Pcos, Sperm Motility, Pregnancy

The young couple visited to us in July 2017 with Infertility. The lady had PCOS (Polycystic Ovary Syndrome). She tried Letrozole tablets for Ovulation Induction outside, before coming to us but did not respond to that medicine.

The man had mild problem in sperm motility. The rest of the tests were normal.

So, after discussion with us, they planned for 3 cycles of Ovulation Induction with oral medicine , Clomiphene Citrate (CC). TVS follicular scan was done in the 1st month, that diagnosed ovulation (thus she was responding to CC).

Finally, she conceived within 3 months of treatment with oral medicine. They kept their faith on us throughout the journey in pregnancy. Like other pregnant woman, all routine tests were done including Combined Test in 1st Trimester and Anomaly scan.

Indian women are at risk of GDM (Gestational Diabetes Mellitus), especially those with PCOS. Therefore, following International Recommendation, we perform OGTT (Oral Glucose Tolerance Test) using 75 gram glucose in early pregnancy for ALL women.

In this lady, the value of OGTT was higher and so we diagnosed GDM. The disease was controlled with diet and medicine. Blood test for HbA1c, Retinal check up, kidney function test, Echocardiography of the baby and Growth scan were all done along with regular monitoring of blood sugar.

Steroid Injection was given to the mother to promote lung maturity of the baby. Delivery was done at 38 weeks. Baby is healthy, weighing 2.78 kg. Mother is also doing well and blood sugar is now normal.

Thus PCOS needs proper care before and during pregnancy.

Published with kind permission from the patient

Posted in PCOS, pregnancy, sperm.

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