Posted by Jessica R. Brown, MD on May 02, 19100 at 21:48:27:
In Reply to: unable to consieve posted by adila on May 02, 19100 at 16:54:25:
Dear Adila: There could be several reasons: 1- Are you sure you are ovulating. Even if the procedure performed was "ovarian drilling" (the laparoscopic version of the "ovarian wedge resection" which was the original surgery described to restore ovulatory function in many women with PCOS)not every woman who undergoes such surgery will start to ovulate. Has your doctor checked to be sure you are ovulating? If not, you may now respond to a low dose of clomiphene citrate even if you were previously resistant. 2-If you are ovulating there are other considerations: Has your husband been checked? Are you making enough progesterone? Is the inside of your uterus normal? (I assume you were told your tubes are normal after your laparoscoy). 3- Even after laparoscopic surgery some patients will develop adhesions (scar tissue). This can envelop the ovaries and prevent the eggs from being picked up by the tubes. Speak to your doctor, and if your doctor is not a reproductive endocrinologist you should probably consult with one. Good luck!
: i am 23 years old .i had a laproscopic surgery 6 months ago for pco syndrome.why have i not consieved yet?
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