What is the treatment for PCOD and the symptoms associated with it?

Question

Hi doctor,

I have PCOD, due to which I have delayed periods, severe and uncontrolled menstrual cramps, and mood swings. Also, I feel anxious and tired all the time.

Please help me find a solution to this problem.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

I see your ultrasound report is suggestive of polycystic ovarian appearance and you also have delayed periods so the diagnosis of PCOS (polycystic ovarian syndrome) is made by this (attachment removed to protect the patient's identity). So, I have a few suggestions for you,

1. I would suggest you to get a basic blood profile done.

2. I suggest you to start taking Dronis (Drospirenone and Ethinylestradiol) 20 mg tablet once daily at night starting from day one of your cycle and continue for 21 days. When you stop this medicine after 21 days, you will get your periods within a week.

3. After seven days, that is after 28 days. On day 29, start the next cycle of medication for the next 21 days. Continue this for three months and your symptoms will improve.

4. A few blood tests are required like the thyroid profile, serum prolactin, day two LH (luteinizing hormone)and FSH (follicle stimulating hormone), fasting and postprandial blood sugar, Hba1c (Hemoglobin A1c or Glycosylated hemoglobin), and lipid profile.

Consult with a specialist, talk to them and take the medications with their consent.

I hope this has helped you.

Take care.