Suggest Treatment For PCOS While On Ginette-35

Posted on Mon, 24 Aug 2015

Question: i am 24 yrs old and i have PCOS and have been diagnosed a month back..i took ginette 35 last month and then had to get my blood tests...my periods were over a week back however i did not start the nest course of ginette 35 as i haven't yet consulted my doctor... but now i am having bleeding in form of clot since a day...plz help

Answered by Dr. Deepti Verma (21 minutes later)

Brief Answer:
Ultrasound should be done

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.PCOS is associated with irregular bleeding, mostly delayed periods. Ginette 35 is hormonal pill which is given to improve the hormonal condition in PCOS and regulate the periods.
PCOS is also associated with uterine lining hyperplasia (endometrial hyperplasia) and thickening. Irregular and heavy bleeding you are experiencing can be due to endometrial hyperplasia or due to the withdrawl effect of Ginette 35, which is unlikely after 2 weeks of discontinuation of this drug.
I would suggest you to get an ultrasound done to assess the uterine lining and any pathology in uterus, like fibroid, which can be responsible for this bleeding episode.
Meanwhile, to control the bleeding, you can take tranaexemic acid 500 mg thrice a day for 3-4 days.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma.

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

Follow up: Dr. Deepti Verma (5 minutes later)

when getting diagnosed for my PCOS i had an ultrasound of my uterus done which showed it to be perfectly normal...i have cysts in my left ovary only...the bleeding m having today is not heavy but very little..is it a matter of concern?

Answered by Dr. Deepti Verma (7 minutes later)

Brief Answer:
No need to worry

Detailed Answer:
Hi dear, thanks for responding. Normal ultrasound means that the endometrial thickness would have been normal.
If the bleeding is very little, then it is likely due to hormonal withdrawl.It is then not a matter of concern if this is the first such episode. You can omit taking tranaexemic acid tablet.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

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

Follow up: Dr. Deepti Verma (14 minutes later)

thank u for your reply...needed to know one more thing that will this cyst be a problem in future in conceiving,,,how long will i need to be on ginette 35...as i have it in only one of my ovary so will it get cured...and can homeopathic medicine help me with it as when i was having irregular periods (before being diagnosed) i took homeopathic medicine for a month and had normal periods

Answered by Dr. Deepti Verma (52 minutes later)

Brief Answer:
Detailed answer below

Detailed Answer:
Hi dear, PCOS is a condition in which there is difficulty in conception due to irregular or no ovulation at all. However, there are several treatment available including ovulation induction drugs, intrauterine insemination etc.
PCOS does not gets cured completely, however if you do regular exercise and workout, it can decrease in severity.
Ginette 35 should be taken for 6 months at a time.
Homeopathic medicines decreases the intensity, but its exact role is not documented.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

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