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Irregular period. Have PCOD. On metformin. Need hormonal balance? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2272 Questions
User:i have PCOD
User:Taking metformin tablet and folic acide from last 5 years but not conceived yet
Doctor:How much is your weight?
Doctor:and height?
User:height 165
Doctor:Are your cycles regular?
Doctor:Have you been put on a course of oral contraceptives?
User:will be regular for continuous 3 or 4 months then it will become irregular.
User:means? i didnt understand
Doctor:Actually , PCOD is a condition in which the hormones are deranged
Doctor:Apart from folic acid and metformin, have you received any drugs?
User:yes. omega fatty acid and one more medicin with cromium. not remembering the name
Doctor:Actually , there are several things that can be done still
Doctor:First thing is that we need to make your cycles regular
Doctor:that can be done with oral contraceptives
Doctor:They have hormones which can stabilize the hormone levels in the body
User:since 2008 i am taking these kind of medicine. still its not become regular
Doctor:Second, we can try and induce ovulation
Doctor:But you just said only metformin, folic acid and some nutritional supplement
User:yes. is that not enough?
Doctor:Its not
Doctor:since the treatment is not working, we need to address other things as well
Doctor:I am telling you
Doctor:first thing, correct hormonal imbalance
Doctor:second, we can induce ovulation
Doctor:this can be done with drugs like clomiphene
Doctor:Other options to clomiphene are also available if this doesnt work
Doctor:Then you have surgery as well
Doctor:In this, we burn some part of the abnormal ovarian tissue
Doctor:that helps a lot of women get regular periods
Doctor:Do you follow?
Doctor:You may need to take a second opinion
Doctor:Have hormone levels like Lh, FSH, etc been done for you?
User:yes. one year before. doctor said verything on normal level.
Doctor:Lets do one thing
Doctor:You take a scanned copy of your reports and post a question on ask a specialist
Doctor:We have many infertility specialists
Doctor:You can seek their opinion
Doctor:You definitely need a second opinion and you may have to travel also a little bit to come to a larger centre
Doctor:So you would be guided by that infertility specialist
Doctor:Please ensure you provide all reports and a detailed history
Doctor:I think that is the best way forward
Doctor:Is there anything else I can help you with?
User:no. thanks
Doctor:Does this make you feel better?
Doctor:Good, then.
Doctor:Have a good day
Doctor:Thanks for consulting me
User:thanks. you too.
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