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I read your query and understand your concern. Your limited history provided does not reveal any problem. A few more facts like your weight, height, sexual history, husband's details, and work semen report would have been helpful. I do not see any reason for you not to get pregnant. Irregular periods mean ovulation is not occurring on time, weight being the most common problem. PCOD (polycystic ovaries disease). This is a congenital condition, I mean it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate- you might have seen men developing breasts and in young obese girls, who develop periods at younger ages, they all have high estrogen or female hormone levels). In your body when too much fat is stored for tomorrow which is more than normal, this is converted to a hormone that tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates the follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused and follicle growth stops early at a smaller follicle size and will not rupture. In the next scan, you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, dark shade over the lower half of face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. May have a family history of diabetes, especially father or his family. This will not allow ovulation to occur at any time, so you cannot get pregnant until treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be,
weight (lb) / [height (in)]2 x 703
Once you reduce weight to the normal range, you would not need any medicine to get periods or to get pregnant and pregnancy will be healthy. To reduce weight, no fasting, no junk food, fast foods, red meat, and reduce snacks in between meals. Have low calories food, high proteins. Regular exercise (especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well), and try to reduce 1 to 2 pounds per month. Do not hurry on weight reduction, it will be difficult to maintain. You will see changes as soon as you reduce at least one to two pounds. Even if you are in the normal weight range, try this schedule, it will help. Kindly see if the following checklist of investigations is done. Get your husband- semen analysis done at least two times in four weeks apart preferably in an infertility center (examination done by an andrologist), blood sugars.
For the wife - blood sugars, thyroid profile. Ultrasound scans to evaluate the uterus, ovaries, and adnexa. Confirm tubal patency: the most important tube is the connection between the uterus and ovaries (the bridge where sperm meets the egg and forms a baby) this is the size of the hair follicle and cannot be seen on scans. Being such a small opening tube can get blocked easily. So check with HSG (X-ray with dye), SSG (scan with dye), or laparoscopy. If all this is done and found normal, nothing can stop a pregnancy. I hope I have cleared your query, do write back if any more queries
Thank you.