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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can PCOS Be Best Treated?

Hi I am 20 years old and 60kg with 5.2 height, it is been one year I have been married initially I didnt wanted to conceive so I had several IPills later after four months I had continuous bleeding for complete two months I consulted a gyno and discovered I had PCOD my skin got completely tanned and hyper pigmentation all over my body suddenly from being skinny I became obese and drastic hair fall the gyno prescribed metformin I had it for two months but no change again she prescribed me Krimson 35 which I had been consuming from past four months which helped me to have regular periods but my ovaries are not treated as I stop my problem starts again, some of my friends suggested me to go for homeopathy as PCOD are best treated in homeopathy I am in a dilemma not able to decide confused and depressed please advice me and tell me about the best treatment and it s address in Bangalore. Thank You very much.
Tue, 1 Mar 2016
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OBGYN 's  Response
Hallow Dear,

You have spelt out your diagnosis as informed to you by your Doctor; i.e. PCOS.

PCOS is a complex dysfunction in the body. What previously was thought as only ovarian dysfunction, is now found to be working at three different functions: Ovulatory, Metabolic and Hormonal. It is anovulation at ovaries leading to menstrual irregularities and infertility, hyperinsulinism due to tissues insensitivity to insulin and hyperandrogenism. To manage PCOS, all these three levels have to be targeted.

All these together lead to irregular delayed menses with anovulation with infertility, obesity, hair growth at unwanted and abnormal places in the female; i.e. face, chest, abdomen, coarse hair on legs, etc. The classic feature of fat deposition is in the abdominal region and hence abdomen:waist ratio goes on increasing.

For ovulation purpose, different medicines like Clomiphene citrate, gonadotrophin hormones with hCG are tried and have proved to be fairly successful. Along with medicines for ovulation, to control obesity, high protein, moderate carbohydrates and low fat diet with exercises is advocated. Metformin tablets help controlling hyperinsulinism.

So I would suggest you to control weight and continue with Clomiphene citrate that you are receiving for maximum 6 months . If Clomiphene citrate fails, your doctor will have to shift to gonadotrophins (HMG+hCG regimen).

It is always advisable to monitor ovulation and endometrial thickness while on the treatment for ovulation induction. The follicles which ovulate between 18 mm to 21 mm size release healthiest eggs and have better chances of conception. Also, for successful implantation of fertilized ovum, the endometrial thickness between 9 mm to 13 mm is very conducive. Thus, artificial ovulation may be planned accordingly, if needed. If natural conception even after induction of ovulation fails, you may have to go for Artificial Reproductory Techniques like Intrauterine insemination, In vitro fertilization and Embryo transfer, etc.

I am not a homeopath and hence would prefer not to comment on homeopathic management of PCOS. However, please do not discontinue the allopathic treatment.

I hope you remain adherent to the treatment to get the success.

Dr. Nishikant Shrotri
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How Can PCOS Be Best Treated?

Hallow Dear, You have spelt out your diagnosis as informed to you by your Doctor; i.e. PCOS. PCOS is a complex dysfunction in the body. What previously was thought as only ovarian dysfunction, is now found to be working at three different functions: Ovulatory, Metabolic and Hormonal. It is anovulation at ovaries leading to menstrual irregularities and infertility, hyperinsulinism due to tissues insensitivity to insulin and hyperandrogenism. To manage PCOS, all these three levels have to be targeted. All these together lead to irregular delayed menses with anovulation with infertility, obesity, hair growth at unwanted and abnormal places in the female; i.e. face, chest, abdomen, coarse hair on legs, etc. The classic feature of fat deposition is in the abdominal region and hence abdomen:waist ratio goes on increasing. For ovulation purpose, different medicines like Clomiphene citrate, gonadotrophin hormones with hCG are tried and have proved to be fairly successful. Along with medicines for ovulation, to control obesity, high protein, moderate carbohydrates and low fat diet with exercises is advocated. Metformin tablets help controlling hyperinsulinism. So I would suggest you to control weight and continue with Clomiphene citrate that you are receiving for maximum 6 months . If Clomiphene citrate fails, your doctor will have to shift to gonadotrophins (HMG+hCG regimen). It is always advisable to monitor ovulation and endometrial thickness while on the treatment for ovulation induction. The follicles which ovulate between 18 mm to 21 mm size release healthiest eggs and have better chances of conception. Also, for successful implantation of fertilized ovum, the endometrial thickness between 9 mm to 13 mm is very conducive. Thus, artificial ovulation may be planned accordingly, if needed. If natural conception even after induction of ovulation fails, you may have to go for Artificial Reproductory Techniques like Intrauterine insemination, In vitro fertilization and Embryo transfer, etc. I am not a homeopath and hence would prefer not to comment on homeopathic management of PCOS. However, please do not discontinue the allopathic treatment. I hope you remain adherent to the treatment to get the success. Dr. Nishikant Shrotri