Can I manage sugar cravings and lose weight while on Diane 35?

Question

Hello doctor,

I am 23 years old, 4ft 11 inches tall, and weigh 139 lbs. I have been taking Diane 35 as prescribed by my doctor for the past year. My question is whether I need to undergo another examination at this point after taking the medicine for quite some time now?

I have noticed that I am having strong cravings for sugar, and thus I wanted to know whether there are any supplements available that could help me in this situation. Furthermore, will it be safe for me to take Inositol along with my present medication?

My main concern is about my weight, and I want to know the best way to reduce it.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

I am deeply concerned about your worries. Let me answer your questions.

Yes, after one year of being on Cyproterone acetate and Ethinylestradiol, it would be best to go for a follow-up visit with your gynecologist. Normally, it is done every six to twelve months.

This will include checking your blood pressure and weight. At times, there could be ordering of blood tests such as:

Glucose test.
Lipid profile test.
Liver function test.

It is important to monitor long-term use since Cyproterone acetate and Ethinyl estradiol have increased risks of clotting in some people.

Cravings in PCOS are caused by the condition's insulin resistance. You don't need to take any appetite suppressants; instead, you should increase your insulin sensitivity. This can be achieved through diet changes and medication.

Yes, Myo-inositol is used to treat PCOS and is safe. It helps in reducing the effects of insulin resistance and craving.

In many studies, the dose of Myo-inositol is 2000 mg twice daily, along with folic acid. You should notify your doctor about this drug since you are taking Diane 35.

With your height at 4 feet 11 inches and weight at 139 lbs, your BMI will be around 28 and hence you belong to the overweight group. In PCOS, it's quite possible to alleviate symptoms by reducing your body weight by five to ten percent only.

Allow me to walk you through some useful tips:

Reduce your refined carbohydrate intake such as white rice, sodas, sugars, and bread.
Consume more proteins like eggs, fish, chicken, and tofu.
Eat more fiber-rich foods like veggies and whole grains.
Do strength exercise thrice a week to increase your insulin sensitivity.
Try to take 7000 to 10000 steps every day.
Diane 35 crash dieting is not advised since it worsens hormonal imbalances in PCOS.

If you have serious headaches, swollen legs, chest pain, and changes in vision while using Diane 35, you should consult a doctor.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.