<s>[INST] Having pcod and irregular cycles. I am 30 years old. had multiple joints pain (heel pain and knee stiffness, pain) since 3 weeks. Took blood test. Doctor diagonised that my ESR is 35mm / hr which is slightly high. My weight is 72kg. What could be the treatment for this elevated ESR? Is that due to pcod or over weight? Does this affect my fertility in any ways, coz v r planning for our second baby now. [/INST] Hi,Raised ESR is due to infection. Its not related to PCOD. Raised ESR wont effect your fertility. Your Joint pain might be due to raised ESR. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Shalu Mishra </s>