Question: I am trying to have a baby for 3 years now. I’m 26 years of age and in good health except for a Polycystic Ovarian Disease – pcod –  issue. I had Clomid and hCG injections twice. Both were unsuccessful. My  doctor said egg growth is OK. I have uploaded my hormonal test report and ultrasound . Please help.

Answer: Hi. I have received and read your question. In my opinion the hormone reports submitted are normal and the ultrasound seems fine. But, as there is no detail about the sizes of follicles reached during both cycles of ovulation induction it is difficult to make a comment here. There are some points that need to be clarified: Other hormone levels like serum testosterone, serum estradiol, DHEAS (dehydroepiandrosterone), 17-OHP (hydroxyprogesterone) levels also need to be done. If you have been forming adequate size follicles 222 x 22mm by midcycle then hCG (human chorionic gonadotropin) can help you ovulate but if hCG fails at this size then it is likely that your androgenic hormone levels are higher. You should upload the ultrasound pelvis report to assess the size of the ovaries. An anti-mullerian hormone level report is needed for evaluation. Based on the info provided I believe pregnancy is possible however I strongly recommend you consult with a reproductive endocrinologist (fertility doctor). This is your best avenue forward.

Regards,

Dr. John Claude