WOMENS-HEALTH Messages for April, 2001: Re: Former PolyCystic and blighted ovums

Re: Former PolyCystic and blighted ovums

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Fri, 27 Apr 2001 19:21:58 -0500 (CDT)

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In reply to: Maria: "Former PolyCystic and blighted ovums"

At Fri, 27 Apr 2001, Maria wrote: >
>Hi,
>I've had a history of poly cystic ovarian disease on my right side for over 15 years. Last November I became pregnant on that side (I have a bicornate uterus so I know the ovary responsible for the pregnancy.)

2 misconceptions: 1)PCOS is a global, endocrine problem and is not confined to one ovary. 2) you can ovulate from hte left, and it can be picked up by the right tube and vice versa.

In January, I miscarried and the doctor suspected it was a blighted ovum as the fetal pole developed and nothing more. (Dx'd through a sono.)

miscarriage rates are higher in women with PCOS >
>We've been trying to conceive for the last 2 months but I haven't had any success so far. I'm 38 and am due to ovulate on the right side in 2 weeks. Does Polycystic Ovarian Disease tend to have an influence on blighted ovums? Should I speak to my OB about going on Clomid to release some of these old eggs?

there is evidence that use of Metformin decreases teh miscarriage rate in women iwth PCOS and improves conception rates too. Discuss this with your ob

My GP was reluctant to prescribe because of the bicornate uterus but I've carried all my 4 children to 36 weeks or more. Should I hold off trying to conceive this month and try again next month? >
>It used to be so easy when I was younger...all my husband had to do was get the twinkle in his eye and BING! I was pregnant...I really sympathize with all those who struggle with infertility.
>
>Thanks for your help
>Maria

-- M. Kelly Shanahan, MD, FACOG South Lake Tahoe, CA

author, Your Over-35 Week-by-Week Pregnancy Guide available in all major bookstores and on-line at amazon.com http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069

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