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

Could you please review my report and let me know if there is any issue on my side that could affect fertility?
My wife is not getting pregnant, and her menstrual cycle has been irregular (varies by 5 to 10 days) since our marriage, whereas it was regular before marriage. Please advise on what could be the cause and what steps we should take.

As per my report can I get pregnant with AMH level 0.98. Is there any particular treatment? Is IVF the only solution to conceive. Please suggest me?

AMH 0.98 is on the lower side, meaning egg reserve is modest but not zero. Many women still conceive naturally or with simple treatments. First try 3 to 6 months of ovulation tracking tablets, IVF is only if simpler steps fail.

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