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

### input:
I m a 31 year old lady , got married at the age of 30. was diagnosed with PCOS sometime last year, with one blocked fallopian tube . was placed on some hormonal drugs like duphastone, progesterone pills etc to regulate my periods and achieve pregnancy but it i soon gave up on that when i dint get the desired result after 7months. I started taking m2 tone afterwards, saw my period after taking it for a month, 2 tablets, 3 times daily., later combined it with clomid on the 3rd day of my cycle, althought the flow was very light, it lasted for 8 days. the second months passed on , still on m2 tone with clomid after i saw my period. this is the third month now, i have missed my period which was due on the 5th of this month,i went for a pregancy test today , the result showed that am not pregnant,. even with my missed period. I am so confused now, i dont know what to do, should i continue the m2 tone or stop the medication? I combine the m2 tone with folic acid , that is taken once a day. Please i need your candid advise, on this. I need to start having kids as soon as possible. Thanks. Doris.

### output:

Hi Doris Welcome to Chat Doctor As you told you have PCs and one fallopian tube is also blocked. PCs is a common problem among women which leads to infertility. Every month only one egg comes out of the ovary and available for fertilization, but you can't predict which side ovary will ovulate. As you told one side tube is blocked and if ovulation occurs that side only then chances of pregnancy will be very low. You need to undergo follicular monitoring (By ultrasound) to see growth of egg and side of ovulation. If ovulation is occurring from favorable side then there is chance of pregnancy. As you have PCs I would suggest you to undergo certain hormonal tests like LH, FSH, Testosterone, RHEAS (Also s.prolactin n TSH) etc. And if there is disturbance of hormones then it needs to be treated accordingly. You have not mentioned your age and weight. I would suggest you to lose weight if you are overweight by diet control and exercise. Get your blood sugar checked as it also has adverse effect on fertility. M2 tone and folic acid can be continued. You need to take tab camphene to induce ovulation, do follicular monitoring to see growth of egg and side of ovulation and then try by timed intercourse or GUI. Take care