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Question
Posted by: Cindy | 2007/08/15

No Menstral Cycle, Trying to conceive

Hi,
I have no menstral cycle for over a year now, the doc told me to loose weight and excercise, which i have done and have 25 kgs to loose. HE also told me go on a course of Diane for 6 months to regulate my period.

What do you think?

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Our expert says:
Expert ImageFertility expert

Dear Cindy

The most likely diagnosis in this situation is polycystic ovarian syndrome (PCOS). In addition I would suggest some form of insulin resistance tests, as well as other hormonal tests (thyroid functions, prolactin etcetera). If all the above is normal then the use of Diane might be appropriate if conception is not immediately desired. However in cases where there is a fertility problem as well, it would be better to consider ovulation induction by means of tablets or a combination of tablets and injections so as to speed up the process.

In general it is common practice for ovulation monitoring to start on day 10 of the cycle if done by ultrasound scanning. Of particular importance, some patients may even ovulate as early as day 10 or day 11 if put onto clomiphene citrate (clomid, fertimed etcetera).

The Pregnyl dose is not of any consequence and ovulation can occur even on a single ampoule of 5000 units. The intercourse dates were appropriate if timed according to the pregnyl injection. However this would significantly depend on whether there was ultrasound monitoring to guide the use of pregnyl.

A progesterone test 8 or 9 days after the pregnyl injection would have detected ovulation or at least a progesterone response to treatment. I suggest that you start having your ultrasound scans early on so as to not miss possible ovulation.

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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Our users say:
Posted by: Fertility Expert | 2007/08/21

Dear Cindy

I apologise for the incorrect posting. Please see the following:

The most likely diagnosis in this situation is polycystic ovarian syndrome (PCOS). In addition I would suggest some form of insulin resistance tests as well as other hormonal tests as well (thyroid functions, prolactin etcetera). If all the above is normal then the use of Diane might be appropriate if conception is not immediately desired. However in cases where there is a fertility problem as well, it would be better to consider ovulation induction by means of tablets or a combination of tablets and injections so as to speed up the process.

Reply to Fertility Expert
Posted by: SESI | 2007/08/15

HI CINDY

I ALSO HAVE THE SAME PROBLEM AS YOURS , I AM HEALTHY AND ALL THE TESTS DONE ON ME ARE FINE . THE PROBLEM IS MY WEIGHT , THE DOC SAID I HAVE TO LOOSE A LOT OF WEIGHT . MY MENSTRUL CYCLE IS ABNORMAL I HANE ONE AFTER THREE TO FOUR MONTHS .
IM CONFUSED I DONT KNOW WHAT TO DO , IM DESPARATE TO FALL PREGNANT , I WANT TO HOLD MY CHILD IN MY ARMS .

Reply to SESI
Posted by: Cindy | 2007/08/15

Hi, i had all that checked 2 weeks ago and besides the menstral not happening i'm healthy. Its my weight that i have to loose. I have battled with weight and menstral problems from the start, so i also thought i had PCOS.

Maybe i should just try it and see what happens, then atleast i will be loosing weight at the same time and maybe it will just carry on once i stop!

Thanks for the reply!

Reply to Cindy
Posted by: Dee | 2007/08/15

Diane will regulate your period because it is the pill and you have withdrawal bleeds but once you stop the pill your periods will not be regular. It sounds like you have PCOS, you will need ovulation induction medicine if you would like to conceive but if not then going on Diane isnt a bad idea.

Reply to Dee

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