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PCOD in Early Pregnancy: Myo‑D‑Chiro Inositol and Progesterone Guidance
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Gynecology & Pregnancy Care
Question #22857
3 hours ago
20

PCOD in Early Pregnancy: Myo‑D‑Chiro Inositol and Progesterone Guidance - #22857

Ashna

Hi Doctor, I have PCOD and have been taking myo‑D‑chiro inositol for the past 5 months and letrozole for 4 cycles. I just found out I’m pregnant and I’m currently 5 weeks pregnant. I have a couple of questions: Should I continue taking myo‑D‑chiro inositol during pregnancy? Do I need any progesterone supplements in early pregnancy because of my PCOD? Thank you for your guidance.

Gynaecologist
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Doctors’ responses

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
1 hour ago
5

Hello Ashna Congratulations on your pregnancy! It’s an exciting time, and it’s great that you’re seeking guidance on managing your health during this period.

Myo-D-Chiro Inositol - Continue Taking It? Myo-D-chiro inositol is often used to help with insulin sensitivity and ovarian function in women with PCOD. While some studies suggest it may be beneficial during pregnancy, it’s essential to consult your healthcare provider before continuing any supplements during pregnancy. They can provide personalized advice based on your specific situation.

Progesterone Supplements - Need for Supplements? Women with PCOD may have a higher risk of low progesterone levels, which can affect early pregnancy. Your doctor may recommend progesterone supplements if they believe you are at risk for miscarriage or if you have a history of low progesterone. It’s best to discuss this with your healthcare provider, who can assess your hormone levels and overall health to determine if supplementation is necessary.

Next Steps - Schedule an appointment with your obstetrician or healthcare provider to discuss these questions and any other concerns you may have. - They can provide tailored advice and monitor your pregnancy closely, especially considering your PCOD.

Better visit gynecologist and do proper evaluation and monitor your drugs accordingly.

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
18 minutes ago
5

Hello dear See progesterone is required for ,10-12 weeks while myo- d- chiro inositol is also required for 5-6 weeks. However 5 month pregnancy is a sensitive condition so i suggest you to please get in person consultation with gynaecologist fir better clarity and safety since there are chances of complications like Dizziness Pain Nausea Also share following tests Transbdombal USG Serum tsh Serum ferritin Serum prolactin Urine analysis Regards

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
4 minutes ago
5

Hello

Congratulations dear

Ok about Myo-D-chiro inositol: Generally safe in early pregnancy Often continued till 10–12 weeks, especially in PCOD, as it may help insulin balance and reduce early miscarriage risk Confirm dose with your doctor, but do not stop suddenly unless advised

Progesterone supplementation PCOD alone does NOT automatically mean you need progesterone

Progesterone is usually given only if: You have spotting/bleeding History of recurrent miscarriage Low progesterone on blood test Conceived with assisted cycles and doctor prefers support

If you have no pain, no bleeding, progesterone may not be required, but many doctors still prescribe it as a precaution in early weeks.

Continue inositol for now Progesterone — doctor decides case-by-case, not mandatory for all PCOD pregnancies

Arrange your first antenatal visit + scan at 6–7 weeks

I trust this helps Take care Stay happy and healthy Thank you !

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