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Polycystic Ovarian Syndrome

Discussion in 'Fertility & Trying to Conceive' started by Ashna, Sep 21, 2006.

Page 11 of 14

Apr 2, 2008 #101

JyotiP New IL'ite

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priyanka said: ↑

Hi Jyothi,

Did you have any problem with your sugar levels later in your pregnancy?Did you take any precautions to control your sugar after stopping metformin?I am
12 weeks pregnant(IVF) and on Metformin.

Regards
Priyanka
Click to expand...

I stopped taking metformin after 12th week ( as suggested by my doctor) ,, and after that fortunately my levels were ok throughout the pregnancy. Honestly I am not a sweet lover but during my pregnancy i craved for sweets and ate all kinds of sweet.

JyotiP, Apr 2, 2008

JyotiP, Apr 2, 2008

#101
Apr 3, 2008 #102

Shilpa77 Senior IL'ite

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Thanks Jyothi.. Just wanted to share what worked for me..

Regular workout, aeorbic classes, ab workouts , upper body & lower body - 6 days a week in the morning and 1/2hr elliptical in the evening every single day!.. drink plenty plenty plenty of water...

diet : sathu maavu kanji with milk ( refer to chitvish recipes) - this is nutritious, you also can add 'flax seeds mild that have omega 3 fatty acids. it holds good for 3 hours.. really don't feel hungry..

lunch - 3 rotis and any dal, avoid, cottage cheese/panner, use less oil..one cup of fruit

again drink lots of water.. about 3 litres of water/ day.

night - eat anything in limited quantity and a cup of yougurt and don't miss out in fruits best are melon & cantiloupe. once in a while bananas are okay. try to finish your dinner by 7:30-8:00 pm

the catch is to completly avoid rice and not starve !!.. eat healthy at frequent intervals. i substituted it with water. It basically cleanses your system.

you can see visible results !!

Please note - esp for PCOS - excercise, water and the prescribed medication play very crucial role..

good luck everyone!!

Last edited: Apr 3, 2008

Shilpa77, Apr 3, 2008

Shilpa77, Apr 3, 2008

#102
Apr 3, 2008 #103

JyotiP New IL'ite

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Shilpa77 said: ↑

Thanks Jyothi.. Just wanted to share what worked for me..

Regular workout, aeorbic classes, ab workouts , upper body & lower body - 6 days a week in the morning and 1/2hr elliptical in the evening every single day!.. drink plenty plenty plenty of water...

diet : sathu maavu kanji with milk ( refer to chitvish recipes) - this is nutritious, you also can add 'flax seeds mild that have omega 3 fatty acids. it holds good for 3 hours.. really don't feel hungry..

lunch - 3 rotis and any dal, avoid, cottage cheese/panner, use less oil..one cup of fruit

again drink lots of water.. about 3 litres of water/ day.

night - eat anything in limited quantity and a cup of yougurt and don't miss out in fruits best are melon & cantiloupe. once in a while bananas are okay. try to finish your dinner by 7:30-8:00 pm

the catch is to completly avoid rice and not starve !!.. eat healthy at frequent intervals. i substituted it with water. It basically cleanses your system.

you can see visible results !!

Please note - esp for PCOS - excercise, water and the prescribed medication play very crucial role..

good luck everyone!!
Click to expand...

Thanks Shilpa for sharing your Diet information . I totally agree with your points -----
drink lots of water.. about 3 litres of water/ day.

I too started drinking a lot of water every day and noticed that I loast 10 lbs within a month time

try to finish your dinner by 7:30-8:00 pm
I also try to finish my dinner by 7:30 pm , So I think It also worked for me.

Also could you please tell me what is "sathu maavu kanji " . I am sorry I never heard about it.

Cheers
Jyoti

JyotiP, Apr 3, 2008

JyotiP, Apr 3, 2008

#103
Apr 6, 2008 #104

Shilpa77 Senior IL'ite

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Jyothi,

I got it from chitvish recipes.. Here's my variation..
Sago, cracked wheat, pottu kadalai,almonds, cashews,ragi,flax seeds, soya granules - dry roast all these and grind it to powder consistency.

You can add water and bring it to a boil - make sure it doens't form lumps, then add milk & sugar or buttermilk and salt , your preference.

You also can add dates syrup if you get it and like it when you add milk & sugar.

great drink!

Last edited: Apr 6, 2008

Shilpa77, Apr 6, 2008

Shilpa77, Apr 6, 2008

#104
Aug 31, 2008 #105

bhuvanagdevi New IL'ite

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Hi I am new memberi am not married yet but i found that i have PCOS and Bi cornis with one one horn non communicating so that means i have only one horn to conceive i am very much worried now.can some one suggest me any ways to cure myself of pcos and bicornis plllllllllllDevi

bhuvanagdevi, Aug 31, 2008

bhuvanagdevi, Aug 31, 2008

#105
Sep 3, 2008 #106

coolgirl New IL'ite

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Anybody with high insulin levels and Cholestrol levels?

Hi All,

Do any of you have high insulin levels and Cholestrol levels associated with PCOS? Which doctor do you go to? I feel my Gynaecologist is not of much help in my case. Whom else can I consult for PCOS other than a gynaecologist? What medications or treatments are you all on for high insulin and colestrol levels? Please help me out, I am teriibly upset about me having this PCOS.

coolgirl, Sep 3, 2008

coolgirl, Sep 3, 2008

#106
Sep 5, 2008 #107

Vasumathy Moderator Staff Member IL Hall of Fame

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Hi Bhuvanag Devi,
I to have PCOS with right fallopian tube blocked. Now taking tablets for PCOS. For me after treatment PCOS effect has been reduced after some 3 months of medication n weight reduction.
Pls Consult with a gynec & do necessary test & start the treatment. I think PCOS can be cured.
Abt the tube block, One can even conceive with one tube.... The thing is, u will take some more time compared to both tubes working.... i m TTC with working left tube..... just started the journey..... last month right ovary had dominant follicle & this month its left one & hoping for best!!!!

Don worry to much!!!! Anything is possible with ur positive spirit.....

Vasumathy, Sep 5, 2008

Vasumathy, Sep 5, 2008

#107
Sep 8, 2008 #108

savithag New IL'ite

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hi all,

Iam having PCOS,now iam using medication like hyponid daily 2 tablets.Can I conceive with this medication?

Please anyone help me.

savithag, Sep 8, 2008

savithag, Sep 8, 2008

#108
Feb 2, 2009 #109

tamil1901 New IL'ite

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Re: Pcos

These were quite useful informations and i really thank you for this....keep up the good work.

Ashna said: ↑

Infertility treatment
Women with PCOS do not conceive because of the underlying ovulatory dysfunction. A complete assessment of the infertile couple is however essential before treatment to initiate ovulation is started. This will ensure that additional causes and factors that may contribute to the infertility are also detected and considered in the management. Only if this assessment is satisfactory, should specific treatment to initiate ovulation (ovulation induction) be undertaken. The aim of ovulation induction should be to initiate the development and maturation of a single egg in order to avoid the risk of multiple pregnancy. Ovulation induction should preferably be preceded by weight reduction because it improves the response of these women to ovulation induction.

The response of patients with PCOS to ovulation induction is unpredictable and varies from patient to patient. Uncontrolled or poorly monitored induction of ovulation can result in potentially serious complications. These include ovarian hyperstimulation syndrome and multiple pregnancy. Ovulation induction in these patients should therefore be monitored very closely by vaginal ultrasound examination and should preferably be performed by a practitioner with a special interest in the management of infertility.

Clomiphene tablets for ovulation induction are simple to use and relatively cost effective. These tablets are therefore still considered as the first line for ovulation induction in patients with PCOS. Clomiphene interacts with the brain and causes the pituitary to secrete FSH, which stimulates egg development. If egg development does not occur, the dosage of Clomiphene can be increased up to 150mg. Repeated and consecutive use of Clomiphene has a negative effect on the endometrium and it also makes the mucus around the mouth of the womb (cervical mucus) unfavourable for sperm penetration.

Gonadotrophins as the next option for ovulation induction should be considered under the following circumstances:
Poor egg development and absence of ovulation on Clomiphene.
Unfavourable effect of Clomiphene on the endometrium and the cervical mucus.
Development of multiple follicles on Clomiphene which increases the risk of multiple pregnancies.
Ovarian cyst formation on Clomiphene.

In patients with PCOS the gonadotrophin preparations which contain mostly FSH are recommended because additional LH might only compound the effect of the already high blood concentration of LH. Traditionally the low dose step up protocol with gonadotrophins is advised in order to initiate the growth of only one egg.

During this protocol half an ampoule of gonadotrophins is injected daily from day 2 of the menstrual cycle. This dosage is only increased if no egg development is evident after one week of the treatment. In some patients egg development only becomes evident after more than a week of gonadotrophin injections and thus requires patience and perseverance. This protocol limits the risk of multiple pregnancies and ovarian hyperstimulation syndrome.

In patients where ovulation induction with gonadotrophins does not lead to an egg development and ovulation, the in vitro fertilisation procedure (IVF) is ultimately indicated. Fortunately only very few patients with PCOS are resistant to ovulation induction and thus require IVF.

In selected patients with PCOS where blood tests revealed excessive androgen production from the adrenal glands, the use of corticosteroids during ovulation induction is indicated.

Surgical treatment should only be considered in severe cases that are resistant to ovulation induction as mentioned before. In the past an ovarian wedge resection was performed where a wedge of ovarian tissue was resected from each ovary. The aim of this procedure was to remove a part of the ovarian tissue that was thought to be the source of abnormal hormone production. Ovarian wedge resection leads to an improvement of the symptoms of PCOS but unfortunately requires major surgery and is associated with adhesion formation around the ovary. Both these drawbacks can be overcome by laparoscopic ovarian drilling (LOD). During this procedure the ovarian stromal tissue is destroyed by heat transmitted by a needle which is repeatedly inserted into the ovary. The ultimate result is a decrease in ovarian androgen production. LOD is a minor procedure, which enables discharge from hospital on the same day. LOD furthermore poses only a minimal risk of adhesion formation around the ovary. After LOD these patients must be monitored closely to detect spontaneous ovulation and thus time sexual intercourse appropriately.

Insulin sensitising agents
In patients where clear insulin resistance can be demonstrated on the blood tests, insulin sensitising agents like metformin can contribute to the improvement of PCOS. After a few months of treatment, some of these women start to ovulate spontaneously. Hypoglycaemia does not occur if the patients have been selected properly. These agents should therefore only be prescribed selectively after clear insulin resistance has been demonstrated. New and more specific insulin sensitising agents which may improve the above mentioned effect even further, are being developed.

Conclusion
The implications of PCOS, a common condition in the female population, can be minimised if it is recognised early, investigated thoroughly and treated appropriately. Management of infertility in these patients is more

I will be posting more information on diet and exercises soon.

Click to expand...

tamil1901, Feb 2, 2009

tamil1901, Feb 2, 2009

#109
Feb 2, 2009 #110

tamil1901 New IL'ite

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Hi Jyothi...

i get lot of hope after reading your posts....thanks for sharing your experience in this forum..

JyotiP said: ↑

Thanks Shilpa for sharing your Diet information . I totally agree with your points -----
drink lots of water.. about 3 litres of water/ day.

I too started drinking a lot of water every day and noticed that I loast 10 lbs within a month time

try to finish your dinner by 7:30-8:00 pm
I also try to finish my dinner by 7:30 pm , So I think It also worked for me.

Also could you please tell me what is "sathu maavu kanji " . I am sorry I never heard about it.

Cheers
Jyoti
Click to expand...

tamil1901, Feb 2, 2009

tamil1901, Feb 2, 2009

#110

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