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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Irregular Menstruation Due To Bilateral Polycystic Ovaries Be Treated?

Good morning, My unmarried daughter had undergone an USG of lower abdomen & pelvis and the report speaks of that she has bilateral polycystic ovaries. She is presently 17 years old and is suffering from irregular menstruation. Please suggest how to overcome this symptoms. Moreover she is somewhat obese weighing 71 kgs. A proper advice is highly appreciable. With regards, Jayanta Sarkar Kolkata, India
Mon, 26 Sep 2016
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General & Family Physician 's  Response
Hello dear
I understand your concern
I would suggest to consult the gynecologist and under go reproductive hormone analysis for better management.
Doctor will give following advises:
Following are the aims of treatment:
Regularize the cycle, Decrease insulin resistance, Induction of ovulation
Treatment of hormone imbalanc, Reduce the weight
Drugs:
Metformin: for maintain glucose homeostasis and weight, induce ovulation
Oral contraceptive pills or progesterone pill : regular the menstrual cycle
Spironolactone and flutamide: diuretic action and also induce ovulation
Diet: take small frequent meal rather large meal
Avoid fatty/spicy/salty foods
Avoid excessive sweets, take more green leafy vegetables and fresh fruits
Start regular exercise for 45-60 minutes in the morning and reduce 10-12 % weight.
Hope this may help you

Contact HCM for the further health query
Best regards
Dr. Sagar
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How Can Irregular Menstruation Due To Bilateral Polycystic Ovaries Be Treated?

Hello dear I understand your concern I would suggest to consult the gynecologist and under go reproductive hormone analysis for better management. Doctor will give following advises: Following are the aims of treatment: Regularize the cycle, Decrease insulin resistance, Induction of ovulation Treatment of hormone imbalanc, Reduce the weight Drugs: Metformin: for maintain glucose homeostasis and weight, induce ovulation Oral contraceptive pills or progesterone pill : regular the menstrual cycle Spironolactone and flutamide: diuretic action and also induce ovulation Diet: take small frequent meal rather large meal Avoid fatty/spicy/salty foods Avoid excessive sweets, take more green leafy vegetables and fresh fruits Start regular exercise for 45-60 minutes in the morning and reduce 10-12 % weight. Hope this may help you Contact HCM for the further health query Best regards Dr. Sagar