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Suggest Treatment For PCOS

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Posted on Wed, 27 Sep 2017
Question: hi doctor
i had a sex month ago & then start taking birth control pills bcz i m having PCOS problem & today i had periods after 2 months and had really bad stomach pain & mass clumb came out, it was almost 3inch long .what that mean? was that mean i m pregnant or something?
doctor
Answered by Dr. Richa Agarwal (2 minutes later)
Brief Answer:
Need more information.

Detailed Answer:
Thanks for trusting hcm about your health care.
I have gone through your history and understand your concerns.
Sometimes after taking pill you may have problem of delayed menses or menstrual irregularities but in some cases it will come on time.
In your case, when you missed your period have you done your pregnancy test?
Because two things are there either this is endometrial tissue which comes out as you had menses after 2 months or it could be early misscarriage.
Hope to hear from you soon.
Hope found useful, feel free to ask more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Richa Agarwal (27 minutes later)
hi
when first tym i had sex after few hours blood spots occur & after 2 days i had light periods & then i had a appointment with doctor because of my irregular periods and he recommend me for pelvic ultra sound and then advice me to take a birth control pillz because in ultra sound i have problem of PCOS. & last month i don't have period even after 35 days and then i start taking birth control pills ( YAZ plus) and now when i almost finish my 1 month med. i have a light peroids with 5-6 inchs clumbs and before the clumb came i had really bad stomach pain it was really painful. then after 2 hour when i went to washroom again same thing happen that mass clumb but now it was noting.
can u please explain this in details whats this happening with me. because i m really upset.& i can't talk about this with anyone because i m not married.

i did'nt take any pregnancy test yet.

i m very nervous about all this & i don't know what to do.
doctor
Answered by Dr. Richa Agarwal (1 hour later)
Brief Answer:
It is due to decidual cast.

Detailed Answer:
Hi,
Thanks for the information.
Your symptoms are due to decidual cast shedding.
Decidual cast is built up with utrine lining due to progesterone effect.
It is usually found in patients who are on contraceptive pills.
It will take a shape of uterus and shed of during menstruation with severe abdominal pain.
Sometimes it is associated with ectopic pregnancy.
So you should not worry about it and took symptomatic treatment for your symptoms.
Hope I am able to explain you properly about it.
Feel free to ask more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Richa Agarwal (9 hours later)
so now i need to take a pregnancy test ???
should i talk about this to my doctor who prescribed my birth control pills & if i talk to him about that they know that i had ever sex???

moreover now i m feeling relax means like my tummy lose some weight. why ???

My periods are not heavy yet. why
its really light. ???

please all the question in detail. & straight forward.
thank you soo much.
doctor
Answered by Dr. Richa Agarwal (6 hours later)
Brief Answer:
No need to take pregnancy test.

Detailed Answer:
Hi,
Sorry for the delay in my response.
Here are the answers of your questions.
You should not go for any pregnancy test.
There is no need to tell her about sex.
You feel loose tummy as your uterine lining get shed off in form of decidual.
Period is light due to hormonal pills.
Hope it will be helpful to you.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Richa Agarwal (41 hours later)
hi doctor
thanks for the help.

i m having stomach pain sometime?
i know it is because of periods but its really painful & m feeling cold too??
can u please suggest something ??

i m having neck pain too even if i get a full sleep. why most of the time i m having neck pain & headache. whats the reason for these??

thanks
doctor
Answered by Dr. Richa Agarwal (6 hours later)
Brief Answer:
Explained below.

Detailed Answer:
Hi,
Sorry for the delay in my response.

Abdominal pain could be due to hormonal changes occurs during the period and you can use the antispasmodic (Meftal spas) drug for the same.

You can use hot water bag(luke warm) also.

Neck pain and headache could be due to cervical spondylitis and you can take a pain killer (eg. Paracetamol) as well as sleep on a hard bed.
Take calcium and vitamin D3 tablet.

Do some neck exercises under supervision (of physiotherapist).

Hope found this useful, please feel free to ask more information.

Good luck.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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Suggest Treatment For PCOS

Brief Answer: Need more information. Detailed Answer: Thanks for trusting hcm about your health care. I have gone through your history and understand your concerns. Sometimes after taking pill you may have problem of delayed menses or menstrual irregularities but in some cases it will come on time. In your case, when you missed your period have you done your pregnancy test? Because two things are there either this is endometrial tissue which comes out as you had menses after 2 months or it could be early misscarriage. Hope to hear from you soon. Hope found useful, feel free to ask more information. Good luck. Regards