After how many cycles of regestrone and metformin will I conceive?
Patient: Hi , I didnt get my periods for last 55 days, and after consulting a gyneacologist, it was found as PCOD. She prescribed me regestrone and metformin. I am planning for pregnancy and i am not conceived yet.My doubt is , for how many cycles it is advisable to take regestrone? Will I conceive soon?? Doctor: Hi,I wish you had provided some more details to help you better. What is your age and BMI? Is this the first time that you have irregular cycles?How long have you been married?Regestrone contains progesterone hormone. It is used to induce periods. it does not help you in conception. It is important that you and your husband should consult gynecologist and  get some basic subfertility investigations done to find out if there is any other cause for delay in getting pregnant ( hormone tests and fallopian tube patency test for you and semen analysis for your husband).If it is found that PCOD with irregular ovulation is the only cause for delay in periods and if you are obese then it is extremely important that you reduce weight. Reducing weight by 5-10% can itself regularize ovulation and increase chances of pregnancy. Your doctor will discuss with you and start metformin + clomid to induce ovulation. These medications are used for six months.  Your chances of getting pregnant are about 40% and having live baby is around 27%.If you don't get pregnant with this treatment your doctor will discuss with you use of gonadotrophins (hormone) or ovarian drilling (surgery)   to induce ovulation.take one tablet of folic acid dailyTo increase your chances of conception maintain normal BMI, quit smoking ( if you're a smoker) and have intercourse at least three times in a week.If you have any further concerns do contact me through Healthcare Magic.