Question 1

I have acne issues since 2013 and recently I was diagnosed with PCOS. My report says right ovary 33.6x15.5x30.0 mm volume 8.18 cc and left ovary 30.6x24.1x30.9 mm volume 11.9 cc. Ovaries are mildly enlarged and show an increase in stromal echogenicity and thickness. Multiple small similar sized follicles are seen in both. How serious is this issue and should I go for medication or can it be managed by lifestyle changes?

Question 2

I am currently undergoing fertility treatment. Initially, my gynaecologist prescribed progesterone vaginal capsules to induce my period, as I have PCOD and irregular cycles. After that, she started me on Ovaa Shield from the 3rd day of my period. However, during my follicular study, there was no follicle growth even by the 17th day (the report showed SF). So, she again prescribed progesterone, and I got my period. This time, she prescribed Ovaa Shield DS. I am now on the 15th day of my cycle, but still, there is no follicular growth (still showing SF). How long will this medication continue? I am feeling very confused and stressed. I previously lost my first baby due to a heart block. I am still not getting pregnant.

Question 3

Hi, I am 29 years old and currently undergoing follicular studies. Before starting the monitoring, I was prescribed Meprate. I started bleeding on the 3rd day after stopping Meprate, and the bleeding continued for around 9 days (the first 3 days were very mild). Now, on Day 18 of my cycle, I have experienced bleeding again. I was expecting ovulation around this time, but my follicular scan shows no significant change in egg size compared to Day 16, although the endometrial thickness is progressing well.
Medications I am currently taking:
Metformin, usually 250 mg morning and evening, for the last 5 days, 500 mg in the morning and 250 mg at night
Follicle Active (folic acid supplement)
B complex multivitamin
I have attached my report and would appreciate it if someone could help clarify.

I want to conceive. My report says both ovaries are bulky in volume with a PCO pattern, and there are multiple small follicles seen with central echogenic parenchyma. The right ovary volume is 23 ml, and the left is 13 ml. Can I get pregnant or not, and is this a serious issue?

Yes, many women with PCO pattern conceive with proper treatment. A healthy lifestyle, tracking ovulation, and possible medications can support conception. Eat less carbs, exercise well. And the doctor may start hormonal therapy, which might help in getting pregnant

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