I am trying for pregnancy but not getting. Monltly I am getting 2 periods cycle

Question

Every month for each 15 days I am getting my periods. I went to hospital they told prostenate hormone is not producing in your body. Is taking pill alone won't solve my problem. Suggest good way without pill

Dr. Neeraj Agarwal · Accepted Answer

It sounds like you're going through a challenging situation, and I'm sorry you're facing this. Having **PCOS (Polycystic Ovary Syndrome)** can significantly impact your menstrual cycle and fertility, leading to issues like irregular periods, hormonal imbalances, and difficulty getting pregnant.

Your doctor has identified that your body isn’t producing enough **progesterone**, a hormone that’s essential for regulating the menstrual cycle and preparing the body for pregnancy. Progesterone deficiency can cause irregular periods, and it’s likely contributing to your difficulty conceiving.

### Understanding Your Cycle and Hormonal Imbalance:
- With **PCOS**, your ovaries might produce excess androgens (male hormones), which can lead to irregular ovulation, anovulation (lack of ovulation), and the absence of progesterone. This may explain why you're having two menstrual cycles a month, rather than a regular one.
- **Progesterone** is produced after ovulation and helps in maintaining the uterine lining for pregnancy. If you aren’t ovulating or your body isn’t producing enough progesterone, your body can shed the uterine lining prematurely, leading to irregular bleeding or frequent periods.

### Solutions Without Pills:

Here are some natural approaches and lifestyle changes that may help improve your hormonal balance, support ovulation, and increase your chances of pregnancy:

### 1. **Addressing Hormonal Imbalance:**
   - **Dietary Changes**: A balanced diet can help regulate insulin levels and improve hormonal balance. Focus on:
     - **Low glycemic index foods** (like whole grains, vegetables, lean proteins) to stabilize insulin levels.
     - **Healthy fats** from sources like avocados, nuts, seeds, and olive oil.
     - **High-fiber foods** (like vegetables, legumes, and fruits) to help balance hormones.
     - **Avoid processed sugars and refined carbs**, which can spike insulin levels and worsen hormonal imbalances.
   - **Vitamin D**: Many women with PCOS have low vitamin D levels, which can affect progesterone production. Consider getting your vitamin D levels checked and, if necessary, taking a supplement.
   - **Inositol**: **Myoinositol** and **d-chiro-inositol** are supplements that have been shown to help improve insulin sensitivity and support hormonal balance in women with PCOS. They may help with ovulation and menstrual regularity.

### 2. **Improve Ovulation Naturally:**
   - **Exercise**: Regular moderate exercise can help balance hormones and reduce insulin resistance. Activities like **yoga**, **walking**, **swimming**, and **cycling** can support your metabolism and improve your overall health.
   - **Weight Management**: If you're overweight, losing even a small amount of weight (5-10%) can help restore hormonal balance, promote ovulation, and regulate periods.
   - **Herbal Remedies**: Some herbs have been traditionally used to support reproductive health:
     - **Vitex (Chaste Tree Berry)**: This herb is often used to improve progesterone production and regulate cycles. However, consult your doctor before using it, as it can interact with other medications.
     - **Maca Root**: Known for supporting hormonal balance and fertility.
     - **Cinnamon**: Some studies suggest that cinnamon may help improve insulin sensitivity, which can indirectly help with ovulation in women with PCOS.

### 3. **Track Ovulation and Fertility:**
   - **Basal Body Temperature (BBT)**: Tracking your body temperature every morning before getting out of bed can help you identify when you are ovulating. This can give you a better idea of your fertile window, which can improve your chances of conception.
   - **Ovulation Predictor Kits (OPKs)**: These kits can help you pinpoint when you're ovulating by detecting a surge in luteinizing hormone (LH), which occurs right before ovulation.
   - **Cervical Mucus Monitoring**: You can also monitor changes in your cervical mucus, which becomes clear and slippery around ovulation, indicating your most fertile days.

### 4. **Consider Lifestyle Adjustments:**
   - **Reduce Stress**: Chronic stress can disrupt hormonal balance and hinder ovulation. Practices like **meditation**, **deep breathing exercises**, **mindfulness**, and **yoga** can help reduce stress and support reproductive health.
   - **Sleep**: Ensure you're getting enough restful sleep, as poor sleep can negatively affect hormonal production, including progesterone.

### 5. **Supplements to Support Fertility:**
   - **Folic Acid**: If you're planning to conceive, taking **folic acid** (400-800 mcg per day) is essential to support early pregnancy development.
   - **Omega-3 Fatty Acids**: These can help reduce inflammation and improve hormonal balance.
   - **Coenzyme Q10 (CoQ10)**: This supplement can improve egg quality and ovarian function, especially in women with PCOS.

### 6. **Fertility Treatments (If Needed)**
   If these natural methods do not yield results, and you are still struggling with ovulation, it might be worth exploring treatments that can help regulate your cycle:
   - **Clomiphene Citrate (Clomid)**: A fertility drug commonly used to induce ovulation in women with PCOS. It works by stimulating the ovaries to release eggs.
   - **Letrozole**: Another medication that is sometimes used to treat ovulatory infertility in women with PCOS.
   - **Injections or Hormone Therapy**: If progesterone production is very low, your doctor may suggest injectable medications or other hormonal therapies to support your cycle.

### In Summary:
- **Addressing insulin resistance** and **balancing hormones** with diet, exercise, and supplements like **inositol** and **vitamin D** can help regulate your cycle.
- **Tracking ovulation** through BBT, OPKs, and cervical mucus monitoring can improve your chances of getting pregnant.
- You may want to explore natural remedies like **Vitex** and **Maca**, but always discuss them with your healthcare provider before using them.
- If natural methods don’t work, consult your doctor for fertility treatments, like **Clomid** or **Letrozole**, which are common options for women with PCOS who are struggling to conceive.

It's important to stay patient and consistent with your approach, and keep working closely with your healthcare provider to find the best solution for your situation. Best of luck on your journey to pregnancy!

Dr. Alan Reji · Answer

1. Lifestyle Changes to Encourage Ovulation (and natural progesterone)

Consistent sleep: 7–8 hrs/night, ideally sleeping by 10:30 PM. This helps your hormones reset naturally.

Daily movement: 30–45 minutes of moderate exercise, like brisk walking, yoga, cycling, or strength training (3–4x/week). Exercise reduces insulin resistance and supports ovulation.

---

2. PCOS-Friendly Diet (Hormone Balancing)

Eat balanced meals every 4–5 hours (no skipping): include veggies + healthy fat + protein + complex carbs.

Good foods:

Seeds: flaxseeds, pumpkin, sunflower, sesame (1 tsp/day each—can rotate weekly).

Fruits: berries, papaya, apple, pear (avoid high sugar fruits).

Veggies: leafy greens, broccoli, carrots, beetroot.

Whole grains: brown rice, oats, millets, quinoa.

Fats: ghee (in moderation), nuts, olive oil.

Avoid: junk/processed food, sugar, dairy (in excess), refined flour (maida), deep-fried items.

---

3. Stress and Hormone Support

Practice yoga or pranayama daily (especially poses like butterfly, cobra, child’s pose—great for pelvic health).

Spend 10–15 minutes outdoors in natural sunlight every morning to boost Vitamin D naturally.

Try seed cycling: a natural hormone-balancing method where you eat certain seeds in the first and second half of your cycle.

---

4. Track Your Cycle

Use an app like Flo, Clue, or My Calendar to monitor patterns. Even irregular cycles become more predictable over time with natural care.

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You're still young, and with consistent care, your body can heal and restore balance—without pills. Want me to create a simple weekly plan with diet + exercise + seed cycling for you?

Dr. Sarekukka Jainandan · Answer

Thanks for sharing that, Keerthi. It sounds like you’re dealing with irregular periods and low progesterone, which can affect your chances of getting pregnant. I’m really glad you’re looking for natural ways to support your fertility. Let’s break this down and explore some holistic, non-pill options that might help:

1. Understand the Role of Progesterone
Progesterone is essential for maintaining a healthy uterine lining and supporting early pregnancy.

If your body doesn’t produce enough, it could lead to short cycles, frequent bleeding, or difficulty conceiving.

2. Natural Ways to Support Progesterone Production
A. Diet & Nutrition
Focus on foods that support hormone balance:

Healthy fats: Avocado, nuts, seeds, ghee, coconut oil.

Zinc-rich foods: Pumpkin seeds, lentils, chickpeas.

Vitamin B6: Banana, spinach, sunflower seeds (important for progesterone).

Magnesium-rich foods: Leafy greens, almonds, dark chocolate (70%+).

Avoid excess sugar, caffeine, and processed foods — they can mess with your hormones.

B. Herbal Support
Some herbs may support progesterone naturally:

Vitex (Chasteberry): Known to support progesterone and regulate ovulation.

Maca root: Balances hormones and supports the adrenal glands.

Ashwagandha: Reduces stress (which can affect hormones).

Note: Always consult an Ayurvedic/Herbal practitioner before starting herbs.

C. Lifestyle Support
Stress management: Chronic stress reduces progesterone. Try yoga, meditation, or even just deep breathing daily.

Adequate sleep: Aim for 7–9 hours; hormone regulation happens while you sleep.

Regular gentle exercise: Walking, yoga, or swimming helps balance hormones.

3. Track Your Cycle
Even though you're bleeding every 15 days, it's good to track ovulation:

Use Basal Body Temperature (BBT) or Ovulation kits to check if you’re ovulating.

Irregular or absent ovulation = low chances of conception.

4. Consider Ayurveda
Ayurveda sees irregular periods and low fertility as an imbalance in Vata and Pitta doshas. Ayurvedic practitioners may recommend:

Panchakarma (cleansing therapies)

Taila basti (medicated oil enemas)

Rasayana herbs for reproductive health

Some commonly used herbs:

Shatavari

Ashoka

Lodhra

5. When to Revisit Medical Help
Natural methods can support your body, but if:

Your cycle doesn’t regulate in 3–6 months

You're still not ovulating

Or you're over 35 and trying for over 6 months

…then it’s smart to combine natural care with medical insight (even if you're avoiding pills, there might be other supportive options like natural hormone therapy).

Dr. Mayuri Kakoti · Answer

Thank you for reaching out. Based on your history of PCOS, irregular cycles (every 15 days), and low progesterone levels, it is important to address the underlying hormonal imbalance to improve your chances of natural conception.

Why Are You Getting Periods Every 15 Days?
	•	PCOS often causes irregular ovulation or anovulation (no egg release), leading to frequent or absent periods.
	•	Low progesterone means your uterine lining is not stabilizing, which can lead to frequent or short cycles.
	•	Simply taking pills may help regulate cycles, but addressing the root cause naturally can improve fertility in the long run.

How to Improve Fertility Without Pills?

1. Regulating Ovulation Naturally
	•	Maintain a Healthy Weight: Even a 5-10% weight loss can improve ovulation in PCOS.
	•	Balanced Diet:
	•	Increase: Protein, fiber, good fats (nuts, seeds, fish), and low GI foods (brown rice, whole grains).
	•	Avoid: Processed sugar, junk food, excess dairy.
	•	Supplements that Help:
	•	Myo-inositol + D-Chiro-inositol (helps regulate insulin & ovulation).
	•	Vitamin D & Omega-3 (supports hormone balance).

2. Identifying Your Fertile Period
	•	With irregular cycles, tracking ovulation is crucial:
	•	Use Ovulation Predictor Kits (OPKs) to check for LH surge.
	•	Monitor cervical mucus (clear & stretchy = fertile days).
	•	Consider follicular tracking (ultrasound) with a doctor to confirm ovulation.

3. Stress Reduction & Lifestyle
	•	Regular Exercise: 30-45 min of walking, yoga, or strength training helps improve insulin resistance.
	•	Sleep & Stress Management: Poor sleep and high stress can worsen PCOS. Try meditation, deep breathing, and a consistent sleep schedule.

4. When to Seek Further Help?
	•	If pregnancy doesn’t occur after 6 months of lifestyle changes, consider further testing:
	•	AMH & FSH levels (to assess ovarian reserve).
	•	Ultrasound for follicle tracking.
	•	HSG (Hysterosalpingography) to check fallopian tube blockage.

This is general guidance and not a substitute for medical advice. Please consult a doctor for a personalized treatment plan.

I am trying for pregnancy but not getting. Monltly I am getting 2 periods cycle - #9471

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