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Suggest Treatment For PCOS

Posted on Fri, 29 Apr 2016

Question: Hi, I'm a chronic sufferer of PCOS and all this while I have been gaining humongous weight and visiting gynecologist who has been of least help. Now somebody told me that I should be visiting an endocrinologist and not a gynecologist? Ever since I got married (3 years back), I have not been ovulating properly. Now Im at a stage where I have to take progesterone BD for 5 days to induce periods. Is endocrinologist going to be of more help?
What should I do?

Answered by Dr. Vasudha (53 minutes later)

Brief Answer:
Consult an endocrinologist.

Detailed Answer:
Hi XXXX,
Thanks for the query under Health care magic platform.

I have read your query carefully & understand your concern.

PCOS is supposed to be problem in ovulation. Ovulation itself is induced by complex hormonal activities.
So the basic cause of PCOS can be-
1)Hypothalamus pituitary abnormality resulting in gonadotrophinreleasing hormone & luteinizing hormone dysfunction.which are responsible for ovulation.
2)Primary enzymatic defect in ovary or ovary & adrenal glands
3)A metabolic disorder causing insulin resistance results in raised insulin levels in blood.. this in it's turn affect Hypothalamus, pituitary, ovary, adrenal glands. Hyperinsulenimia can result in over activity of male hormone( testosterone...again hampering ovulation..
4)Hypothyroidism/ diabetes are other endocrinal disorders which lead to weight gain & menstrual irregularity... which needs to be tested for & treated as per need.

* Gynecologist focus on stimulating ovulation( cyclical oral contraceptives clomiphene/ inj HCG)/ trying to overcome hyperinsulinemia by weight control( exercises / metformin )/ laproscopic drilling surgery ).

* Though this helps many of patients, ... but when it doesn't, a more detailed & specific hormonal assessment & expertise management of the delicate & complex problem becomes essential.

* So I agree with the suggestion of consulting an Endocrinologist for the better management & promising out come.

I hope the answer was informative & useful to you. Any follow up query is welcome.

Thanks.

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Vasudha (28 minutes later)

Many thanks for the detailed answer doctor. I'm putting up in North XXXXXXX can you please suggest an endocrinologist who has an experience of treating PCOS patients. Your answer might help me in controlling my condition.

Answered by Dr. Vasudha (5 hours later)

Brief Answer:
Any specislist in Endocrinology can manage PCOD.

Detailed Answer:
Hi XXXX,
Thank you for the feed back.
Any endocrinologist would be good to treat PCOD..as it's a commonly seen condition.
I would be really happy to help you out in finding endocrinologist in XXXXXXX XXXX. But I am sorry, I may not.. for I am residing in Bhandara ( XXXXXXX ) & am not well versed with doctors in XXXXXXX If you have some acquaintance in XXXXXXX I may give you contact.
I would suggest you to inquire to your family physician about a XXXXXXX based endocrinologist & take his reference letter. Offices of Doctor's associations ( XXXXXXX Medical association/ Obstetric & gynacology society of India) can provide you necessary information.
Wish you all the best for finding proper doctor, getting a specific treatment & having full relief from the problem .
Last word of advise, a patient & positive approach matters much in getting success of any kind, & I am sure you would make it.
Wish you all the best!
I request you to grade the answer, in case you find it satisfying, before closing the query.
Thanks.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar