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Having acne. Got sonography done for USG of pelvis. Taking Metformin. Suggest

Hi doc,

i am 29 and acne problems ONLY as suggested by my dermatologist i recently got sonography done for USG of PELVIS, and the report states there are multiple small peripheral folicies in both ovaries with central ecogemic stroma.
Right Ovary : 4.3*3.8*2.1 cm, Vol - 17.9 cc
Left Ovary : 5.7*1.9*1.5 cm; vol - 8.2 cc
there is no evidence of any solid cystic lesion seen in both adnexal regions.
as suggested by gynac further, i have started Metformin 500 mg tablets twice a day, and asked me to continue with tablets till i am married and pregnant. pls advise, whats the exact issue.
Asked On : Sat, 20 Apr 2013
Answers:  1 Views:  61
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Dermatologist 's  Response
Hello, Welcome to Health Care Magic,
You are diagnosed to have Polycystic ovarian Syndrome. It is a condition usually associated with cysts in ovary, Acne, Excessive facial hair, Obesity with or without menstrual irregularity.
Metformin is a tablet given for it and it improves insulin sensitivity, bring down androgen levels and also helps in reducing weight. Pimples associated with PCOS might be little more resistant to treatment and you might have jaw line pimples as well.
Dermatologist still treat pimples seen in PCOS just like regular acne and only if all the routine treatment does not work then only we consider oral contraceptive pills as treatment for acne.
You will get more details about PCOS in emedicine.medscape.
Hope I clarified your doubt.
Take care
Answered: Sat, 20 Apr 2013
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