd like more info on it let me know. You can also have her take a session with a local massage therapist to learn the proper techniques, but the DVD is awesome and cheaper!! On Amazon there's 2, I got the one with the light purple flowers, by Heathir Rodriguez. GL, and if you have any other questions, ask away. I'm not a Dr. but PCOS is complex, and my GP and Gyn have admitted I know more than them, lol. Not the RE though, lol.

[getsujoyonline]

Thanks Doc,

Could you please help us with some more info? Our doctor has said us to go for follicle scan and we can choose the most probable day for semen injection manually (with some mechanical way, not by intercourse) during scan. Me and my wife think that we might probably have problem of taking semen into the right place during inter course because we see a major volume comes out of her vagina and does not go in. So, can the artificial way of pushing semen help? As she is taking bromocriptine and this could  reduce the prolactin level and help her getting pregnant, in the day of ovulation which will be getting detected by scan, should we go for natural inter course or artificial way? What do you suggest.
Thanks for your valuable advise.

Sujoy