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Type2 diabetic. Taking Metformin. Having PCOS. Not having periods since 2 years. Suggestions?

hi i am 27 yrs old and i am obese, and i am a type 2 diabetic i take metformins 4 times a day, also i am very concerned about my menstrual cyle i have not had a period for about 2 years my dr did tell me i do have pcos , im am stress out and do want to concieve but i find losing weight hard i need help. please do not pay me know give me a free trial next time i will payyou. reply bk thank you
Asked On : Fri, 29 Mar 2013
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

Losing weight is difficult and maintaining weight loss can also be challenging for some persons.

To lose weight the amount of energy that you put into your body (food and drink) must be less that the energy your body puts out ( by exercise and other activities).
To do this ,you can either decrease your input or increase your output. It is easier to lose weight by altering your input than the altering activity because it takes a lot of activity to produce a significant change.
Exercise mainly plays a role in general fitness,heart health and it is very important in keeping the weight off once it has been lost.

In terms of altering your diet, there are some general things that you can do that are part of most diets: (1)eliminate sodas and fruit drinks and use water instead (2) eliminate high calorie fast foods and snacks
There are two main diets : low fat/low calorie diet and low carb diet.

In the low fat/low calorie diet a person would reduce their fat intake. This is done by using low fat products instead of high fat products (low fat dressings, cheeses, milk, mayonaise), using alot of vegetables and fruits.

Low carb diets are thought to work because by reducing the carbohydrates used, there is a reduction in insulin release by the body. Insulin prevents fat breakdown , so a decrease in insulin means more fat is broken down.
In these diets person would reduce bread/biscuits/breakfast cereals/sodas/pasta/roti and other flour products/rice.

There is information available online on both types of diets and you can choose which suits you best.

I hope this helps
Answered: Fri, 29 Mar 2013
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Internal Medicine Specialist Dr. Maruti Karale's  Response

Thanks for writing to us.

All the problems that you are facing are due to PCOS.

PCOS is a condition best managed by improving your lifestyle.
Improvements in diet and exercise will decrease the severity of annoying PCOS symptoms and will improve your fertility and help regulate your menstrual cycle.

You can help to manage your PCOS by eating healthy and exercising to keep your weight at a healthy level.
Healthy eating tips include:
-Limiting processed foods and foods with added sugars
-Adding more whole-grain products, fruits, vegetables, and lean meats to your diet

This helps to lower blood glucose (sugar) levels, improve the body's use of insulin, and normalize hormone levels in your body.

Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.

Metformin is used to treat type 2 diabetes. It has also been found to help with PCOS symptoms.

Lack of ovulation is usually the reason for fertility problems in women with PCOS. Medications that stimulate ovulation can help women with PCOS become pregnant.

Treatment options for fertility include:

Clomiphene citrate,
Metformin with clomiphene ,
In vitro fertilization (IVF).

IVF is very costly.

Gonodotrophins are more expensive and raise the risk of multiple births compared to clomiphene.

You can consult with Gynacologist for treatment.

Hope this could help you.

Answered: Fri, 29 Mar 2013
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General & Family Physician Dr. Gopal Krishnam Raju's  Response
parveen try orlistat tab 120mg thrice daily for 1month :)
Answered: Fri, 29 Mar 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
Shedding weight is really a big challenge and fortunately or unfortunately,this is the main treatment for all your problems including PCOS,DIABETES and inability to conceive.
Get your self tested for thyroid function tests.Take the treatment if you are hypothyroid.
Consult a dietician and take the help from him/ her for reduction of weight.
Mind it regular exercises are very important to decrease the insulin resistance which is the hallmark of PCOS.
It is said that even a 10% reduction of weight shall make you get normal periods and then conceive.
I know it is difficult but it can definitely be achieved.
Answered: Fri, 29 Mar 2013
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