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Dr. Gupta
Dr. Gupta, Doctor
Category: Medical
Satisfied Customers: 10715
Experience:  Vastly experienced MD Physician with 19 years of experience.
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I have fertility issues. Trying to conceive but no luck Need

Customer Question

Hi I have fertility issues. Trying to conceive but no luck Need advice n support
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: No medication waiting for hospital appointment. My Gp refer me to hospital on my request. I am struggling to conceive .my younest child is now 5 and half year
JA: Do you keep personal medical records to help track this?
Customer: Yes I do
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: I have irregular periods in 2020 then I went on holidays n had Consultant with gynaecologist n she she said I have pcod
Submitted: 13 days ago.
Category: Medical
Customer: replied 13 days ago.
Expert:  Dr. Gupta replied 13 days ago.

Hi, Welcome to JustAnswer. Thank you for your question. I’m Dr. Gupta and I can help you today. I'll be back in a moment with my reply!

Customer: replied 13 days ago.
No problem
Expert:  Dr. Gupta replied 13 days ago.


I am sorry to hear that,

PCOD is a very common reason causing difficulty in conception,

PCOS is a complex hormonal condition which affects up to one in five women of reproductive age. Most women with PCOS have elevated levels of a type of hormone called luteinising hormone, which brings about ovulation, and reduced levels of a hormone called “follicle stimulating hormone”, which is essential for pubertal development and the function of women’s ovaries and men’s testes.

Women with PCOS also have an underproduction of oestrogen (“female” hormones) and an overproduction of androgens (“male” hormones). This causes tiny cysts on the surface of the ovaries.

Due to these hormonal imbalances, women with PCOS often have irregular menstrual cycles because they don’t ovulate or ovulate only occasionally. So women with PCOS are more likely to have trouble conceiving than other women.

While most women who have PCOS become pregnant, they often take longer to fall pregnant and are more likely to need fertility treatment than women without PCOS.

In a recent study by Monash University, women with PCOS took part in an online discussion group. They talked about their concerns about pregnancy and what they could do to improve their chances of falling pregnant, the sort of information they would like about fertility and PCOS, and when they would like to receive this information.

Their greatest worry was about whether they would be able to get pregnant. They also wanted to know how best to prepare for pregnancy and what they should do before trying to conceive. They had trouble finding up-to-date, relevant and reliable information.

According to the international evidence-based guideline for the assessment and management of PCOS, adopting a healthy lifestyle – including being in the healthy weight range, not smoking, cutting back on alcohol, eating a healthy diet, getting plenty of regular exercise and enough sleep – is the first thing to do to improve a woman’s chances of becoming pregnant and having a healthy baby.

To get the right kind of advice and support, women planning to get pregnant should have a preconception health check with their GP. This is also an opportunity to discuss a plan of action in case the PCOS causes fertility difficulties.

For women with PCOS who are overweight or obese, a modest weight loss sometimes results in more regular ovulation, which increases the chance of pregnancy. For those who know they ovulate, having sex during the “fertile window” (the five days leading up to and including ovulation) boosts the chance of conception.

You can read more here

Warm regards