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PCOS and irregular periods - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1230 Questions
Doctor:Good afternoon
User:Good afternoon
Doctor:Please proceed with your query
User:Are you a gynac?
Doctor:Sorry, I am a General physician but I can help you withing my expertise
User:I have PCOS and irregular periods
User:This has been the case every since I got my periods
Doctor:May I know your age?
User:I have tried homeopathy but it has not been of much help
User:I'm 31 yrs old
User:I got married about 6 months back and I'm worried that I may not be able to concieve
Doctor:Is this Divya?
User:I had visited a gynac after my wedding and she put me on contraceptive pills which she said would regularize my periods
Doctor: XXXXXXX let me tell you first
Doctor:Losing weight is THE rule in PCOD
Doctor:Are you overweight?
User:i'm 60 kgs
User:and 5'2 in height
Doctor:Your weight seems to be normal
Doctor:Do you know your BMI?
User:can u give me a min, i'll be right back
Doctor:Take your time
Doctor:I will wait
User:am back
Doctor:Your BMI is 24.2 which is normal
User:how do u calculate the BMI?
Doctor:Contraceptive pills do help in PCOD
Doctor:it is weight in kgs divided by height in metres square
User:but the contraceptive pills also made me gain weight
User:I was 52 kgs before wedding and now I weigh 60
Doctor:That is right
Doctor:Getting treated for PCOD requires your full dedication towards it
Doctor:You need to follow healthy eating habits and exercise regimen
Doctor:Also, you need to constantly follow up with the doctor
Doctor:It is easily treatable
Doctor:But requires patience
Doctor:You need to get evaluated for Hypothyroidism as well
Doctor:Eventually you will get rid of the PCOD
User:I do not have thyroid problem. Its only PCOS
User:does Homepathy help in curing PCOS?
Doctor:the effectiveness of homeopathy treatment is not clinically proven
User:The reason being my husband believes that homeopathy has a cure for it. Although I've told him that I tried homepathy earlier and it did not work on me.
Doctor:You can give it try once if your husband is insisting on it
User:I am currently taking homeopathy medicines for the last 3 months but haven't had a single cycle so far
Doctor:When was your last menstrual period?
User:and this was induced through the contraceptive pills that I was taking
Doctor:Are you taking the contraceptive pills now?
User:she asked me to stop the contraceptive pills after that cycle, after which I haven;t had a single cycle
User:no I'm not taking any contraceptive pills now
Doctor:You should go for a follow up again with the doctor
Doctor:A repeat ultrasound may be helpful
Doctor:to look for any cysts
User:yes I know but that was when my husband insisted that we try homepathy
Doctor:As I said earlier, the effects of homeopathy are not clinically proven
Doctor:You may give it a try however
User:From the beginning I have had very irregular cycles
User:it would delay 6-8 months sometimes
User:I want to know how will it effect my pregnancy?
Doctor:One needs to have regular menstrual cycles to get pregnant
Doctor:And ovulation is a must for pregnancy to occur
Doctor:Irregular cycles are most of the times a hindrance in causing pregnancy
Doctor:if you are thinking about pregnancy, you need to get evaluated sooner and get treated
Doctor:We need to look for causes of an-ovulation
User:we are not looking at pregnancy immediately. But I would want to get treated immediately before we start trying
Doctor:That is a wise decision
Doctor:That is why I am suggesting you to go for an evaluation now
User:I have another question as well
Doctor:Please proceed
User:what should be the frequency of having sex when we want to start trying for pregnancy?
Doctor:Having intercourse thrice a week would be ideal
Doctor:Is there anything else you would like to discuss?
Doctor:Are you there?
Doctor:Is there anything else you would like to discuss?
User:what should be the frequency of having sex after the wedding?
Doctor:There is no said frequency for this
Doctor:If a couple are wanting a baby, then they should have intercourse atleast thrice in a week
User:The reason why am asking this is that earlier it used to be 4-5 times a week, now a days having it 2 times a week also has become difficult.
User:He is tired most of the times in the night and in the morning I have to get up early and go. So we are not getting a chance
Doctor:When do you plan to have a baby?
Doctor:I understand
User:atleast after another 6-8 months
User:i got married last Oct. I want to start trying after a year. I'm not sure on when I'll concieve given that I have irregular periods
Doctor:Yes, I understand that
Doctor:So, you need to get started now
User:get started now???
Doctor:Start planning now itself so that it would not be late
Doctor:Yes, meaning, get evaluated by a doctor
Doctor:Do lifestyle changes
Doctor:like healthy eating habits
Doctor:Another thing
Doctor:The exact cause of your irregular periods need to be found out
User:exact cause?
Doctor:I doubt if it is PCOD at all
User:isn't PCOD the exact cause?
Doctor:Your weight is normal
Doctor:There are many other causes too for irregular periods
User:It is PCOD. I have got scan done and the doctor was able to see cysts
Doctor:Then, the cysts are to be treated medically till the cysts regress
Doctor:Do a repeat ultrasound to look for any cysts in the ovaries now
User:what can be the other causes of irregular periods?
Doctor:Hypothyroidism is also a common cause
Doctor:Defect in the hypothalamo-pituitary- gonadal axis is also the reason
User:ok. As advised by you, I will get a scan done and take regualr treatment
Doctor:All the best to you
User:Is there any good gynac that u can refer to me?
Doctor:May I know your place?
User:I stay In bangalore
User:U can tell me close to rajajinagar or jayanagar
Doctor:You can go to manipal hospital on Jayanagar
User:thank you doctor
Doctor:Thank you too, XXXXXXX
User:nice talking to you
Doctor:Bye and take care
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