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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For PCOS

Hello, I have recently been diagnosed with PCOS. I am taking the pill, euthyrox, Glucophage and androgen (from day 4 - 14 of the menstrual cycle). My hair is still thinning a considerable amount. I have not lost ANY weight since starting treatment 2 months ago and am trying to establish if there is nothing on the market that can help me.
Tue, 22 Nov 2016
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General & Family Physician,  's  Response
As per your history is concerned you have been diagnosed as PCOS which is called {Polycystic Ovarian Syndrome},A woman is diagnosed with polycystic ovaries if she has 12 or more follicles in at least 1 ovary.
TESTS you can do-:Thyroid function tests (TSH,T3,T4)
Serum prolactin level -
Total and free testosterone levels-
Free androgen index-
Serum hCG level-
Cosyntropin stimulation test-
Serum 17-hydroxyprogesterone (17-OHPG) level-
Urinary free cortisol (UFC) and creatinine levels-
Low-dose dexamethasone suppression test-
Serum insulin-like growth factor (IGF)–1 level-
FSH and LH levels-
Lipid panel-
Trsvaginal ultrasound-
Treatment should be like this-

a)Lifestyle modifications are considered first-line treatment for women with PCOS. Such changes include the following
Diet
Exercise
Weight loss
b)Medications used in the management of PCOS include the following:
Oral contraceptive agents ( ethinyl estradiol, medroxyprogesterone)
Antiandrogens ( spironolactone, leuprolide, finasteride)
Hypoglycemic agents ( metformin, insulin)
Selective estrogen receptor modulators (clomiphene citrate)
Topical hair-removal agents ( eflornithine)
Topical acne agents ( benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%, sodium sulfacetamide topical 10%)

c)Surgery-
Surgical management of PCOS is aimed mainly at restoring ovulation. Various laparoscopic methods include the following:
Electrocautery
Laser drilling
Multiple biopsy
So go as per procedure written in medical books
(Thanks)
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Suggest Treatment For PCOS

As per your history is concerned you have been diagnosed as PCOS which is called {Polycystic Ovarian Syndrome},A woman is diagnosed with polycystic ovaries if she has 12 or more follicles in at least 1 ovary. TESTS you can do-:Thyroid function tests (TSH,T3,T4) Serum prolactin level - Total and free testosterone levels- Free androgen index- Serum hCG level- Cosyntropin stimulation test- Serum 17-hydroxyprogesterone (17-OHPG) level- Urinary free cortisol (UFC) and creatinine levels- Low-dose dexamethasone suppression test- Serum insulin-like growth factor (IGF)–1 level- FSH and LH levels- Lipid panel- Trsvaginal ultrasound- Treatment should be like this- a)Lifestyle modifications are considered first-line treatment for women with PCOS. Such changes include the following Diet Exercise Weight loss b)Medications used in the management of PCOS include the following: Oral contraceptive agents ( ethinyl estradiol, medroxyprogesterone) Antiandrogens ( spironolactone, leuprolide, finasteride) Hypoglycemic agents ( metformin, insulin) Selective estrogen receptor modulators (clomiphene citrate) Topical hair-removal agents ( eflornithine) Topical acne agents ( benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%, sodium sulfacetamide topical 10%) c)Surgery- Surgical management of PCOS is aimed mainly at restoring ovulation. Various laparoscopic methods include the following: Electrocautery Laser drilling Multiple biopsy So go as per procedure written in medical books (Thanks)