Hello doctor, I am 32. I have PCOS for past seven years. Now planning to conceive with Gonadotropin injection and timed intercourse. But my day two blood work shows FSH 4.7, LH 11.2 and prolactin 9. Due to high LH will I get ovulation and if so, how will be the chances of having a healthy pregnancy? Two years back, I got pregnant with Gonadotropin injection but had many complications and pregnancy went on till 35 weeks, then fluid leak and baby passed meconium and was alive only for 15 days, later died at NICU. Three months ago, was pregnant again with Gonadotropin injection but no heartbeat for five weeks, five days. Had missed abortion.
Hello. The LH levels are more than 10 as expected in PCOD, ideally should be less than 7, but still on the lower side. You can continue with the protocol and ideally LH surge occurs at 20 and usually the follicle is matter at 18 mm size. So, pertaining to your query that whether you shall ovulate or not depends on the follow up of LH surge with LH kit from day 10 of your cycle daily to check for positive result. Once positive test is achieved, the follicular scan be done to check for size of follicle and if more than 18 mm, it is mature, then hCG injection can be offered for ovulation.