HomeAnswersFamily PhysicianpcodIs weight gain normal during the PCOD treatment?

I have gained 6 lbs of weight during this PCOD treatment. Is it due to the medications?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

Dr. Chithranjali Ravichandran

Published At April 18, 2021
Reviewed AtJanuary 13, 2024

Patient's Query

Hi doctor,

I had started treatment for PCOD under your guidance. Now I am contacting you at the end of my second cycle. Presently I am on the 5th day of my menses. Initially, on day one, the flow was way too less and brownish (which I usually see when my menses comes to an end), then it increased in the next 12 hours, making my total pad soaked to two large ones. On the second day, the same event occurred, making my soaked pad amount to 2 large ones again. On the third day, the flow was a bit reduced, and only half of the large pad was soaked up. On fourth, it was nothing more than one finger-sized spot. And I am still bleeding on the fifth day. Now the points I wanted to discuss are:

1) After my first cycle, I had a period only for four days, while presently, I am on the fifth day. Is this normal?

2) I have taken up 6 lbs from the time I came to the end of one medication cycle. The doctor had asked me to walk for 1/2 hour, but I want to tell you I already walk for 25 minutes every morning, so this weight gain is puzzling me. What could be the reason? Is it due to medication?

3) I had a problem with white discharge, which was thick and cloudy in nature. While on medication in one month, it was reduced to just white spots on cloth, but since the sonography showed nabothian cysts, I was advised by you to use V-wash. I used it as directed, but surprisingly my discharge increased after using it for 4 to 5 days and persisted till before my present periods. I wanted your opinion on that as to why such a thing happened.

4) After my first cycle, the menses which had occurred lasted from 9 to 12th of last month but on the 15th, my white discharge was changed to brownish as if some blood cells were mixed in it. The thing again changed to my normal cloudy on the 16th. What was that? Is this a bad sign regarding our PCOD treatment?

Answered by Dr. Sameer Kumar

Hello,

Welcome to icliniq.com.

As you are in your third cycle and have already completed two cycles, I am sure you would have already started the third cycle from day three of this cycle now.

1. The oral contraceptive pills generally regulate the blood flow, so bleeding with two pads per day is fine for three days.

2. Weight gain is not acceptable. The more you would gain weight, the lesser the chances that the regimen would help. I had advised brisk walking for 45 minutes in the morning and evening 1.88 miles in half an hour at least. Water intake is mandatory, and modified eating habits, as advised mandatory again.

3. The presence of nabothian cysts can cause cervical discharge secondary to cervicitis, and if vaginal wash does not help if used twice a day, then you may require a short course of vaginal pessaries again. Again if it increases post intercourse, then your husband would require treatment as well.

4. The mid-cycle evidence of brownish tinge discharge could be due to a possible change in timings of Eva 35 tablet, which needs to be taken at a fixed time. Also, decreased water intake and gaining weight can sometimes cause a withdrawal, as you had seen.

Weight gain is not acceptable. I am mentioning it again. A 5 kg decrease in weight can decrease insulin resistance by 30 percent and improve ovulation as well, so please keep that under check.

Regards.

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

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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