<s>[INST] Hello,im 28 year old female. height 5feet 2 inches ,weight 50kg. i have been using thyronorm 100mcg.i have been diagnosed with thyroid problem 10-12years back and also pco.its with in normal limits now. we have been trying for kids since july 2013 . from 2014 july i have been visiting docter. im giving details of medcins and test reports of the follicular study that i have been using since then.1st visit 4-7-2014 l.m.p 22.6.2014tab. reconstrex (10days -twice daily)tab. geloxy        (10 days)tab. duphostan 10 from 15th day for 10days2nd visit 16.07.2014 l.m.p 15.07.14tab. requenact  1 pack from 3rd daytab.productiv-F 30days3rd visit 26.07.2014follicular study: 12th dayUterus:anteverted,normal in echo texture and size measures 83×32 ×35mmRight ovary measures 30×24mmLeft ovary measures 33×24mmRT ovary Follicles 5-6mm polycystic ovaryLT ovary Follicles 5-6mm polycystic ovaryendometrium 6mmPOD freetab ovacet (30days-twice daily)4th visit 30-07-2014 RT ovary  --do--LT ovary  --do--endometrium 9.6mmPOD freetab.hold-sr 300 from 20th day for 10days5th visit 11-08-2014 l.m.p 09-08-2014given FSH 75u6th visit 18-08-2014given HMGtab. clomiphene 100 from 2nd day for 7 daystab. M2Tone ( 30days twice daily) from 8th day7th visit 22-08-2014Follicular study: Uterus measures 62×37×40mmUterus is normal in size and echotexture.Endometrial thickness is normal measures 5.1mmRTovary 37×26×35mm (vol:18cc)LT ovary 36×23×34mm (vol : 15cc)bilateral ovaries show multiple (10-12 in number) small peripherally arranged follicles with central echogenic stroma. no evidence of follicular differentiation.polycystic ovaries needs to be considered.pod: freeno dominent follicle8th visit 26-08-2014follicular study: 16th dayE.E 9.3mmtab.metitol (30days-twice daily)tab duphostan 10 (10days from 20th day) 9th visit 23-09-2014l.m.p 08-09-2014Follicular study: 16th dayUterus:anteverted,normal in echo texture and size measures 71×42 ×39mmRight ovary measures 31×26mmLeft ovary measures 30×24mmRT ovary Follicles 3-4mm polycysticLT ovary Follicles 3-4mm polycysticendometrium 11mmPOD freetab. berbesta (30days twice daily)tab. ovacure forte A+B -30daystab. gestofit-SR 300 (10days from 20th day)10th visit 06-10-2014L.M.P 04-10-2014tab. berbesta (30days twice daily)tab. CCQ-100 (10days)tab. Ovacure forte A+B 30days11th visit 15-10-2014follicular study: 12th dayUterus:anteverted,normal in echo texture and size measures 74×39×43mmRight ovary measures 30×28mmLeft ovary measures 26×22mmRT ovary Follicles 3-4mm multiple follicles polycystic. LT ovary Follicles 3-4mm multiple follicles polycystic.endometrium 4.2mmPOD freeno dominent follicletab. myotol-f (20days -twice daily)12th visit 20-10-2014follicular study: 17th dayUterus is normal in size,normal shape and normal echo texture Uterud measuring: 67×27×34mmRight ovary measures 33×32mmLeft ovary measures 36×30mmboth ovaries are normal in size, shape and echo texture.RT Dominant Follicle 8×7mm LT Dominant Follicle 6×6mmendometrium 8.3mmPOD no free fluidtab. Duphostan 10 ( 10days twice daily)tab. berbesta (till next period twice daily)tab. Ovacure forte A+B till next periodfrom next month 1st day of period Myocyst powder 30days one pack dailytab. glut-4 30days.im in deep depression and hopeles rite now.docter suggested surgery to puncture cysts next month. should i go for it or should i giv e it a try with higher power medcins.please help me. [/INST] HAI CHECK YOUR DAY 2 FSH,LH,TSH,PROLACTIN LEVEL.TUBAL PATENCY TO BE CHECKED BY HSG.YOUR FOLLICULAR STUDY SHOWS THAT YOU HAVE FAILURE TO DEVELOPE EGGS.YOU COULD CONSULT AN INFERTILITY SPECIALIST TO MAKE THE CORRECT DECISION.IF YOU DONT DEVELPOE FOLLICLE AFTER PROPER TREATMENT YOU CAN GO FOR D..LAPAROSCOPY.YOU CAN TAKE T.METFORMIN 500MG TID TO IMPROVE OVULATION.REGARDS,DR.VANITHADEVI. </s>