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Suffering from irregular periods. Reports show Bilateral Normal Size Polycistic Ovaries. Suggest - 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 : 1229 Questions
Doctor:How are you doing?
User:I wanted to discuss about two health issues of my wife
User:1. My wife is having a irregular MC cycle from last 1year
User:To diagnose this problem of irregular MC cycle, she took a sonography test & howmore test
User:sonography test stated that "Bilateral Normal Size Polycistic Ovaries are found"
User:what does this statement mean?
Doctor:It means that there are multiple cysts found in the ovaries
Doctor:The ovaries are the organs from where the ovum is normally produced in women
Doctor:A cyst is like a round structure which is usually lined by something like skin and may be empty or may have some fluid
Doctor:This condition often leads to irregular cycles
Doctor:In addition, many women are overweight. They also may have a lot of hair on the chin etc
Doctor:But the good part is that this condition is treatable
Doctor:How old is your wife?
User:she did not face this problem 1.5 year back, suddenly she started facing this problem.
User:i got married 2 years back
Doctor:Actually its possible that she had the problem. But she didnt have any complaints
Doctor:when the problem got severe, it would have led to symptoms
Doctor:As far as the treatment is concerned,
Doctor:\There are several things that can be done
Doctor:First thing, what is your wife's weight and height?
User:weight is 70kg and height must be 5.3
User:her stomach part has grown suddenly
Doctor:SO first thing is that she needs to lose weight
Doctor:This needs to be done with both exercise and dietary modification
Doctor:In addition, she would need a drug called metformin
Doctor:as far as exercise is concerned, I want her to exercise for 50 minutes daily
Doctor:Further, for dietary modification, she would need to eat 6-7 small meals in a day
Doctor:she needs to eat every 3-4 hours and have an early dinner
Doctor:We can make a customized diet plan for her
Doctor:Do you want my customer care team to call her for the same?
Doctor:They will call her in some time
Doctor:Can you confirm the number please
User:one more thing......the 2nd problem is.....the hormone test revealed that she is having thyroid
Doctor:One minute, XXXXXXX
Doctor:I am not done with the treatment of polycystic ovarian disease
Doctor:Second thing in this regard is that she might need oral contraceptive pills to regularize her cycles
Doctor:They will also help set the hormonal balance right
Doctor:It would take some time but her cycles will become regular
Doctor:Are you planning for a baby now?
User:yes...we were thinking to plan a baby from May 2012
Doctor:Then it is possible that she might need some drugs like clomiphene at that time to help with ovulation
Doctor:But at this time
Doctor:you need to take her to a gynaecologist so that proper treatment can be started at the earliest
Doctor:These are prescription drugs and I cannot prescribe them for you in this forum
Doctor:Thats about the PCOD
Doctor:As far as the hypothyroidism is concerned, this could be contributing to the irregular cycles
Doctor:This is usually treated with thyroxine supplements and would take some months to correct
User:what is the reason for polycystic ovaries?
Doctor:Nobody knows
User:i mean what are the probable causes
Doctor:We dont know why some women develop them
Doctor:part of ot is hereditary. but its not always true
Doctor:but obesity can increase the symptoms of PCOD and vice versa
User:the doctor that i am going to told that polycystic ovaries mean that the ovaries are now i am confused........u said that it means there are cyrst on ovaries
Doctor:She must have said it to make things simpler
User:ok......this is curable right?
Doctor:See this link and scroll down below
Doctor:If you see the diagram with the balloons
Doctor:The balloons are the cysts and they make the whole ovary bigger
Doctor:Yes, this is curable
Doctor:as I explained, we have treatment
Doctor:She'll have regular cycles and she can conceive then
User:and that curable
Doctor:yes very much so
Doctor:we talked about thyroxine supplements right?
Doctor:Thats the treatment
User:ok......what are the side effects of taking drugs for polycystic ovaries
Doctor:Nothing that you need to be worried about at present
Doctor:as far as metformin is concerned, side effects are not very common
Doctor:But we need to monitor liver and kidney function at 1-2 months
Doctor:as far as oral contraceptive pills are concerned, the newer drugs are quite safe
Doctor:There might be some nausea, vomiting or weight gain
Doctor:But it will go off in some time
Doctor:Its a temporary thing times it happens that Doctor are doing hit & trial with the other word......diagnosis is not done properly before recommending the drugs to patient.....
User:so.....i want to know whether i should be doing any other tests before starting any sort of medication
Doctor:LH:FSH ratio
Total testosterone
Prolactin levels
Doctor:These tests would be needed
Doctor:I'll take it one by one
Doctor:first, a LH:FSH ratio
Doctor:Second, total testosterone
Doctor:Third, DHEAS
Doctor:Fourth, SHBG
Doctor:Fifth, Prolactin
Doctor:And lastly, 2 hour glucose tolerance test
Doctor:These tests are also needed
Doctor:although I can tell you we need to start treatment with metformin and oral contraceptives
Doctor:The tests will help us assess how much she is responding to the treatment
User:ok......normally how much time frame this MC problem cured?
Doctor:Should take around 4-6 months atleast
Doctor:Provided we start the treatment right away
Doctor:Is there anything else I can help you with?
User:yes, can u suggest me a speacialist doctor in Mumbai
Doctor:Dr Firuza Parikh at Jaslok Hospital is good
Doctor:Dr Malpani is also good
Doctor:Both are in Mumbai
User:have you hear of Dr. XXXXXXX Agrawal
Doctor:I am sorry I dont belong to Mumbai
Doctor:These people that I have suggested are reputed doctors
Doctor:But i think its better to see a doctor you are comfortable with
Doctor:These are common problems and any gynaecologist should be able to deal with them
User:i am just worried about the side effects, maily because I dont have kids as yet
Doctor:You dont need to be worried
Doctor:They are safe drugs and a lot of women recieve these drugs and become ok
User:i dont want to get into a situation where we do the treatement and after 10 months Doctor states that you cant become parents any more
Doctor:If your wife doesnt take treatment, she would find it extremely difficult to have a child in the first place
Doctor:Thats not going to happen
Doctor:I can assure you that
User:ok, thanks a lot......that gives me confidence
User:the doctor to whom i had met, mentioned that there could be some sideeffects of taking the medicin for ovaries
Doctor:Dont worry
Doctor:you can take a second opinion as well
User:ok......thanks a lot
User:for your time
Doctor:Thanks for consulting me
Doctor:Is there anything else you want to discuss? last question
User:those 5 tests you suggested..
User:they are included in blood test?
Doctor:Yes. They are blood tests
Doctor:but I want you to speak with a gynaecologist before you get them done
User:ok.....thanks....i will consult a gynac
Doctor:Anything else?
Doctor:Have a nice day
Doctor:Take care
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