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Have Pcos. Taking Metformin And Folic Acid. Trying To Conceive. Have Irregular And Delayed Period
Question: hi iam XXXXXX iam 26 years old iam having pcos from last one year and iam taking metformin tablets for tat in addition to that oosure and folic acid tablets all these because iam trying for pregnancy still iam having irregular periods i have corrected my over weight but still why this irregular periods now till now my periods are 2 months late iam little worried please help me for that
Hello XXXXXX,
Thanks for your query.
You are suffering from PCOS, that is, polycystic ovarian syndrome.
It is a condition characterized by hormonal imbalance, wherein there is disturbance in normal menstruation and ovulation.
Women with PCOS often have scanty, irregular and delayed cycles.
Also, there is a problem in ovulation.
The ovary is studded with multiple follicles, but none of them get matured every month to produce a mature egg.
There is associated presence of complications like insulin resistance leading to deranged blood sugars, etc.
You need to investigate yourself thoroughly for PCOS.
This includes investigations like Day 2 FSH, LH, prolactin, TSH, adrenal hormones, fasting serum insulin, lipid profile, oral glucose tolerance test etc.
Also, a baseline ultrasound which you have had which confirms a diagnosis of polycystic ovaries and chocolate cyst, which means that you are having endometriosis also.
Endometriosis means presence of active uterine lining outside the uterus, which leads to formation of cysts, irregular cycles and adhesions within the pelvis, leading to tubal block and often impaired ovarian function.
Weight loss is one aspect of management of PCOS.
Metformin and Oosure help to regulate the imbalance within the body, but these are not 100 % effective in treating PCOS.
You might require expert consultation of an Endocrinologist ( hormone specialist ) in addition to a gynecologist to treat your condition.
For conception, you might require to consult an Infertility specialist, and take the help of ovulation induction medications.
Women with PCOS do not necessarily get regular periods with medication, but you need to continue taking the treatment, and maintain an ideal BMI to keep your condition under control.
Take care, and feel free to ask any further questions.
Thanks for your query.
You are suffering from PCOS, that is, polycystic ovarian syndrome.
It is a condition characterized by hormonal imbalance, wherein there is disturbance in normal menstruation and ovulation.
Women with PCOS often have scanty, irregular and delayed cycles.
Also, there is a problem in ovulation.
The ovary is studded with multiple follicles, but none of them get matured every month to produce a mature egg.
There is associated presence of complications like insulin resistance leading to deranged blood sugars, etc.
You need to investigate yourself thoroughly for PCOS.
This includes investigations like Day 2 FSH, LH, prolactin, TSH, adrenal hormones, fasting serum insulin, lipid profile, oral glucose tolerance test etc.
Also, a baseline ultrasound which you have had which confirms a diagnosis of polycystic ovaries and chocolate cyst, which means that you are having endometriosis also.
Endometriosis means presence of active uterine lining outside the uterus, which leads to formation of cysts, irregular cycles and adhesions within the pelvis, leading to tubal block and often impaired ovarian function.
Weight loss is one aspect of management of PCOS.
Metformin and Oosure help to regulate the imbalance within the body, but these are not 100 % effective in treating PCOS.
You might require expert consultation of an Endocrinologist ( hormone specialist ) in addition to a gynecologist to treat your condition.
For conception, you might require to consult an Infertility specialist, and take the help of ovulation induction medications.
Women with PCOS do not necessarily get regular periods with medication, but you need to continue taking the treatment, and maintain an ideal BMI to keep your condition under control.
Take care, and feel free to ask any further questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi doctor thanks for your quick reply and let me know what is to be done quickly to regularise my periods and how this ovulation will be corrected
Hi again,
As i mentioned, If your cycles are not getting regulated on Metformin and Oosure, then you might have to consult your doctor and increase the dosages of the medication.
Sometimes, in spite of therapy, menstrual cycles remain irregular in patients with PCOS.
You need not worry about that, as long as there are no other metabolic complications.
Regarding ovulation, you need to have your ovulation documented by serial ultrasound and monitoring of the follicle during your menstrual cycle.
If there is evidence of no ovulation, then you would need fertility enhancement treatment when you plan to get pregnant.
As i mentioned, If your cycles are not getting regulated on Metformin and Oosure, then you might have to consult your doctor and increase the dosages of the medication.
Sometimes, in spite of therapy, menstrual cycles remain irregular in patients with PCOS.
You need not worry about that, as long as there are no other metabolic complications.
Regarding ovulation, you need to have your ovulation documented by serial ultrasound and monitoring of the follicle during your menstrual cycle.
If there is evidence of no ovulation, then you would need fertility enhancement treatment when you plan to get pregnant.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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