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Irregular periods, PCOD, Progesterone pills - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   hello doctor
User :   i would actually want to chat with gynaec
Doctor :   Hi I am General Physician I believe I can help you within my expertise.
User :   ok
Doctor :   If required I shall certainly recommend a specialist
Doctor :   Can you please proceed with your query
User :   i have PCOS , and i wanted to know if there is any ways to iradicate it
Doctor :   Ok I shall explain you
Doctor :   Do you have any specific questions about it?
User :   I have irregular period and when i get my periods , i get continuous bleeding for 12 to 15 days
Doctor :   Ok
Doctor :   Were you diagnosed with PCOS by a doctor?
User :   yes
Doctor :   Ok
Doctor :   Let me explain you about it
Doctor :   PCOS is a common condition amongst women with child bearing age
Doctor :   Although a cause for it is unknown
Doctor :   there are certain factors that precipitate its effects
Doctor :   like Improper lifestyle, Overweight, Family History, Genetic predisposition
Doctor :   Now you can heavy bleeding and for more number of days
Doctor :   I suppose you have irregular periods along with prolonged bleeding, IS it?
Doctor :   Are you following me?
User :   yes doctor
Doctor :   Do you have irregular periods?
User :   yes
User :   very irregular once in 2 to 3 months or may be within 45 days
Doctor :   Are you married?
User :   no m not married
Doctor :   What is your weight and height?
User :   weight is 51 . 5.1
Doctor :   Ok, coming to the treatment, it is taken up based on the symptoms
Doctor :   For your the problem is regularizing the periods
Doctor :   and to reduce the flow
User :   yes
Doctor :   Hence your doctor will conduct all the tests and give oral contraceptive pills, initially or Progesterone pills to regulate the periods
Doctor :   These should be taken for min of 3 to 6 months
User :   i have been many doctors previously
User :   and have got that same treatment too
Doctor :   Ok, this is the first step and it failed
Doctor :   Did you continue for 6 months?
User :   yes i did
User :   but there was no difference and my weight was increased by 4 kgs
Doctor :   Was metformin, proper diet and exercise program followed?
User :   wat is metformin doctor ?
User :   m not aware abt this
Doctor :   Ok Hyperinsulin is also proposed to be factor in this
Doctor :   Hence Metformin is also prescribed
Doctor :   Which specialist did yu consult for this problem?
User :   a gnaec
User :   gynaec
User :   but they always said after wedding after thing wud be fine
Doctor :   Ok Actually the problem has gone beyond the expertise of Gynecologist
Doctor :   I think it is time to consult an Endocrinologist
Doctor :   and get the reevaluation
User :   which doctor do i need contact for this
Doctor :   Endocrinologist
Doctor :   Which city are you in?
User :   bangalore
Doctor :   I suggest a consult with an Endocrinologist
Doctor :   Would you want to consult one?
User :   yes
Doctor :   One of our customer care team calls you and refers you to Endocrinologist
Doctor :   Is it fine?
Doctor :   They fix appnt and you can take it from there
User :   i have done my thyroid and other test as suggested by previous doctor
Doctor :   I am also available for a second opinon after you consult with Endocrinologist
User :   ok
User :   and they said my thyroid level was normal
Doctor :   Thyroid is not related to PCOS
Doctor :   they just have to rule thyroid problems
Doctor :   so did they?
User :   yes i know but as i had irregular periods they thought i might have hormonal changes
User :   some hormonal dysfunctioning
Doctor :   PCOD can have hormonal dysfunction
User :   i also taken homeopathy medicines
Doctor :   More androgens can be produced
User :   after going to so many doctors i have actually lost hope of getting well .. just want to take last chance with this ...
Doctor :   So you will be given some antiandrogens after running tests
Doctor :   You are still young, unmarried you should not lose hope
Doctor :   It is just that you are not informed about the disease process and right specialist
Doctor :   Traditionally Gynecologist treat it, but Endocrinologist have a better view about this
User :   is it curable after speaking to getting a treatment from specialist is my question now .. i have almost taken all types medications ...
Doctor :   You have not taken the right medicines yet
User :   ok
Doctor :   Do you have hair / acne on the face?
User :   i dont have hair on the face , but i do get small pimples some time
Doctor :   Ok
Doctor :   How large are the cysts?\
Doctor :   Did not the doctor consider a surgical method by drilling the cysts?
Doctor :   which can help in improving the symptoms
User :   its in the sonography reports ... i dont have it right now
User :   no they never mentioned about drilling the cyst
User :   can i know more about it
Doctor :   That is a last resort
Doctor :   after medicines would not work
Doctor :   that too many cysts and large cysts present
Doctor :   Hence let us not get into that option now
Doctor :   Just go step by step
User :   ok
Doctor :   Next would be to see an Endo
User :   ok
Doctor :   One of our customer care team shall call you
Doctor :   and fix your appnt
User :   alright
User :   thank u doctor
Doctor :   Hope I answered your queries
Doctor :   Thank you for consulting me
Doctor :   Bye for now
User :   u have been helpful thank u once again bye
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