Suggest Treatment For PCOD

Posted on Tue, 20 May 2014

Question: Hello Doctor. My name is XXXX. I have menstrual cycle problem.. Regarding this problem i consulted the doctor and i found out that i have PCOD. I have all the problems of PCOD like unwanted hair on face, pimples, and hair loss. My doctor advised me to loose weight ( i am over weight ). She told if i loose some 6-7kgs everything will come to control in 3-4 months.. She didn't prescribe me any oral medicine. i have been trying to loose weight but no greater results yet. Even my aunt has the same problem, she is taking some medicine. what do you suggest me? only loosing weight can help or i have to take medicine? please suggest me the medicine if any.. looking forward for the reply.

Answered by Dr. Aarti Abraham (30 minutes later)

Brief Answer:
AS BELOW

Detailed Answer:
Hello XXXX
Thanks for writing to us with your health concern.
Weight loss is critical to management of PCOD.
Even a 5 % weight loss will result in obvious improvement.
Consult a dietician and formulate a dedicated diet chart and engage the services of a personal fitness trainer for exercise.
Next, go for the following complete evaluation -
1. Pelvic transvaginal ultrasound scan.
2. Hormonal levels - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid Profile.
Metformin is a drug which can be given to provide relief.
Also, if conception is an issue, other drugs like clomiphene citrate will help.
Oosure is a latest drug supposed to help PCOD patients.
All the best
Please feel free to discuss further.

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

Follow up: Dr. Aarti Abraham (3 hours later)

FSH, LH, TSH levels is normal. How long I have to take the medicine? Among Metformin and Oosure which one do you suggest and what is the dosage? Can i get them in medical shops without prescription?

Answered by Dr. Aarti Abraham (2 hours later)

Brief Answer:
AS BELOW

Detailed Answer:
No it is not recommended to take it without prescription
Dosage depends on your body weight.
Generally OOsure is given twice a day and Metformin ( 500 ) is given twice a day.
BOth can be taken together, but only on prescription.
Take care.

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

Follow up: Dr. Aarti Abraham (2 hours later)

Thank you very much. I am 86kgs and my height is 5.4. so what do i do now?

Answered by Dr. Aarti Abraham (2 hours later)

Brief Answer:
AS BELOW

Detailed Answer:
You are obviously overweight.
Give yourself 3 months with a personal trainer and a properly followed diet chart.
If weight loss fails to alleviate your problem, ask your doctor to prescribe medication.
Take care.

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. Chakravarthy Mazumdar