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Suggest Medication For PCOS

Posted on Mon, 22 Dec 2014

Question: I just wanna ask if what pills is good to me? I have PCOS.. Diane35 or yasmin?plss response.

Answered by Dr. Som Biswas (11 minutes later)

Brief Answer: XXXXXXX will be better

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
XXXXXXX will be better as Diane 35 has more side effects.

Is there any thing else you would like to ask?

Feel free to consult me directly
http://bit.ly/drsombiswas

Regards

Dr. Som Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Som Biswas (18 minutes later)

but in XXXXXXX . im so dry.. even having intercourse with my husband was so dry? thats y im so desperate to know what pills is fit for me.

Answered by Dr. Som Biswas (1 hour later)

Brief Answer:
Other pills have even more dangerous side effects

Detailed Answer:
Dear,

Other pills have even more dangerous side effects ..

I will advise you to use vaginal lubricants like "KY jelly" & estradiol cream before intercourse.

Regards
Dr. Som

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Som Biswas (12 minutes later)

I think I have low progesterone.. what should I do?

Answered by Dr. Som Biswas (2 minutes later)

Brief Answer:
Get it tested.

Detailed Answer:
Dear,

It is not low progesterone but low estrogen that causes vaginal dryness.

But still if you think if you have low progesterone then you should get it checked.

If it is really low then we can start you on micronised progesterone tablets.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Som Biswas (32 minutes later)

then y the other doctor here said pcos women have high estrogen? and I just noticed that if im taking diane or althea my skin become tighter.. and now I stop taking pills.. my skin become sag? so what is the problem? progesterone getting low or estrogen?

Answered by Dr. Som Biswas (5 minutes later)

Brief Answer:
PCOS women have HIGH estrogen

Detailed Answer:
Dear,

PCOS is a complex disease. it's not just low and high.

PCOS women have HIGH estrogen but that does not mean your progesterone has to be low..it might or might not be in different women ..also the amount of deficiency differs in different women and so the symptoms also vary.

I told you the commonest cause of vaginal dryness, which is low estrogen. In your case, it's a side effect of XXXXXXX as you said. Causes of vaginal dryness can be many.

The best thing is to get the hormones (estrogen and progesterone) checked before starting any different medicine because it tells you where you started from and whether medicines are causing an improvement.

Your doctor is right and so am I.

Feel free to ask any more clarifications if you need

Regards,

Dr Som MD

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Som Biswas (24 minutes later)

so when is the right time to check my hormones? bcoz nov 20 I had menstration and I take only 5 pcs of althea pills.. because I cant take the side effect of althea.. so I stop it.. I feel bloated and having shortness of breath.. so I stop it.. and yesterday I bleed again.. I dont know if this is menstration again.. its not so heavy but until now I still bleed.. and to mention.. aug 2014 I had ectopic pregnancy so I had operation.. and my doc said I should be on pills in few months.. so I take diane 35 on sept but I gain so much weight I think.. so I switched in XXXXXXX on oct.. but im so dry.. thats y I tried again althea which is my pills 2 yrs a go.. I just stop the althea b4 because we decided to make a baby.. but unfortunately its ectopic.. so now im still afraid to get pregnant.. thats y I really want to take pills or if not taking pills I want my hormone to be balance..

Answered by Dr. Som Biswas (1 hour later)

Brief Answer:
Do at day 9 after menses

Detailed Answer:
Dear,

If hormonal pills are giving you side effects then do not take any of them. The bleeding after taking althea could be withdrawal bleed.

In your scenario having a baby naturally will be difficult as you had an ectopic pregnancy in past.

I suggest you to not to take any pills. If you are overweight, try to lose weight.

For pregnancy you can go for IUI OR IVF procedures after 6 months of the ectopic pregnancy.

And test for hormones can be done at day 9 after normal menses, so you have to stop all pills and wait for normal menses and then get your tests done on day 9.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Som Biswas (3 hours later)

but im only 27 and I weight 112 lbs and 5'1 in height is it overweight?

Answered by Dr. Som Biswas (20 minutes later)

Brief Answer:
You are not overweight

Detailed Answer:
Dear,

You are not overweight. So no need to loose weight.

Stop the hormone pills. You can get the tests done and then i can decide what medicines to start.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj