PCOD Treatment & Yasmin: Expert Advice & Next Steps

Question
QUESTION: We are under the treatment for PCOD Past two years.
FSH=5.9 m IU/ML
LH= 8.61 mIU/ML
Testosterome=37.87 mg/DL

Now doctor treating with the tab yasmin. pls give more advice for this case

Thanks in advance

ANSWER: Hello Sab from Kuwait,

If look through my previous answers at this site and my blog, there are lots and lots of questions regarding PCOD.  Yasmin is the ideal birth control pill for patients with PCO because the progesterone it uses, called drospirenone, is a testosterone receptor blocker.  One of the problems with PCOs is that the hormones are out of balance and there is an increase in testoseterone, the male hormone.  This leads to side effects such as increased facial hair, diabetes, obesity.  The birth control pill will over-ride your ovarian dysfunction and provide the female hormone estrogen, and block the testosterone.

Good Luck,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV

---------- FOLLOW-UP ----------

QUESTION: after month, again we consulted the doctor and prescribed for same tab yasmin and tablets rosinorm for two months.So I want to know, Are we in the way of proper treatment or we have to go for better treatment.

Please advice at ealrliest possible
Thanks and regards,

Sab

ANSWER: Hello Again,

If you are on the Yasmin tablet, then it is the proper treatment for now.

Sincerely,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV

---------- FOLLOW-UP ----------

QUESTION: First of all I thank You for your good resoponse.
I would like to know the next step for this treatment to get pregnant.
Is PCOS solve by medicines?


Thank you,

Sab

Answer
Hello Again,

If and when you and your wife decide to pursue pregnancy, then the treatment plan has to change.  She needs to be put on fertility medications to induce the ovaries to work properly to ovulate.  Several medications are available, but it is not so easy a process because PCOS ovaries can be resistant to some medications.  Your doctor will have to work through the problem to find the one that works.  You should see a fertility specialist for this treatment.

Sincerely,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf, and follow me on Facebook at http://bit.ly/9Iw9oV