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How to manage polycystic ovarian disease?

Q: My wife suffers from irregular periods and they do not start without taking medicines like Orgamed or Regestoren. After tests, doctors say it may be polycystic ovarian disease (PCOD) or ovarian failure. During ovulation, the eggs are not maturing. Her uterus and ovary are all right. The levels of LH, FSH & TSH are normal. Can she conceive normally and is it curable in future? The doctor says IVF is the only remedy. Please suggest what is the problem and what needs to be done?

A:It appears from your history that your wife has PCOD. Your wife must take 5 days of regesterone or medroxy progesterone twice a day to continue to get regular period from the 21st day of every cycle. This is important to prevent health problems later in life also. If she does not conceive spontaneously then you need to see a good infertility specialist for ovulation induction and it should help her get pregnant if your semen and her tubes are alright. IVF is not required unless, despite good ovulation for 3 to 4 cycles, she fails to conceive.

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