Why do I have lower abdominal cramps after discontinuing treatment for PCOD?

Hello,

Welcome to icliniq.com.

Thank you for your query.

I suggest you to follow a few instructions mentioned below:

1. It is better to have a serum beta-hCG (human chorionic gonadotropin) which is a blood pregnancy test to know your exact pregnancy status. If it comes positive it is better to rush to a tertiary care hospital.
2. If pain is one-sided go for a transvaginal scan to exclude ectopic pregnancy.
3. If beta-hCG comes positive, you need to repeat it after 48 hours to reach the diagnosis.
4. If beta-hCG increases by almost 66 % or more then it is a normal healthy progressive pregnancy.
5. If beta-hCG increases by less than 66 % then it is alarming and a sign of ectopic pregnancy (outside the uterus) that needs urgent intervention. You should report to tertiary care gynecological emergency.
6. If it shows a reduction it is a miscarriage.
7. If it is negative then you might have to wait for your periods and have tablet Ponstan 500 mg eight hourly for two to four days as per need.
8. If menses delays with a negative pregnancy test you can have the menstrual tablet Primolut-N 10 mg twice daily for five days and wait for one or two weeks for bleeding.
9. If cycles have been irregular you can have a transvaginal scan and blood tests to check for progesterone, testosterone, insulin, prolactin, FSH (follicle-stimulating hormone), LH (luteinizing hormone), and thyroid function test on the second day of menses. Collect the reports and discuss them here.
10. If you want you can have combined oral contraceptives for three months to regulate cycles and then try having sex in the fertile period of the cycle with supportive hormonal medications.
11. Have a 0.4 mg folic acid tablet daily.
12. Try to maintain a normal BMI (body mass index) and exercise daily.

Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you.

Thank you.