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Question:
I have polycystic ovaries and weak muscles. I am a wheelchair user. Over the past year my diaphram has become a little weaker and the doctors who were giving me medication to get pregnant have now refused to help me. Can you give me any advice?

Answer:
by Sandra Welner:
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Without knowing the nature of the disability it is hard to give accurate advice. There are different types of medications that help women who have polycystic ovaries to ovulate a little bit more effectively than women who do not have ovulation problems related to polycystic ovaries. Pills are usually tried first to stimulate the ovaries. These pills do cause some ovarian enlargement which can be difficult in somebody who has reduced chest capacity and weak diaphragm muscles as the enlarging ovaries may be making it hard to breath. There are other medications that are injectable that women with polycystic ovaries are especially responsive to. Sometimes very little medication is needed to produce a response. Use of injections can be very tricky in a woman who has reduced lung capacity as a condition called hyperstimulation (enlargement of many different spots in each ovary) can sometimes happen with these injections. It may be helpful to back off a little bit when side effects are occurring and let things calm down and then try again.

The last thing you want is a disabling complication that might happen as a result of any treatment that is continued in the face of any side effects. It sounds like your fertility specialist did take you seriously in your desire to undergo fertility treatment, otherwise you would not have gotten this far. Sometimes good medical judgement may restrict a person's ability to aggressively pursue a course of action, both you and your doctor were working on. My suggestion would be to back off, take stock, reevaluate, and with your doctor's advice see if it is safe to try again when your medical condition is more stable.

Reviewed by: Kathleen VanKirk DHS

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