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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For PCOD

Hi, m 33, having pcod, taken many homeopathy med. But problem never stopped, was only ok when I was having med, left med. Before a year n had periods only 3 times but not perfectly, only had periods for 1or2 days, now taking allopathic med. Name my chiro of fssai, taking since 1.5 months but didn t had period till now. Can you suggest any good treatment.
Fri, 29 Jul 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
PCOD is very complex disease and treatment should be taken for at least for 6 months.
I will manage PCOD as below:
Go for following investigation:
E2, Progestreone, LH, FSH, Prolactin, blood sugar, insulin, lipid profile, USG scan and ovarian follicle study.
Main aims of treatments are below:
Induce ovulation and regularise the menstrual cycle, reduce weight that increase insulin sensitivity and correction of hormonal imbalance,
Following medical treatment should be prescribed:
Oral contraceptive pills or Progesterone pill: to regularise the period
Clomiphene citrate: to induce ovulation
Spironolactone and fultamaide: diuretic action and induce ovulation.
Meformin: maintain glucose homoeostasis and induce ovulation
FSH analogue can be given

If no response after 5-6 months then ovarian dreeling like surgery should be done
Diet and life style modification:
Avoid spicy, fatty and oily food.
Take fresh fruits and green leafy vegetables.
Avoid excessive sweets and sugary items.
Do regular exercise and yoga daily in the morning for 45-60 minutes.
10-12 % reduction weight will help in induce the ovulation and regularise the menstrual cycle

So consult the gynaecologist and according to symptoms and investigations, she/he will give proper treatment.
Hope this may help you
Best regards
Dr. Sagar
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Suggest Treatment For PCOD

Hello dear Understand your concern PCOD is very complex disease and treatment should be taken for at least for 6 months. I will manage PCOD as below: Go for following investigation: E2, Progestreone, LH, FSH, Prolactin, blood sugar, insulin, lipid profile, USG scan and ovarian follicle study. Main aims of treatments are below: Induce ovulation and regularise the menstrual cycle, reduce weight that increase insulin sensitivity and correction of hormonal imbalance, Following medical treatment should be prescribed: Oral contraceptive pills or Progesterone pill: to regularise the period Clomiphene citrate: to induce ovulation Spironolactone and fultamaide: diuretic action and induce ovulation. Meformin: maintain glucose homoeostasis and induce ovulation FSH analogue can be given If no response after 5-6 months then ovarian dreeling like surgery should be done Diet and life style modification: Avoid spicy, fatty and oily food. Take fresh fruits and green leafy vegetables. Avoid excessive sweets and sugary items. Do regular exercise and yoga daily in the morning for 45-60 minutes. 10-12 % reduction weight will help in induce the ovulation and regularise the menstrual cycle So consult the gynaecologist and according to symptoms and investigations, she/he will give proper treatment. Hope this may help you Best regards Dr. Sagar