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What causes irregular menstrual cycle post recovery from PCOS?

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Posted on Wed, 27 Apr 2016
Question: Hello Doctor,
after 8 months of my marriage i missed period 1 month. visited doc took deviry and had an induced period after that again I had a normal period nxt month. usg reported pcod. doc advised normoz tablets for 3 months. took these tablets, went on a healthy diet, reduced weight, had normal periods for all these 3 months and did usg again. usg reported no pcod. doctor stopped normoz. in all these 3 mnths my cycle varied between 22-23 days. this month i am on no medication. its 26 days since my last period, but it hasn't started yet. I am very worried and tensed. I dont know what to do. I exercise 4 days a week, eat healthy why is this happening. I feel so depressed. plz help me
doctor
Answered by Dr. Zenab Tambawala (32 minutes later)
Brief Answer:
dont worry

Detailed Answer:
Hi there,
Welcome to HCM,

Since you have "missed " your period the first thing you need to do is an urine pregnancy test if you are sexually active; there is a chance that the pregnancy is causing you the delay in period.

Also, I would like to know if you are keen on getting pregnant soon or not , as mangemen of PCOS dependent on your fertility plans.

If you plan to get in the family way soon then the medications like clomiphene will have to be considered.

If not then you should consider taking Oral contraceptive pill for as long as you are not planning pregnancy as they suppress cyst formation in PCOS.

You should also consider taking Metformin 1 g per day as it definitely beneficial in pregnancy. But first you need to rule out that you are pregnant or not.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Zenab Tambawala (41 minutes later)
Did i really miss my period? last month i had it on 24th of XXXXXXX 2016; its 26 days from then. is it bcoz i stopped taking normoz? it should hv regularized my period, and moreover I am following a very healthy lifestyle. we aren't planning kids right now, but i am worried about my periods. my knee is aching a bit and my nipples are a bit sensitive now. doctr, did i really miss my period?
doctor
Answered by Dr. Zenab Tambawala (4 hours later)
Brief Answer:
yes

Detailed Answer:
Hi,

If you are having 23 day cycles and have not yet got your period as expected, it is a missed period, we need to do a urine pregnancy test now and also repeat it a week from now to confirm.

In women with PCOS the ovulation can be erratic and so it could be that you may have ovulated and there is always possibility of pregnancy.

Best to do a urine pregnancy test.

Normoz effects are gradual and not very sudden , so I would not attribute this to Normoz. I would recommend you to take folic acid and metformin.

Hope this helps.
Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Zenab Tambawala

OBGYN

Practicing since :2005

Answered : 837 Questions

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What causes irregular menstrual cycle post recovery from PCOS?

Brief Answer: dont worry Detailed Answer: Hi there, Welcome to HCM, Since you have "missed " your period the first thing you need to do is an urine pregnancy test if you are sexually active; there is a chance that the pregnancy is causing you the delay in period. Also, I would like to know if you are keen on getting pregnant soon or not , as mangemen of PCOS dependent on your fertility plans. If you plan to get in the family way soon then the medications like clomiphene will have to be considered. If not then you should consider taking Oral contraceptive pill for as long as you are not planning pregnancy as they suppress cyst formation in PCOS. You should also consider taking Metformin 1 g per day as it definitely beneficial in pregnancy. But first you need to rule out that you are pregnant or not. Hope this helps. Regards.