### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Sir, my self is kkkku .im 26 yrs old. Befor three mnts I get married. But i m suffring from pcod problem for last 6yrs. At this present time I want to get pragnance..but my period is irregular..and I took treatment regularin last 6 yr. Plz hellp me sir.

### output:

HelloThanks for writing to us with your health concern. HelloThanks for writing to us with your health concern. I am very sure of the diagnosis, only some reports remain to be done in this case. The condition is called POD - PolyCystic Ovarian Disease. In this condition, there is underlying hormonal imbalance - the exact cause is not known. The ovaries every month produce one mature follicle, which ruptures during ovulation, and then menstruation occurs.IN POD, the ovaries get studded with many small follicles, and none of them mature regularly every month to form an egg.Thus, cycles are irregular, the uterine lining gets built up, and when periods occur after delayed length, they are heavy and with clots. Also, due to hormonal imbalance, there is excessive hair growth on the body - on the face, stomach, chin, legs etc. The hair is dark, thick and coarse, like male pattern hair growth. Also, there could be acne. Apart from the reports you have done, please get the following investigations done -1. Repeat FSH and LH (if not done earlier on day 2 of periods).2. AMH3. Pelvic ultrasound scan done transvaginally.4. RHEAS, free testosterone5. Fasting serum insulin, OG TT, Lipid ProfileExercise regularly and eat healthy. There is no cure as such for POD, but medications like Metformin often help to improve symptoms, such as irregular cycles and excessive hair growth. Women with POD often face difficulties in conception due to erratic ovulation, but yes, most go on to conceive after treatment. Cycles can be regulated with cyclical progesterone therapy (if you wish to conceive) or oral contraceptive pills. Do not delay pregnancy for long. Take regular folic acid supplements. When you start planning for a baby, first try naturally for the first 6 months (checking for your ovulation by ultrasound as your cycles are irregular).IF you fail to conceive, seek medical guidance. Medications like camphene citrate would mostly be required in your case to induce ovulation, and then pregnancy can definitely be achieved. Minimize stress and worry, as it will negatively impact the hormones. Stop taking Ayurvedic medications - it will worsen your problem. All the best. Please feel free to discuss further.