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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular Periods, Periods With Primolut, Ultrasound Showed Anteverted Uterus, Nabothian Cyst, Bilateral Polycystic Ovary, Prescribed Diane 35. What Else Can Be Done?

I am a recently married girl of 27 years. I was married in Nov 2011. I experienced irregular periods, after multiple pregnancy tests i came to know i was not pregnant . I consulted a doctor who prescribed me PRIMOLUT, i had my periods. the doctor also wrote a number of tests. The result of which are as follows: Glucose random 84 mg/dl Serum BHCG 1 mlU/ml Hb 11.4 Haemotocrit 34% Thyroid Serum T3 1.16 nmol/L Thyroid Serum T4 7.4 ug/dl and a an ultrasound which had following findings: uterus is anteverted and normal in size, no mass seen in the myometrium . Endometrial thickness is normal measuring 4.8mm. No decidual reaction seen. A small nabothian cyst of 7.8mm is identified in the cervix. Both ovaries are normal in size with multiple peripherally placed sub-cm follicles and an echogenic stroma. Findings are suggestive of bilateral polycystic ovary despite a near normal value. No adnexal lesion or decidual uterine reaction is seen, however clinical and serum hormones correlation is recommended. i was also prescribed Diane 35 for 6 months, though have yet not started since its side effects include wt gain.Can you please help
Mon, 14 Apr 2014
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OBGYN,  's  Response
Hi,your irregular periods are the result of Polycystic Ovarian Syndrome diagnosed on ultrasound.This syndrome is usually associated with weight gain, irregular periods and sub fertility. Thyroid disorders are also associated with it. Mainstay of treatment of this syndrome is lifestyle changes especially aimed at weight loss. Medical treatment is basically for symptom relief.Diane would help regularise your periods at the same time providing contraception. Though one of the side effects of Diane is weight gain it would surely relieve your irregularities in periods and subsequent need for repeated pregnancy tests. Best would be to combine it with weight loss measures like healthy diet and exercise.
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Irregular Periods, Periods With Primolut, Ultrasound Showed Anteverted Uterus, Nabothian Cyst, Bilateral Polycystic Ovary, Prescribed Diane 35. What Else Can Be Done?

Hi,your irregular periods are the result of Polycystic Ovarian Syndrome diagnosed on ultrasound.This syndrome is usually associated with weight gain, irregular periods and sub fertility. Thyroid disorders are also associated with it. Mainstay of treatment of this syndrome is lifestyle changes especially aimed at weight loss. Medical treatment is basically for symptom relief.Diane would help regularise your periods at the same time providing contraception. Though one of the side effects of Diane is weight gain it would surely relieve your irregularities in periods and subsequent need for repeated pregnancy tests. Best would be to combine it with weight loss measures like healthy diet and exercise.