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Suggest treatment for amenorrhea and PCOD

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Posted on Tue, 19 May 2015
Question: Hi,
I am 26 yrs old & hv bn suffering from amenorrhea since 2003. Recently, I hv bn diagnosed with PCOD. My gynaecologist has prescribed me thyroxin since i hv hypothyroid but he didn't prescribe any med for PCOD and assured me that my period problem would be cured only when my thyroid gets normal. Do i have to face any problem in pregnancy in future. Plz help!
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Answered by Dr. Sameer Kumar (33 minutes later)
Brief Answer:
PCOD + HYPOTHYROIDISM

Detailed Answer:
Hello,
thanks for the query to HCM,
If you have been diagnosed with both PCOD and hypothyroidism and have been amenorrhoeic since so long , is it 2003 0r 2013.?
if its 2003 then it is likely that there has to be a chromosomal cause or aneuploidy involved leading to abnormal karyotype which shall require evaluation.
but if you have had periods earlier before 2013 if it is , then outlet tract obstruction is ruled out and first you should be treated for hypothyroidism as you are for atleast 3 months before starting treatment for PCOD.
It is likely that periods may resume with correction of thyroid levels.
Pcod doesn't cause amenorrhoea but causes delayed menses hence, once periods start then the treatment can be started concomitantly with thyroxine as well. The commonest treatment is oral contraceptive pills, low dose for at least 6 months to regularize menses and androgen levels. also important is to achieve a BMI of 23-24 kg/m2 which decreases insulin resistance and helps curb down PCOD symptoms.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1699 Questions

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Suggest treatment for amenorrhea and PCOD

Brief Answer: PCOD + HYPOTHYROIDISM Detailed Answer: Hello, thanks for the query to HCM, If you have been diagnosed with both PCOD and hypothyroidism and have been amenorrhoeic since so long , is it 2003 0r 2013.? if its 2003 then it is likely that there has to be a chromosomal cause or aneuploidy involved leading to abnormal karyotype which shall require evaluation. but if you have had periods earlier before 2013 if it is , then outlet tract obstruction is ruled out and first you should be treated for hypothyroidism as you are for atleast 3 months before starting treatment for PCOD. It is likely that periods may resume with correction of thyroid levels. Pcod doesn't cause amenorrhoea but causes delayed menses hence, once periods start then the treatment can be started concomitantly with thyroxine as well. The commonest treatment is oral contraceptive pills, low dose for at least 6 months to regularize menses and androgen levels. also important is to achieve a BMI of 23-24 kg/m2 which decreases insulin resistance and helps curb down PCOD symptoms. Regards