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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Menstruation While On Modus For PCOS?

I m suffering from pcod. Last month I was advised to take 5 day modus course. I had my periods after 8 days of course completion. Then on 14 day I started modus for 10 days. now its been 14 days over n I m not under gone periods.pregnancy test was negative on 10 th day. Kindly guide me.
Fri, 29 May 2020
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General Surgeon 's  Response
Hello,

PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome.

To achieve ovulation, you will need to take Clomiphene citrate, may be with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation.

The period after that may be supported by Progesterone or hCG. If clomiphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation.

Along with the medicines, please have a control on this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition.

So have controlled intake of calories with high protein and low carbohydrate and fat diet. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein
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What Causes Delayed Menstruation While On Modus For PCOS?

Hello, PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome. To achieve ovulation, you will need to take Clomiphene citrate, may be with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation. The period after that may be supported by Progesterone or hCG. If clomiphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation. Along with the medicines, please have a control on this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition. So have controlled intake of calories with high protein and low carbohydrate and fat diet. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein