Our expert says:
The problem with PCOS is that the menstrual bleeds are not always true menstrual bleeds but instead breakthrough bleeds due to excess build up of the endometrium (lining of the womb). This follows directly on ovulatory dysfunction and even though Clomid has been used this does not always guarantee ovulation taking place. Although your cycle remains 31 days this may not also be a true menstrual cycle but may be due to the abnormal changes in the lining of womb due to the imbalance in the hormonal system, in particular high-unopposed estrogen levels. My recommendation is that you begin careful ovulation monitoring by means of ultrasound scanning through a fertility specialist or a skilled managing PCOS.
Answered by: Dr.M.I.Cassim
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