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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Period While On Medication For PCOS?

Hi, I am having PCOS and have been on Metformin for last 4 years. Initially it worked very well. But for last few months, I do not get periods on my own. I take meprate whenever they are delayed. But this time, I did not get my periods even after meprate
Mon, 23 May 2016
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Sexologist,  's  Response
Hi
Greetings
I can understand your situation.
In PCOD there is hormonal alterations and improper ovulation .That is why you were not getting your periods regularly.For periods to come there should be a steady growth of a single follicle in the ovary till around.20 mm nearing ovulation .But in PCOS this doesn't happen .
So I suggest you to go for a hormonal analysis on day 2 of your menustrual cycle esply FSH.LH.E2. and AMH.
Along with an ultrasound scan to know the number of antral follicles.
That will tell us your ovarian reserve and can conclude about ovulation and menses.
If the values are not favourable alternative methods can be decided about your fertility.Hope my answer helps you. good luck.If you can send us the reports we will surely guide you .
Regards
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What Causes Delayed Period While On Medication For PCOS?

Hi Greetings I can understand your situation. In PCOD there is hormonal alterations and improper ovulation .That is why you were not getting your periods regularly.For periods to come there should be a steady growth of a single follicle in the ovary till around.20 mm nearing ovulation .But in PCOS this doesn t happen . So I suggest you to go for a hormonal analysis on day 2 of your menustrual cycle esply FSH.LH.E2. and AMH. Along with an ultrasound scan to know the number of antral follicles. That will tell us your ovarian reserve and can conclude about ovulation and menses. If the values are not favourable alternative methods can be decided about your fertility.Hope my answer helps you. good luck.If you can send us the reports we will surely guide you . Regards