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Need To Talk To PCOS Specialist
Question: need to talk to PCOS specialist
iam a physician
my daughter has been recently diagnosed with PCOS with multiple cysts on one ovary and the other ovary shows a follicle
she has severe hypothyroidism since 10 yrs requiring 250 mcg of thyroxine daily
her initial symptoms 10 yrs ago were severe depression and anxiety with hypothyroidism
and severe weight gain
recently progressed to PCOS
She had been treated with antidepressants for may years and recently her moods are slightly stable with ecitalopram and aripiprazole
the main problem is LACK OF ENERGY ALWAYS
she wants to study and achieve her goals but lack of energy hinders her progress and some time she doesn't even have energy to do with daily chores
is there any solution?
her periods have recently become irregular with inter menstrual spotting but are corrected by hormone pills
she does not have cushings and her cortisol is normal
could there be some adrenal insufficiency also?
my daughter has been recently diagnosed with PCOS with multiple cysts on one ovary and the other ovary shows a follicle
she has severe hypothyroidism since 10 yrs requiring 250 mcg of thyroxine daily
her initial symptoms 10 yrs ago were severe depression and anxiety with hypothyroidism
and severe weight gain
recently progressed to PCOS
She had been treated with antidepressants for may years and recently her moods are slightly stable with ecitalopram and aripiprazole
the main problem is LACK OF ENERGY ALWAYS
she wants to study and achieve her goals but lack of energy hinders her progress and some time she doesn't even have energy to do with daily chores
is there any solution?
her periods have recently become irregular with inter menstrual spotting but are corrected by hormone pills
she does not have cushings and her cortisol is normal
could there be some adrenal insufficiency also?
Brief Answer:
Orlistat and diet control will help.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
Hypothyroidism and excessive weight gain itself can cause a lack of energy. Insulin resistance associated with PCOD makes the weight loss difficult. The letharginess can be related to the side effects of the anti depressants that she is using.
She needs a strict diet control to lose her weight. You need to take the help of a dietician to decrease her calorie intake to help her lose weight initially. This will improve insulin resistance and hormonal imbalance also.
Orlistat can be used along with metformin and helps in reducing the appetite and causes a weight loss but a rebound weight gain is seen once the drug is topped. Otherwise the drug is safe with minimal side effects. She can start with Orlistat with a strict diet control.
Adrenal insufficiency is not likely if the cortisol levels are normal. But do consult an endocrinologist for further confirmation.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal
Orlistat and diet control will help.
Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through your query and understand your health concerns ,
Hypothyroidism and excessive weight gain itself can cause a lack of energy. Insulin resistance associated with PCOD makes the weight loss difficult. The letharginess can be related to the side effects of the anti depressants that she is using.
She needs a strict diet control to lose her weight. You need to take the help of a dietician to decrease her calorie intake to help her lose weight initially. This will improve insulin resistance and hormonal imbalance also.
Orlistat can be used along with metformin and helps in reducing the appetite and causes a weight loss but a rebound weight gain is seen once the drug is topped. Otherwise the drug is safe with minimal side effects. She can start with Orlistat with a strict diet control.
Adrenal insufficiency is not likely if the cortisol levels are normal. But do consult an endocrinologist for further confirmation.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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