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Treatment for irregular periods due to polycystic ovarian disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   What does it mean when your left eye twitches
User :   Hi Doc
Doctor :   Hi
User :   Doc..I have not been getting my periods on time
Doctor :   How long you have this problem?
User :   just to give u a brief history
User :   last year i didnt get it for ard 8 mnths...
User :   i went to the gynac
Doctor :   ok
User :   and they asked me to get some tests done..blood tests..sonography etc
User :   and i was told tht i have PCOD
Doctor :   ok
Doctor :   Afterwards.
User :   i was also asked to take some diabetic medicines
User :   which i did not take
Doctor :   OK
User :   and then consulted a homeopath
Doctor :   ok
Doctor :   then..
User :   i took the medicines for about 2 mnths
Doctor :   ok
Doctor :   did it work?
User :   and i got my periods within 10 days after i started the treatment
Doctor :   ok
User :   but now again its been 2 mnths and the same problem has started
Doctor :   Alright
User :   also i have got boils in my leg
Doctor :   Do u have the test results with u
Doctor :   Let us deal PCOD first
User :   and when i consulted a doc he told me it is bcos of increased blood sugar in the body
User :   ok
User :   i dont have the results with me right now
Doctor :   Did they tell u have diabetes?
Doctor :   y/n
User :   no they told me that the probability is there
Doctor :   did they do the ultrasound?
Doctor :   y/n
User :   what is ultra sound?
Doctor :   they put a probe on ur belly and look at ur uterus and ovaries
User :   yes
Doctor :   they usually give u the printe scan
Doctor :   OK
Doctor :   what is ur weight
User :   62
Doctor :   what is ur height?
User :   5.7
Doctor :   that is good wieght for ur height
Doctor :   Did they other labs like LH, FSh, Tthyroid harmones
User :   yes thyroid was negative
Doctor :   OK
User :   what is LH and FSH?
Doctor :   If the Gynecolist told u that there are multiple cysts
Doctor :   That could be the possiblely PCOD
Doctor :   all cysts r not PCOD
User :   ic
Doctor :   but when u have abnormal menses
Doctor :   acne(pimples)
Doctor :   that could be PCOD
User :   no i dont have pimples
Doctor :   Do u have lot of pimples?
Doctor :   OK
Doctor :   allpatients may not have all the symptoms
Doctor :   I forgot
Doctor :   what is ur age
User :   30
Doctor :   r u married?
User :   yes
Doctor :   do u have children?
User :   no
Doctor :   r u pursing for it
User :   no plans yet
Doctor :   OK
Doctor :   abnormal menses caused by many reasons
Doctor :   thre are different medical caused
Doctor :   but if the Ultrasound shows many cysts they clinical says it is PCOD
User :   what should i do? Is there a diet i am supposed to follow?
Doctor :   but to confirm whether u have to PCOD or not u have to get LH and FSH(femal harmone tests) 2 days after menses
User :   but to get menses what should i do?
Doctor :   no spcial diet for abnormal menses
Doctor :   Get the Ulterasound done again
User :   ok
Doctor :   Get these FSH and LH , TSH , Prolactin harmones done
Doctor :   Then consult Gynecologist
Doctor :   Ask her what is the reason for abnrmal cycles
Doctor :   ask her is there any thing abnoraml in labs
Doctor :   if thre is really any cause we can treat
User :   ok
User :   is it curable
Doctor :   if there is no abnormality, use birth control pills for few months it will get corrected
Doctor :   What is curable?
User :   Pcod
Doctor :   U were not sure whether u have PCOD
User :   ok
Doctor :   usually PCOD patients are obese, theyacne
Doctor :   and abnora cycles
Doctor :   they have lots of cysts in ovary
User :   ok
Doctor :   if it is really PCOD
Doctor :   it has many problems
Doctor :   P
User : then i will get the tests done and wait for the results
Doctor :   It causes many problems
Doctor :   under umbrell of PCOD
Doctor :   there is a possibilty of diabtes
Doctor :   so need to check blood sugar
User :   ok..
Doctor :   u have abnoraml cycles, then u may have to take birth control pills
Doctor :   Some doctors give Metformin , a diabtic mediien
User :   but does one put on weight after taking birth control pills?
Doctor :   experiments prove that it is good
Doctor :   mild weight gain
User :   ok
Doctor :   as long as u do some exercise and follow good diet i think it is not an issue
User :   yes..i exercise
User :   and also go trekking...i am pretty activ
Doctor :   but take metformin , diabetic medicie minimum 250mg tab two times a day
User :   for how long?
Doctor :   Metfornin actuall cause weght loss
User :   i c
Doctor :   I have no answer for that
Doctor :   U may continue until u have symptoms.
User :   ok
Doctor :   some people with PCOD has fertilty problems
Doctor :   they may not get pregnancy becuase of bad cycles
User :   ok
Doctor :   it is really annoying for them
Doctor :   then u have to take pills to get children
Doctor :   OK
Doctor :   so depending what problem PCOD is causing we have tp handle
User :   ok...thanks doc...
User :   i will get the tests done
Doctor :   But for now, make sure get the Ultrasound, done
User :   yes sure
User :   thanks a lot
Doctor :   2 days after menses, get LH,FSh, TSH
Doctor :   prolactin
User :   also wanted to check
Doctor :   blodd sugar
User :   does smoking affect this further?
Doctor :   yes
Doctor :   Thank you for consulting
User :   thanks a lot
User :   good day
Doctor :   consult after the test results
Doctor :   Bye for now
User :   yes sure
User :   bye
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