HomeAnswersObstetrics and GynecologymedroxyprogesteroneI am suffering from PCOD and take tablets Deviry and Myocyst-M for the past three months. Can I take these tablets together?

Can I take tablets Metformin with Myo-inositol, and Medroxyprogesterone together?

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Published At September 24, 2023
Reviewed AtSeptember 24, 2023

Patient's Query

Hello doctor,

I am a PCOD patient taking tablets Deviry and Myocyst-M for three months. My thyroid levels are normal. Can I take tablets Myocyst- M and Deviry 10 mg together? Please help.

Answered by Dr. Balakrishnan R

Hi,

Welcome to icliniq.com.

We will pay close attention to your worries and address all your questions with utmost care.

Tablet Myocyst-M is Metformin with Myo-inositol and tablet Deviry is Medroxyprogesterone. Both are completely different. You can definitely have them together, without any side effects. This is not your question, but I suggest you treat the underlying problem rather than the symptoms alone. Your weight is the main problem. PCOD (polycystic ovarian disease) is a congenital condition, which means it is a genetically programmed condition, and you get it from your parents. When you suddenly put on weight, this cholesterol gets converted to estrogen hormone (like you would have noticed obese men developing breasts). Young obese girls, who develop periods at a younger age will have high levels of estrogen hormone or female hormone. In your body also when the fat, (which acts as a reserve for tomorrow), is more than normal, it gets converted to a hormone that maintains the balance between FSH (follicle-stimulating hormone) from the brain and the ovarian hormone.

Follicle-stimulating hormone, as the name suggests, stimulates the follicles in the ovaries. But, once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone comes from fat, the brain gets confused, and the follicle growth stops earlier at a stage when the size of the follicle is small and hence will not rupture. In the next scan, you will see all these follicles as polycystic ovaries.

This is usually associated with obesity, irregular cycles, absence of periods for a few months followed by heavy periods with clots and fleshy masses later, or spotting that occurs on and off. This causes thyroid abnormalities and prolactin problems indirectly. You develop that extra pad of fat around the mid portion of the body, especially in the waist, thighs, and breasts. There will be no fat beyond the elbows and knees. Excessive growth of body hair, hair fall, a dark shade over the lower half of the face, acne, oily face, and black skin over the back of the neck, inner thighs, and under the breasts can be noticed. You may have a family history of diabetes, especially your father or his family.

This will not allow ovulation to occur on time and so you cannot get pregnant, till the condition is treated. It also increases the chances of early pregnancy abortions. But this has a solution.

Your weight has to be as follows:

Weight (in pounds) = Height (in feet and inches) -100

Your expected weight should be 114-123 pounds.

Once you reduce your weight to the normal range, you will not require any medicines to get your period or to get pregnant. You will also have a healthy pregnancy.

I suggest you do the following to reduce your weight:

  1. Do not try to reduce your weight by fasting. Avoid consuming junk foods, fast foods, and red meat. Reduce taking snacks in between meals.

  2. Have food with low calories but with high proteins.

  3. Exercise regularly and focus especially on the waist and hip area), do aerobics, yoga, and brisk walking (you must swing your hands well while walking).

Try to reduce 4.4 to 8.8 pounds a month. Do not be hasty in reducing your weight as it will be difficult to maintain.

As soon as you reduce your weight, you will be able to observe the changes.

Hope I have clarified your queries. Do write back if you have any further queries. Thank you.

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

Dr. Balakrishnan R
Dr. Balakrishnan R

Obstetrics and Gynecology

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