Diagnosed with PCOS

Question

I have been married for six years. I conceived once, but had a miscarriage. The doctor diagnosed me with PCOS three years ago. My ovaries are bulky in size. Now I am taking a fertility treatment. My doctor is giving me FSH 150ml injection from 2nd day to 6th day.
What are my chances of getting pregnant with this type of treatment? I am taking Metformin 500mg daily two times, and folic acid tablets. Can you suggest some diet plan?

Sujata

Answer

Last Updated: November 21, 2021
Dear Sujata,

Your doctor, who knows the rest of your medical history and laboratory evaluation would be the best one to tell you your chances of getting pregnant with your current treatment.

A good diet and exercise program are important for women with PCOS. If you are not exercising regularly, you should gradually work up to about 1/2 hour of exercise four to five times a week. Picking a sport you enjoy, or working out with a friend makes it more fun, and people tend to stick with exercise programs more if they enjoy them. As far as diet is concerned, the goal is to get close to your ideal body weight for your height, with a balanced diet, avoiding the concentrated sweets.

One of the nice advantages of charting your cycle with a natural family planning method is that you can see your cycle improving as you get in better shape through dieting and exercise. You may also detect some abnormalities in the cycle that may help your doctor.

If you haven’t started charting yet, I would encourage you to do so – you will learn a lot about yourself and will have a great tool to improve your health.

Best wishes,

Lynn Keenan, MD

Answered By:

Lynn Keenan, MD
Lynn Keenan, MD, Immediate Past President of the CANFP Executive Board, is a Clinical Professor at the UCSF/Fresno Internal Medicine Residency Program (now retired), Board Certified in Sleep and Internal Medicine, and Vice President of the International Institute for Restorative Reproductive Medicine. She earned her BSN at UCLA, her MD at Temple University School of Medicine, and completed her Residency in Internal Medicine at UCSF/Fresno. Dr. Keenan served on the Executive Board of CANFP since 2004, as President of CANFP since 2010, and graciously agreed to continue her service to CANFP on the Advisory Board at the beginning of 2019, upon her retirement from the Executive Board of CANFP

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