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With no results after HSG for treating PCOs, D&C is the better option to achieve Pregnancy?

By Anonymous October 16, 2010 - 7:50pm
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My wife is 25 years old. She was diagnosed to have PCOs last June-2009. And took treatment for the same, she underwent HSG 7 months back. But, no improvement till now, she's yet to get pregnant. Our Gyn, finally have suggested to go for D&C. Please advice, whether it would be the better option to do, or do you suggest any other options before going for D&C. Also, need to know the complications of doing D&C.


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HERWriter Guide

Hi Jeyaganesan

Thanks for your question and welcome!

A D&C is a pretty simple, outpatient procedure but as with all procedures, there are risks. Her doctor will outline them with her.

I know many women who have had a D&C but have not heard of complications although I'm sure that's not the case with all people.

You can read all about D&C's here, including the reasons for them, the benefits and the risks: http://www.empowher.com/media/reference/dilation-and-curettage

If your wife's gynecologist suggested trying a D&C then it may be worth trying.

If you are looking into other options for her, here are some:

Treatment differs according to whether you want to conceive or not. Treatment targets the underlying insulin resistance that accompanies PCOS diagnosis.

Treatment includes:

■Managing symptoms
■Weight loss if overweight, nutrition consultation
■Insulin resistance, glucose intolerance, and prediabetes management
◦Use of oral agents such as: Metformin , Glucophage, Actos , Avandia
■Oral contraceptive
■Inducing ovulation (if you wish to get pregnant)
◦Metformin with or without Clomiphene citrate
◦Advanced reproductive technologies
■Preventing complications
■Anti-androgenic medications for blocking future hirsutism (unwanted hair growth)

Lifestyle Measures
To lower cholesterol levels and reduce the risk of type 2 diabetes, high blood pressure, and heart disease:

■Get regular screenings for diabetes, high blood cholesterol, and fat levels.
■Exercise regularly.
■Eat a low-fat diet.
■Maintain a healthy weight.

Hormonal Therapy
Birth control pills regulate periods. Also, by causing the uterine lining to shed regularly, they reduce the risk of overgrowth or cancer. They also control abnormal hair growth and acne. Other hormones (called progestins) may also be used to regulate menstruation. They can be used monthly or intermittently. Fertility drugs may be given instead to stimulate ovulation in women who want to become pregnant.

Jeyaganesan, you can read lot more about this here: http://www.empowher.com/condition/polycystic-ovarian-syndrome/definition

Let me know if this information helps and I wish you both the best!

October 17, 2010 - 8:01am
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