Have PCOS, irregular menstruation, normal BMI, tiredness, headaches. On folic acid, metformin. Can I get pregnant?
Patient: hello doctor owen. pls help me by answering my question.  4 years ago I got pregnant and was aborted because Im not yet ready to have a baby that time ( I was 21 when I got pregnant ). When I reached 25 years old I got married and decided to have a baby..but for few months  we got no luck and we seek for a help from a local doctor. I was diagnosed that I have PCOS..My menstruation is very irregular. My BMI is just normal but was advised by my doctor to reduce my weight. I was given few tablets like utrogestan‚ ova-mit clomifene‚ metformin‚ folic acid and vit.b12..I just finished my 2nd cycle of ovamit and I failed to get pregnant. For the 3rd cycle I did not take utrogestan hoping that my cycle will now follow the exact date but sad to say it didn't. My last period was on July 25‚2013 but until now I do not have my menstruation. Pregnancy tests every week but negative results.I feel tired most of the times. Light headed and headaches. Do I need to take utrogestan again to induce my menstruation? do I still have the chance to get pregnant? i hope to hear from you at your earliest convenience. thank you very much and God bless. Doctor: Polycystic ovary is a condition in women that can lead to difficulty with menstrual irregularity, infertility, blood sugar control, weight management and increased body hair growth. Many women need to use a medication like utrogestan to induce their menstrual period. If women go without their menses for long periods of time, they have a higher risk of uterine cancer. Taking a medication to induce menstruation is helpful for knowing when to start clomiphene on months that pregnancy is attempted. Clomiphene is used to help women ovulate, and this can be a problem in PCOS, leading to the irregular menstrual periods. The good news is that with proper treatment, the fertility rate for women with PCOS is approximately 80% if no other factors are involved. Metformin helps regulate blood sugar in women with PCOS, helps regulate menstrual cycles, and actually improves fertility as well. I hope this answers your question. I am available for further consultation if needed.