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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With PCOS. Have Abdominal Pain, Vomiting, Weight Gain, Migraine. Family History Of Diabetes. Can I Take Diane?

Hi..i am 23 yrs unmarried,sex female n recently digonose with.PCOS..my height is 5'2 n weight is 70 kgx....as its has been increased in last 6 7 months..diabetes is in my family..dr prescribe me diane-35 n neodipar n aldectone..problm z tht aldectone cause me severe magraine n neodipar results abdominal pain n vomiting like feeling Al the tym...Wht u recommond is it ok to continue or not...i cant properly able to do my routine work due to the side effects..n mainly im concern abt my wgt gain...how can n how much should i need to reduce....
Mon, 30 Sep 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
The weight gain in your case is due to PCOS and according to your height ideal weight is 53 kg.
Poly Cystic Ovarian Syndrome is the main cause of weight gain in young female .This is usually due to glucose intolerance .
As you stated that you are taking cyproterone acetate( diane 35 mg) +NEODIPAR+ ALDACTONE .
As you mentioned that there is pain in head due to aldactone , you are right .
Due to diuresis there develops headache , but this is necessary drug .
Neodipar causes nausea , get proton pump inhibitors along this drug.
Here I suggest you , consult another Gynecologist and get his opinion regarding treatment .
In such type of condition I prescribe my patient metformine 1 gm in divided dosage.
So consultation to another gynecologist will help as weight reduction is not essential , rather treatment of pcos is important as it will spontaneously reduce , once treated.
Good luck. Dr. HET
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Diagnosed With PCOS. Have Abdominal Pain, Vomiting, Weight Gain, Migraine. Family History Of Diabetes. Can I Take Diane?

Hello, Thanks for the query to H.C.M. Forum. The weight gain in your case is due to PCOS and according to your height ideal weight is 53 kg. Poly Cystic Ovarian Syndrome is the main cause of weight gain in young female .This is usually due to glucose intolerance . As you stated that you are taking cyproterone acetate( diane 35 mg) +NEODIPAR+ ALDACTONE . As you mentioned that there is pain in head due to aldactone , you are right . Due to diuresis there develops headache , but this is necessary drug . Neodipar causes nausea , get proton pump inhibitors along this drug. Here I suggest you , consult another Gynecologist and get his opinion regarding treatment . In such type of condition I prescribe my patient metformine 1 gm in divided dosage. So consultation to another gynecologist will help as weight reduction is not essential , rather treatment of pcos is important as it will spontaneously reduce , once treated. Good luck. Dr. HET