Suffering from irregular periods. Reports show Bilateral Normal Size Polycistic Ovaries. Suggest - Online Doctor Chats
How are you doing?
I wanted to discuss about two health issues of my wife
1. My wife is having a irregular MC cycle from last 1year
sonography test stated that "Bilateral Normal Size Polycistic Ovaries are found"
what does this statement mean?
The ovaries are the organs from where the ovum is normally produced in women
A cyst is like a round structure which is usually lined by something like skin and may be empty or may have some fluid
This condition often leads to irregular cycles
But the good part is that this condition is treatable
How old is your wife?
she did not face this problem 1.5 year back, suddenly she started facing this problem.
i got married 2 years back
Actually its possible that she had the problem. But she didnt have any complaints
when the problem got severe, it would have led to symptoms
As far as the treatment is concerned,
\There are several things that can be done
First thing, what is your wife's weight and height?
weight is 70kg and height must be 5.3
her stomach part has grown suddenly
SO first thing is that she needs to lose weight
This needs to be done with both exercise and dietary modification
In addition, she would need a drug called metformin
as far as exercise is concerned, I want her to exercise for 50 minutes daily
Further, for dietary modification, she would need to eat 6-7 small meals in a day
she needs to eat every 3-4 hours and have an early dinner
Do you want my customer care team to call her for the same?
They will call her in some time
Can you confirm the number please
one more thing......the 2nd problem is.....the hormone test revealed that she is having thyroid
One minute, XXXXXXX
I am not done with the treatment of polycystic ovarian disease
Second thing in this regard is that she might need oral contraceptive pills to regularize her cycles
It would take some time but her cycles will become regular
Are you planning for a baby now?
yes...we were thinking to plan a baby from May 2012
Then it is possible that she might need some drugs like clomiphene at that time to help with ovulation
But at this time
you need to take her to a gynaecologist so that proper treatment can be started at the earliest
These are prescription drugs and I cannot prescribe them for you in this forum
Thats about the PCOD
what is the reason for polycystic ovaries?
i mean what are the probable causes
We dont know why some women develop them
part of ot is hereditary. but its not always true
but obesity can increase the symptoms of PCOD and vice versa
the doctor that i am going to told that polycystic ovaries mean that the ovaries are swollen.....so now i am confused........u said that it means there are cyrst on ovaries
She must have said it to make things simpler
ok......this is curable right?
See this link and scroll down below
If you see the diagram with the balloons
The balloons are the cysts and they make the whole ovary bigger
Yes, this is curable
as I explained, we have treatment
She'll have regular cycles and she can conceive then
and hypothyroid.....is that curable
yes very much so
we talked about thyroxine supplements right?
Thats the treatment
ok......what are the side effects of taking drugs for polycystic ovaries
Nothing that you need to be worried about at present
as far as metformin is concerned, side effects are not very common
But we need to monitor liver and kidney function at 1-2 months
as far as oral contraceptive pills are concerned, the newer drugs are quite safe
But it will go off in some time
Its a temporary thing
ok....at times it happens that Doctor are doing hit & trial with the treatement......in other word......diagnosis is not done properly before recommending the drugs to patient.....
so.....i want to know whether i should be doing any other tests before starting any sort of medication
These tests would be needed
I'll take it one by one
first, a LH:FSH ratio
Second, total testosterone
And lastly, 2 hour glucose tolerance test
These tests are also needed
although I can tell you we need to start treatment with metformin and oral contraceptives
The tests will help us assess how much she is responding to the treatment
ok......normally how much time frame this MC problem cured?
Should take around 4-6 months atleast
Provided we start the treatment right away
Is there anything else I can help you with?
yes, can u suggest me a speacialist doctor in Mumbai
Dr Firuza Parikh at Jaslok Hospital is good
Dr Malpani is also good
Both are in Mumbai
have you hear of Dr. XXXXXXX Agrawal
I am sorry I dont belong to Mumbai
These people that I have suggested are reputed doctors
But i think its better to see a doctor you are comfortable with
These are common problems and any gynaecologist should be able to deal with them
i am just worried about the side effects, maily because I dont have kids as yet
You dont need to be worried
They are safe drugs and a lot of women recieve these drugs and become ok
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
If your wife doesnt take treatment, she would find it extremely difficult to have a child in the first place
Thats not going to happen
I can assure you that
ok, thanks a lot......that gives me confidence
the doctor to whom i had met, mentioned that there could be some sideeffects of taking the medicin for ovaries
ok......thanks a lot
for your time
Thanks for consulting me
Is there anything else you want to discuss?
ya....one last question
those 5 tests you suggested..
they are included in blood test?
Yes. They are blood tests
but I want you to speak with a gynaecologist before you get them done
ok.....thanks....i will consult a gynac
Have a nice day
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