Have PCOS, irregular period. Trying to conceive. Advised Transvaginal ultrasound. Pregnancy test negative. Possible reason?
Patient: I HAVE BEEN TRYING TO GET PREGNANT FOR 5 YEARS TO NO AVAIL SO AS MY GP WANTED TO REFER ME TO FERTILY CLINIC SHE REQUESTED FOR TRANSVAGINAL ULTRASOUND BUT DURING THE SCAN i WAS TOLD BY THE SONOGRAPHER THAT I COULD BE PREGNANT AND THAT I SHOULD DO A TEST (APPARENTLY HE SAW SOMETHING AS PREGANCY)HOWEVER AFTER DOING 2 TESTS ,IT ALL CAME BACK NEGATIVE .I AM NOW CONFUSED ,IF IT IS NOT PREGNANCY WHAT COULD IT BE ?(I HAVE GOT PCOS AND DO NOT REGULARLY SEE MY PERIOD SO I CANT RELY TO THAT ).ANNABEL,THANKS Doctor: hello Annabels!  Your question has answers in it. If you need a baby, treat PCOS.Lifestyle modifications will be a good start and are considered first-line treatment for women with PCOS. Such changes include the followingDiet(A diet patterned after the type 2 diabetes diet has been recommended for PCOS patients) increase fiber; decrease refined carbohydrates, trans fats, and saturated fats; and increase omega-3 and omega-9 fatty acids.Exercise regularly and minimum 45 minutes a day.Take vitamin D as 75 5 cases of PCOS resulting infertility are corrected once low Vitamin D levels are corrected.Weight loss is the most important thing you need.Use following medications Oral contraceptive agents (eg, ethinyl estradiol, medroxyprogesterone)Antiandrogens (eg, spironolactone, leuprolide, finasteride)Hypoglycemic agents (eg, metformin, insulin)Selective estrogen receptor modulators (eg, clomiphene citrate)Topical hair-removal agents (eg, eflornithine)Topical acne agents (eg, benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%, sodium sulfacetamide topical 10%)See a fertility consultant you will need assistance in fertility. Try some clomiphene citrate and follow calendar methods and utilize active days of cycles for conception.If my tips didnt work after you followed them to every single bit of them, then come and grab me from my collar. Cheers & regardsDr S Khan