Q. Where does the unreleased follicle eggs go in a PCOD patient?

Answered by
Dr. Sharmila Naik
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 09, 2018

Hello doctor,

I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? Can you answer me with an explanation, please?



Welcome to icliniq.com.

The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is get dissolved. Some women experience spotting at the time of ovulation but not necessarily it could be due to ovulation. It could be mainly because of hormonal imbalances. I myself prescribe Yasmin to PCOS patients and works wonderfully as it is a low dose hormonal pill. It regularizes the menstrual cycle, the follicular phase becomes 14 days and luteal phase becomes 14 days, periods come on the exact date. It has Estrogen and Progesterone component which is active and it mimics like normal body rhythm (how it normally should be) unlike what imbalances happens in PCOS and corrects them. Spotting does not occur.

The number of follicles do not increase even if it inhibits ovulation by a complex mechanism but the follicular phase which is very long in PCOS patients gets corrected thereby leading to normal FSH levels. Free androgen circulating in the body get decreased. Side effects on stopping Yasmin are again irregular or delayed periods and hirsutism may increase as male hormone androgen is increased than estrogen and progesterone. But before starting Yasmin there should be no cardiovascular disorders or gallbladder disease or active liver disease as it is a hormonal pill. It gives protection from breast cancers and ovarian cancers as well. Once periods get regular after three months, Yasmin can be stopped. It has to be taken for 21 days from the first day of the period then wait for periods and again start a fresh pack.

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