Medication Consultation for Infertility Treatment in Women - Obstetrics and Gynecology

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Medication consultation


Hello Doctor, I would like to ask you about my current infertility treatment.
I have polycystic ovary syndrome, and my doctor recommended that I take Glucophage twice a day.
I have been taking it for about two and a half months, and my menstrual period has come on its own.
However, this time my period has lasted longer than usual, so my doctor prescribed Ergometrine three times a day for two days and Seladin (Naposin) three times a day for two days.
After taking these medications for two days, I started experiencing severe stomach pain, so I have been taking antacids (such as Pepto-Bismol) at a daily dosage of about 7 to 8 tablets for many days, but there has been no improvement.
During this period, I have also been taking the menstrual regulation medication Winstop 28 (as I need to start ovulation induction treatment).
I would like to ask the following questions: 1.
Can I take Glucophage and Pepto-Bismol together? 2.
My next appointment is when I will start taking ovulation medications; will taking so many antacids affect this? 3.
Is Glucophage considered a medication that can harm the stomach? Since there is still a long time until my next appointment, I hope you can provide some advice.
Thank you, Doctor.

1, 30~39 year old female. Ask Date: 2017/12/13

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, it is generally safe to take Haole tablets and Acetaminophen together; they do not interact with stomach medications.
Haole tablets typically do not harm the stomach.
Wishing you good health!

Reply Date: 2017/12/13

More Info


When it comes to infertility treatment in women, particularly in the context of polycystic ovary syndrome (PCOS), medication management is crucial. Based on your situation, it seems you are currently on a regimen that includes several medications, and you have concerns about potential interactions and side effects.

1. Can you take "豪樂錠" (likely referring to a hormonal medication) and "息痛佳音" (which is likely a pain reliever) together?
Generally, combining hormonal medications with pain relievers like acetaminophen (the active ingredient in "息痛佳音") is considered safe. Acetaminophen is not known to have significant interactions with most hormonal therapies. However, it is always best to consult with your healthcare provider before making any changes to your medication regimen, especially since you are experiencing gastrointestinal discomfort.

2. Will taking a lot of stomach medication affect your upcoming ovulation treatment?
The medications you are taking for stomach issues, such as proton pump inhibitors or antacids, typically do not interfere with ovulation induction medications. However, if you have been taking a high dose of stomach medication for an extended period, it is essential to discuss this with your doctor. Chronic use of certain stomach medications can sometimes affect nutrient absorption, which could indirectly impact your overall health and fertility.
3. Is "豪樂錠" harmful to the stomach?
The potential for gastrointestinal side effects largely depends on the specific formulation of "豪樂錠" you are taking. Some hormonal medications can cause nausea or gastrointestinal upset, especially when first starting the treatment. If you are experiencing significant stomach pain, it is crucial to report this to your healthcare provider. They may need to adjust your dosage or consider alternative medications.


Additional Considerations:
- Monitoring Side Effects: Since you are experiencing prolonged gastrointestinal discomfort, it is essential to keep a close watch on your symptoms. If the pain persists or worsens, seek medical attention promptly. Your healthcare provider may need to evaluate whether your current medications are the cause and adjust your treatment plan accordingly.

- Impact on Fertility: The medications you are taking for PCOS, such as "豪樂錠," are typically aimed at regulating your menstrual cycle and improving ovulation. While managing your symptoms is essential, it is also crucial to ensure that your overall health is not compromised by the medications. If you continue to experience side effects, your doctor may consider alternative therapies that are less irritating to your gastrointestinal system.

- Future Treatment Plans: As you prepare to start ovulation induction therapy, it is vital to have a comprehensive discussion with your healthcare provider about your current medications and any side effects you are experiencing. They can provide guidance on how to best manage your treatment while minimizing discomfort.

In conclusion, while it is generally safe to combine hormonal medications with pain relievers like acetaminophen, your ongoing gastrointestinal issues warrant a thorough evaluation by your healthcare provider. They can help ensure that your treatment plan is effective and comfortable, ultimately supporting your goal of achieving pregnancy. Always communicate openly with your healthcare team about any side effects or concerns you may have during your treatment journey.

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