Dr. Deepika Joshi
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 32 year old female. I have PCOD. My doctor prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please suggest me a low-cost treatment.
Hello,
Welcome to icliniq.com.
The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). Take Calcium tablet like Shelcal-HD twice daily for three months. You need to get investigated for fasting blood sugar and fasting insulin levels so that we can check for insulin resistance and add Metformin, if necessary. Take a combined hormonal pill like Dronis for six cycles.
Patient's Query
Thank you doctor,
My fasting glucose levels and insulin levels are normal. Should I still take Metformin? Even my periods are regular. But, I have acne and facial hair. Help me. I am not getting married because of this. It looks like a man's shave. People think I am a transgender. How to lower my testosterone levels?
Hello,
Welcome back to icliniq.com.
Find out the HOMA IR (homeostatic model assessment insulin resistance) ratio. That is, FBS x insulin/405. If it is more than 3.2, then I suggest you take Metformin. Also, I suggest you start tablet Dronis (Drospirenone and Ethinyl Estradiol) once a day for six cycles. It is a 24-pill pack. Take 24 pills, then leave a gap of four days and then have it again for 24 days. It will reduce facial hair.
Patient's Query
Thank you doctor,
I tested my insulin and FBS levels today. My insulin levels are high. Do I have diabetes or is it because of PCOD? I am taking Myo inositol. Which is a better option for PCOD, Myo inositol capsule, Metformin or a combination of both?
Hello,
Welcome back to icliniq.com.
You do not have diabetes, but you have insulin resistance and this is because of PCOS. Take Metformin 500 mg once a day for a week and then two times a day after lunch and dinner. Repeat your fasting insulin level test after six weeks. Take Shelcal HD twice daily for three months. Stick to strict diet and exercise.
Patient's Query
Thank you doctor,
Currently, I am taking Myo inositol. Should I stop that medication? I have read that Myo inositol is a better option than Metformin. But, it is very costly. I will be getting married soon. Please help me.
Hello,
Welcome back to icliniq.com.
For insulin resistance, Metformin is cheaper and better. You can stop Myo inositol and start Metformin. It will help in weight reduction as well.
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