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Is Copper T Advisable After First Child Birth While Getting Treated For PCOS?

Posted on Thu, 18 Jan 2024

Question: Hi, My wife had got her first period 6 months after delivery on 13th March 2018. Since then she had been having irregular heavy bleeding and on diagnosis, we got to know it is due to polycystic ovaries and thickened endometrium(25mm). she is currently on medication for the same. we are thinking of using Copper T (IUD insertion) for birth control. Can she get it done with the ongoing treatment? Will it be safe for her health. I have attached her pelvis scan report and current medication prescription for better understanding. Please advice. Regards Aqhil

Answered by Dr. Dr. B. Radhakrishnan. Nair (13 minutes later)

Brief Answer:
Is she lactating

Detailed Answer:
Hi
Greetings
If she is not lactating she can be on oc pills for some time before putting copper T.
Very difficult to understand the prescription.Can you send me the names if medicines she is taking.
Since the endometruim is thickened a minor procedure to sample endometruim may be discussed with your gynaecologist.
FEEL free to ask your doubt with more details.
HOPE MY ANSWER HELPS YOU
Regards

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

Follow up: Dr. Dr. B. Radhakrishnan. Nair (6 hours later)

Hi, Thanks for the reply. Yes, she is a lactating mother. She is currently taking Hergrace tabs, ovral L tabs, gynae CVT tabs, cyst out sachets and menohelp syrup. she has been advised to take these for a month . please advice

Answered by Dr. Dr. B. Radhakrishnan. Nair (2 hours later)

Brief Answer:
She is already on oral contraceptive pills

Detailed Answer:
Hi
Greetings
She is already on oral contraceptive pills daily. so I don't think you need to put copper T now.
Mean while discuss with your obstetrician regarding lactation and ovral L.
As suggested follow up with scan regarding her endometrial thickness.If it increases need to sample the endometruim.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. B. Radhakrishnan. Nair (24 minutes later)

Thanks for the prompt reply. what does sampling of endometrium mean? please advice

Answered by Dr. Dr. B. Radhakrishnan. Nair (32 minutes later)

Brief Answer:
D &C

Detailed Answer:
Hi
If she doesn't get her periods and thickness continue like this ,your doctor might suggest a D and C to sample endimetrium.
It is a minor procedure .
Regards

Above answer was peer-reviewed by : Dr. Raju A.T