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Treatment of PCOS through weight loss and lifestyle changes - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions

User :   okay here is my story...i am 5'11 287 african american female.. yes i know that i am over weight, but i am more so shaped like queen latifah then just out of shape... I have been on birthcontrol pills for 5 yrs .. 2 yrs on ortho tri cyclen and 3 yrs on ortho cyclen... my last period was on 8/28/08 and it is now 10/24//08..i the month of august/sept pack i did mess up my pills...i didnt get my period i just thought it was because i mess up the pills so the sept/oct pack i made sure i took it faithly everyday and at the same time and still no period...i went to the doc and they gave me a preg test and it was neg, she said it might be pcos, and i have an appt in two weeks so she can give me something to get my period so they can test for pcos..i dont know what to do?? am i preg or pcos..or what??
Doctor :   Let me read it
Doctor :   first
User :   k
Doctor :   Ok XXXX
Doctor :   the to say that PCOS is a possibility I would like to ask yu few questions
Doctor :   Were your periods regular enough previously
Doctor :   since the menarche
User :   no..very irregular
Doctor :   Ok
Doctor :   Do you have pain during periods
User :   when i got on bc..very becam very regular...none what so ever
Doctor :   and how many days do you bleed
User :   3 to 5
Doctor :   Is it regular
User :   yes like clock wrk
Doctor :   Wer you done U/S previously
User :   no
Doctor :   so directly put on BC
User :   i had a abortion in 03 then i started the pill
Doctor :   ok
Doctor :   You had a successuful conception then

Doctor :   did you get the abortion or was it spontaneous
User :   got an abortion
Doctor :   Ok
Doctor :   Why was that done may I know?
User :   was not ready.. i was young
Doctor :   What is your age?
User :   18
Doctor :   Were you on any other medicines
User :   no...all i have ever taken was (whenever i remember) woman's one a day
Doctor :   Ok
User :   i have started taken prenatal pills just in case
Doctor :   SO you messed up one months pack
Doctor :   That is ok
Doctor :   taking prenatal pills
Doctor :   and back on track now with the Sep/ Oc
User :   yes, but i have done that b4 and never missed, it just came lte
Doctor :   What have you done before
Doctor :   please clarify and what you never missed
User :   messed up the packs
Doctor :   Ok you mean to say this happened previously in the last 3 to 5 years
Doctor :   and your periods were lite then
User :   no i missed pills b4, but never a period...
Doctor :   Ok is there anything that you want to say about your health
Doctor :   When did you gain weight
Doctor :   or you are the same since you are known
User :   no i am health..i had a phyical done a couple of minths ago..and everything was fine...he just told me to lose weight...not really
User :   5lbs
Doctor :   Do you have bother some hair on your face
Doctor :   Mean to say over lips or chin
Doctor :   that you shave off
User :   yes, chin and stomach, but so just my i take it as normal'
User :   does*
Doctor :   Ok
Doctor :   XXXX let me put my opinion here
Doctor :   There is a common condition called PCOS that is common in 20 to 30 percent of the woman
Doctor :   The symptoms are Overwt, iregular periods, unwanted hair
Doctor :   but may not be present on everyone
Doctor :   SO you being have this your doctor had suspected that in you
Doctor :   However it should be confirmed by the Ultrasound
Doctor :   of your ovaries
Doctor :   The other thing is pregnancy
User :   the pcos or the pregnancy?
User :   k..haha
Doctor :   Pregnancy is better confirmed immediately by the URine pregnancy test
Doctor :   which i think yu can do it by yourself
Doctor :   If the test is positive, cheer up
User :   the last preg test i had was 10/14/08...i will take another in the morning..
Doctor :   and if it is negative it can be retested after a week
Doctor :   do you have any other questions
Doctor :   regarding this
User :   if i am pregnant i am okay with it..even though i did not want kids right now..i am in a good situation married and a good job....what can i do if it is pcos
Doctor :   PCOS can be tackled with simple steps but complex practically for you.
Doctor :   One is Weight loss which is most important
Doctor :   and this increases the chances of your regular menstrual cycles
User :   k
Doctor :   by 2 times
Doctor :   and the other is the doctor shall put you on some medications
Doctor :   which should be followed regularly
Doctor :   and help you in getting bck yiour cycles
Doctor :   They can be tried for 3 to 6 months
User :   k
Doctor :   But I insist on your wt loss
Doctor :   and you should come to a level of BMI 25
Doctor :   BMI is body mass index
User :   i will start my life style change tonight
Doctor :   That is the spirit
Doctor :   and remember the most definitive
User :   b/c i want kids in 2 yr
Doctor :   strategies for wt loss
Doctor :   are DIet regulation, Physical activity and Behaviour modification
Doctor :   You can calculte you BMI here
Doctor :   at this link
User :   is it okay to take weight loss pills
Doctor :   The weight loss pills should only be prescribed by your doctor
Doctor :   It can be useful for you
Doctor :   at this BMI
User :   i thought that was what u were going to say
Doctor :   But remember to set your wt loss goals
Doctor :   the practically possible goals would be 30% of your current wt in the next year
Doctor :   So set the goals
Doctor :   and work on it
Doctor :   Your current BMI is 41
User :   that is high
Doctor :   and I wish to see you next time with -2 or -3
Doctor :   Anytine yoiu are in doubt about your program login
Doctor :   and chat with
User :   k
User :   bye
Doctor :   This is a link yu cn make use of it
Doctor :   are you there
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available round the clock.
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