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How to manage PCOS and irregular periods?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.
Answered by Dr. Sameer Kumar

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

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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.

Medically reviewed by Dr. Hemalatha
Published At March 8, 2020
Reviewed At February 23, 2026

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Hemalatha is a dedicated Dental Surgeon with expertise in preventive, restorative, and cosmetic dental care. She is passionate about promoting oral health and creating personalized treatment plans to suit each patient’s needs. Her clinical approach emphasizes patient comfort, precision, and long-term dental wellness, ensuring a positive and reassuring experience for every individual under her care.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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