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Get periods by medicine intake. Suggested laproscopy for PCOS. Medication to avoid laproscopy?

Hy doctor this is niketa and I am 25 years old married since two years. I do not get periods normally, I have to intake medicines to get my periods, my gynac suggested usg for abdomen and pelvis sonography , the report states I have slightly bulky ovaries with polycstic appearance (pcod) so suggested for laproscopy , drilling of ovaries...are there any tables to avoid laproscopy and consive easily
Asked On : Sat, 23 Mar 2013
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thank you for your query.

PCOS is a multi symptom complex that has anovulation, resulting in irregular menstruation, amenorrhea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity.

since there is anovulation and as a result hormonal imbalance ,our first aim is to correct it.

treatment is bi-pronged approach of using medication and bringing lifestyle includes-

-Regular exercise, healthy foods, and weight control are key treatments for PCOS. Eat a heart-healthy diet. In general, this diet has lots of vegetables, fruits, nuts, beans, and whole grains
-Most women who have PCOS can benefit from losing weight. Even losing 4.5 kg may help get your hormones in balance and regulate your menstrual cycle.

-Medicines to balance hormones may also be used but it is a long-term approach.medications include-
*OCP to regularize the hormonal can stop these when you are trying to conceive.
* metformin. It can help restore regular menstrual cycles and fertility.
*another drug called clomiphene citrate can be used for ovulation and promoting fertility.
*letrozole-this drug transiently slows estrogen production and causes the body to make more follicle-stimulating hormone (FSH), a hormone needed for ovulation
LOD or laproscopic ovarian drilling is done only in cases where all of the above fail.

thank you,
wishing you good health
Answered: Wed, 24 Jul 2013
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