How to manage PCOS and irregular periods?

Question

Hi doctor,

I am 25 years old. I was diagnosed with PCOS 3 years ago. I was on the pill till around this year however due to a few issues and after removing my gall bladder due to gall stones my GP advised I stop my pill. My periods have been on and off; however, I have not actually bled as such. There is just continuous dark brown discharge for a few days but no red flowing blood. What could this be, and how do I go about treating it? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

If you have been on pills for PCOD for more than 3 years now and yet your hormones remain uncontrolled, and menses have not been regularized, then there is definitely something wrong in the treatment protocol, or you may not be following the lifestyle changes that you may have been advised to follow. It is best to stop pills for at least 3 months after such a long treatment already, and switch to lifestyle changes now for results. If pregnancy is not a concern lately, then the pills can be avoided. However, darkish brown blood indicates irregular shedding, and this could be due to isolated progesterone deficiency, which can be evaluated by your serum progesterone levels. However, immediate control of bleeding can be achieved with antifibrinolytics. You may discuss it with your treating gynecologist.

Please feel free to discuss this further in detail.

Thank you.