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History of miscarriage and endometriosis. Prescribed Duphaston. Spotting, heartburn, stomach pain, bloating

I had 3 miscarriages in within the year 2010 and 2011 and two were ectopic. I was also operated for Endometriosis last year in June. Since then I am trying to get pregnant but have failed. I am 38 years old and my husband is 45. Recently, I went to my sister in law s doctor in Africa and he prescribed me Duphaston . I have had them for 2 months and this month I had my periods on the 9th March and on 18th I started spotting. I thought I was ovulating but the spotting has continued until now. I have heart burns and get pain in my stomach and feel bloated all the time. I feel tingly by my both ovaries.....can you tell me what is going on?
Asked On : Tue, 26 Mar 2013
Answers:  1 Views:  80
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General & Family Physician 's  Response

Based from the information provided it seems like you most probably are suffering from "PCOS /HYPOTHYRODISM"

Below mentioned is some more information about PCOS and hypothyroidism hope it may help.

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.
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.

FOR Hypothyroidism the simple treatment is replacing the thyroid and for that further investigation is need.
Answered: Wed, 27 Mar 2013
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