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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Poly Cystic Ovaries, With Irregular Periods, Prescribed Susten And Folic Acid. Cause For Not Conceiving?

Hi i have poly cystic ovaries ,it was found after my marriage.i got married before 6 months.before my marriage i dnt get regular periods.i wil get little spotting only.i have consulted Gyno before my marriage.she prescribed me ovral and even someother suppliments,now i dnt remember the medicine.after my marriage i went to doctor she prescribed me Susten 300mg and folic acid tablets.after my marriage i got little spottings once in 6 months time.i dnt get my periods or even spottings.i got negative result 3 times in urine strip pregnancy test .i took hormone tests ,all found to be normal,but i dnt get my periods nor getting conceive.now my doctor referred me to other doctor who is endocrinologist .dis week im gng to meet him.i dnt knw wats my problem is?
Thu, 21 Mar 2013
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General & Family Physician 's  Response
Hi,

Let me walk you through "PCOS"

POLY-CYSTIC-OVARIAN-SYNDROME = " multiple , fluid filled cavities in ovary"

NOW FOR simple understanding is not medically accurate just for understanding purpose ONLY.
Main function of ovary is to produce the female sex hormone like estrogen / progesterone which comes out in a cyclic fashion like 25 days comes estrogen while for 5 days comes progesterone which cause bleeding. This is maintained by brain but the days varies for all females. now due to the PCOS the production of estrogen and progesterone gets disturbed/ may not have enough production on one or the other leading to imbalances and hence makes irregular bleeds as well as problems with pregnancies are seen.

Following are SIGNS AND SYMPTOMS OF PCOS
1) Acne.
2) Weight gain and trouble losing weight.
3) Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back.
4) Thinning hair on the scalp.
5) Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.
6) Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility).
7) Depression.
----------------------------------------------------------------------------------------------------------------------------------

ADVICE:
1) PLEASE SEE endocrinologist as already consulted gynac
2) Get an PELVIC ULTRASOUND and check on ovary again
3) Get hormonal profile to have a check on "PCOS" and the hormones in brain that commands the cyclic pattern of the menstrual cycle
4) mostly they will prescribe the ORAL CONTRACEPTIVE PILL to make the normal cycle go through if things in the brain hormonal balance is stable.
5) Please follow up regularly and take medication as they prescribe to get back on track.

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Have Poly Cystic Ovaries, With Irregular Periods, Prescribed Susten And Folic Acid. Cause For Not Conceiving?

Hi, Let me walk you through PCOS POLY-CYSTIC-OVARIAN-SYNDROME = multiple , fluid filled cavities in ovary NOW FOR simple understanding is not medically accurate just for understanding purpose ONLY. Main function of ovary is to produce the female sex hormone like estrogen / progesterone which comes out in a cyclic fashion like 25 days comes estrogen while for 5 days comes progesterone which cause bleeding. This is maintained by brain but the days varies for all females. now due to the PCOS the production of estrogen and progesterone gets disturbed/ may not have enough production on one or the other leading to imbalances and hence makes irregular bleeds as well as problems with pregnancies are seen. Following are SIGNS AND SYMPTOMS OF PCOS 1) Acne. 2) Weight gain and trouble losing weight. 3) Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back. 4) Thinning hair on the scalp. 5) Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding. 6) Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility). 7) Depression. ---------------------------------------------------------------------------------------------------------------------------------- ADVICE: 1) PLEASE SEE endocrinologist as already consulted gynac 2) Get an PELVIC ULTRASOUND and check on ovary again 3) Get hormonal profile to have a check on PCOS and the hormones in brain that commands the cyclic pattern of the menstrual cycle 4) mostly they will prescribe the ORAL CONTRACEPTIVE PILL to make the normal cycle go through if things in the brain hormonal balance is stable. 5) Please follow up regularly and take medication as they prescribe to get back on track.