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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular periods. Trying to conceive. Spotting. Reason?

hello docter...i am 31 and want to plan my 2nd baby.i was having irregular periods but since i was taking prozac it was normal.again i stopped taking that again my periods are delayed and now its spotting of brown colour.we tried this month.and was expecting to be successful.what can be the reason...my test are also coming negative.
Mon, 2 Dec 2013
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General & Family Physician 's  Response
Hello there!
thank you for asking, Irregular periods have many etiologies. PCOS is one of them, i believe its that. prozac can delay the periods but they are not responsible for fertility issues.
Your question has answers in it. If you need a baby, treat PCOS.
Lifestyle modifications will be a good start and are considered first-line treatment for women with PCOS. Such changes include the following

Diet(A diet patterned after the type 2 diabetes diet has been recommended for PCOS patients) increase fiber; decrease refined carbohydrates, trans fats, and saturated fats; and increase omega-3 and omega-9 fatty acids.

Exercise regularly and minimum 45 minutes a day.

Take vitamin D as 75 5 cases of PCOS resulting infertility are corrected once low Vitamin D levels are corrected.

Weight loss is the most important thing you need.

Use following medications
Oral contraceptive agents (eg, ethinyl estradiol, medroxyprogesterone)

Antiandrogens (eg, spironolactone, leuprolide, finasteride)

Hypoglycemic agents (eg, metformin, insulin)

Selective estrogen receptor modulators (eg, clomiphene citrate)

Topical hair-removal agents (eg, eflornithine)

Topical acne agents (eg, benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%,
clindamycin topical 1%, sodium sulfacetamide topical 10%)

See a fertility consultant you will need assistance in fertility. Try some clomiphene citrate and follow calendar methods and utilize active days of cycles for conception.

If my tips didnt work after you followed them to every single bit of them, then come and grab me from my collar.

Cheers & regards
Dr S Khan
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General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi, Welcome to Health care magic forum.
Previously you had irregular periods, used prozac, may be for some other reason, as it wont be use full for irregular periods directly.
Now the reason for the irregular periods is to be found and then treated, to conceive. The reasons may be anemia, infection, anxiety if it is the cause prozac may work.
I advise you to consult a gynecologist foe diagnosis and treatment.
Take more of green leafy vegetables, pulses, sprouts, and proteine rich foods.
Wishing you a good luck. Thank you.
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Irregular periods. Trying to conceive. Spotting. Reason?

Hello there! thank you for asking, Irregular periods have many etiologies. PCOS is one of them, i believe its that. prozac can delay the periods but they are not responsible for fertility issues. Your question has answers in it. If you need a baby, treat PCOS. Lifestyle modifications will be a good start and are considered first-line treatment for women with PCOS. Such changes include the following Diet(A diet patterned after the type 2 diabetes diet has been recommended for PCOS patients) increase fiber; decrease refined carbohydrates, trans fats, and saturated fats; and increase omega-3 and omega-9 fatty acids. Exercise regularly and minimum 45 minutes a day. Take vitamin D as 75 5 cases of PCOS resulting infertility are corrected once low Vitamin D levels are corrected. Weight loss is the most important thing you need. Use following medications Oral contraceptive agents (eg, ethinyl estradiol, medroxyprogesterone) Antiandrogens (eg, spironolactone, leuprolide, finasteride) Hypoglycemic agents (eg, metformin, insulin) Selective estrogen receptor modulators (eg, clomiphene citrate) Topical hair-removal agents (eg, eflornithine) Topical acne agents (eg, benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%, sodium sulfacetamide topical 10%) See a fertility consultant you will need assistance in fertility. Try some clomiphene citrate and follow calendar methods and utilize active days of cycles for conception. If my tips didnt work after you followed them to every single bit of them, then come and grab me from my collar. Cheers & regards Dr S Khan