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What Causes Irregular Menstruation Despite Taking Primolut?

Posted on Mon, 11 Jan 2016

Question: Dear Doctor,
I am 27yrs old, married since 2years, and not trying to conceive for the next year or so. I am a PCOD patient with 3 microcysts. I have never been on medication since I am not overweight and neither were my cycles irregular((I exercise regularly and have always watched my diet and weight, I am 5'7.5" height and 60kg) until recently(September 2015) I started getting brown spotting on the mensus date and from October I have been getting my regular periods(Which barely lasts for 2days) and exactly after 15days I get the brown spotting that lasts for exactly 7 days. Since September and November i have taken Primolut tablet course (for 5 and 7 daysrespectively) and it hasn regularised. However, I would like to mention that Since september i have been taking Aldactone 100mg(cause i have facial hair) and also Cetapin xr 500. I started having these irregular twice a month mensus since the intercourse i had with my husband in september! Please help,it is frustrating to not get a good 5day cycle and have spotting which sometimes darkens by the next day. :(
YYYY@YYYY

Answered by Dr. Soumya (3 hours later)

Brief Answer:
Start OCP

Detailed Answer:
Hi,

I understand your concerns about irregular spotting.

This is because of hormonal variations by aldactone. Primolut alone may not help you. I suggest you start on any oral contraceptive pills. These pills taken for 3 months will help in restoring hormonal balance.

Let me know if you need anymore help.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (6 hours later)

Thank you for the prompt reply doctor. So should I stop taking aldactone and continue with cetapin xr 500mg tablet? I take one tablet at night after meal everyday along with aldactone 100mg .

Regards,
XXXX

Answered by Dr. Soumya (37 minutes later)

Brief Answer:
Aldactone can be continued

Detailed Answer:
Hi XXXXXXX

You can continue aldactone . Along with it you can also continue with OCP as I suggested so that benefit of aldactone is not taken away.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (49 minutes later)

Thank you doctor :)

Hello doctor,
sorry I had one more question. Cetapin xr 500mg tablet is OCP? It also contains metformin. This tablet has helped me drastically for weight control.

Answered by Dr. Soumya (5 minutes later)

Brief Answer:
Cetapin is not OCP

Detailed Answer:
Hi XXXXXXX

Cetapin is not OCP. Cetapin is metformin tablet given in patients with PCOS to help in ovulation and also weight loss.

Some comon OCP brands are XXXXXXX Ovral, Mala N etc..

In future you can directly contact me by pasting following link in your browser:

XXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (17 minutes later)

Alright doctor. Thank you so much for your patience and clearing all my doubts.
Thank you once again! :)

Answered by Dr. Soumya (1 hour later)

Brief Answer:
All the best

Detailed Answer:
Hi,

Wish you good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar