instruction: hi doctor I am 24 years old having pod and thyearoid from past years as well as my weight has increased to 65 keg from 50 keg within these three years my height is 9 it I am suffering lot to reduce my weight and it is not happening now I am planning to conceive please suggest me medication to reduce my weight as well as to conceive
output: hi thyearoid and pod both affect fertility so need precautions investigations on regular basis if needed treatment and dose adjustments accordingly thyearoid abnormalities can affect fertility periods flow regularity can cause miscarriages increases risks of congenital anomalies in fetus etc so have regular consultations and check of thyearoid levels so can have dose adjustments polycystic ovaries can disturb periods scanty irregular can give abnormal hair growth sudden weight gain disturb insulin levels that increases risks of having diabetes as well as disturb metabolism main factor that will help is weight reduction or balanced weight and mi by daily exercise yoga and walk can take help of instructor have balanced diet with less sugar oil spice and salt can adjust with dietician to guide for balanced diet have folic acid daily and sex in fertile period of cycle you can have tablet glucophage 500 my twice daily after food and if feels low sugar levels then better start with lesser dose to regulate periods for cycles in addition to weight reduction folic acid and glucophage can be taken with combined oral contraceptive pills to regulate cycles husband general health also needs attention should quit smoking or any other recreational drug after months start sex in fertile period of cycle have complete treatment for any health issue you or partner have send me recent transvaginal scan and blood tests on day of periods testosterone progesterone insulin prolactin fish and oh thyearoid function test if conceived continue glucophage in whole first trimester and then discuss here or with treating doctor