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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Polycystic Ovarian Syndrome And How Can It Be Prevented Or Treated ?

I am 26/f with hypothyroidism . I take 137 mcg of livothroid daily. I had a miscarriage in June 2011. After 2 cycles of mensuration I am trying to conceive now. I was testing my ovulation and it showed that I ovulated on September 21 and 22. The dates are completely different from what the ovulation prediction calendars have shown with my cycle length of 37. I ovulated almost 5 days later that what the ovulation predictors have said. I am concerned if I have PCOS because of my period cycles. I am overweight but I dont have any high blood pressure or diabetes. After my first miscarriage I started having hair on my stomach, chin, upper lip. My question is should I be really concerned about PCOS? What can be done to make sure that I dont have PCOS?
Sun, 22 Jan 2012
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Orthopaedic Surgeon 's  Response
Welcome to Healthcare Magic
Since you have hypothyroidism there will be disruption in normal menstrual cycle duration which makes cycles shorter than before. Also problem in ovulation will occur because of thyroid hormone deficiency and also high Prolactin usually associated with hypothyroidism. PCOS is a condition where hormone LH is high associated with high blood sugar due to Diabetes and also high male hormones like Androstenedione in most cases. If it is possible, do get tested for PCOS to rule it out. Miscarriages are common in hypothyroidism and may also be seen in PCOS. Main thing you have to do is to start losing weight which will help fertility drastically especially if you have PCOS. Avoid fatty, oily, junk food. Eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. Exercise daily by brisk walking for 40 minutes a day. Once you lose weight as well as maintain normal thyroid hormone levels, chance to conceive will be higher.
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Psychiatrist Dr. Alok Ranjan's  Response
Polycystic ovary syndrome is a condition in which there is an imbalance of a woman's female sex hormones. This hormone imbalance may cause changes in the menstrual cycle, skin changes, small cysts in the ovaries, trouble getting pregnant, and other problems.

Female sex hormones include estrogen and progesterone, as well as hormones called androgens. Androgens, often called "male hormones," are also present in women, but in different amounts.

Hormones help regulate the normal development of eggs in the ovaries during each menstrual cycle. Polycystic ovary syndrome is related to an imbalance in these female sex hormones. Too much androgen hormone is made, along with changes in other hormone levels.

It is not completely understood why or how the changes in the hormone levels occur.

Follicles are sacs within the ovaries that contain eggs. Normally, one or more eggs are released during each menstrual cycle. This is called ovulation. In polycystic ovary syndrome, the eggs in these follicles do not mature and are not released from the ovaries. Instead, they can form very small cysts in the ovary.

These changes can contribute to infertility. The other symptoms of this disorder are due to the hormone imbalances.

Women are usually diagnosed when in their 20s or 30s, but polycystic ovary syndrome may also affect teenage girls. The symptoms often begin when a girl's periods start. Women with this disorder often have a mother or sister who has symptoms similar to those of polycystic ovary syndrome.
so,your symptoms suggest you to consult an endocrinologist
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What Is Polycystic Ovarian Syndrome And How Can It Be Prevented Or Treated ?

Welcome to Healthcare Magic Since you have hypothyroidism there will be disruption in normal menstrual cycle duration which makes cycles shorter than before. Also problem in ovulation will occur because of thyroid hormone deficiency and also high Prolactin usually associated with hypothyroidism. PCOS is a condition where hormone LH is high associated with high blood sugar due to Diabetes and also high male hormones like Androstenedione in most cases. If it is possible, do get tested for PCOS to rule it out. Miscarriages are common in hypothyroidism and may also be seen in PCOS. Main thing you have to do is to start losing weight which will help fertility drastically especially if you have PCOS. Avoid fatty, oily, junk food. Eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. Exercise daily by brisk walking for 40 minutes a day. Once you lose weight as well as maintain normal thyroid hormone levels, chance to conceive will be higher.