Hi,

Thanks for writing to us.

The prime manifestation in PCOD is the disturbed hypothalamo-pituitary-ovarian axis; reflecting as disturbed cycles. Metropathic cycles are a common feature of this condition. There is an excess of estrogen production most often while progesterone levels are insufficient. This is the reason why ovulation fails and also there is breakthrough bleeding. Breakthrough bleeding occurs when there is so much hyperplasia of the endometrium and the blood supply is no longer sufficient and shredding occurs.

As you said you have been using Primolut-N to regularize your cycles, it could be possible that you may be experiencing breakthrough bleeding as the effect of the hormone wears off. Perhaps this could be alleviated by adjusting the dose of the medication you are using. At the same time, you should also have a check up to rule out other causes as the source of the bleeding.

hope I have answered your query. Please feel free to contact if you need further clarifications. I will be happy to help.

regards,
Shanti.V.

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Hi,

Thanks for writing back.

The breakthrough bleeding you are experiencing right now would be corrected with proper dosing of progesterone. Short term usage of the drug has usually been safe in many cases, but it does have side effects. There may be nausea, diarrhea, rashes, thrombo-embolic manifestations and so on. You cannot plan a family while on this medicine as it is not safe for the baby if conception occurs.

Moreover, since you have PCOD, you would need the standard protocol investigations like complete hormonal profile,glucose tolerance test, DHEAS levels, trans-vaginal sonogram, tubal patency test and ovarian reserve along with male factor assessment. You may need ovulation induction along with follicular monitoring and timed intercourse. You should maintain a healthy weight and a regular daily exercise and eat healthy.

Hope I have clarified your doubt. Please get back if you have any more queries. I will be ready to help.

regards,
Shanti.V.

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