Can irregular periods indicate PCOS/PMOS?

Hi,

I welcome you to icliniq.com with a loving heart and confidence that I can help you better with your medical issues.

PCOS/PMOS (polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome) is not a disease; it is a state of the body, which is evident when your weight increases. You should be patient, never lose hope, and wait for the right moment when God gives your bundle of joy, the baby.

PCOS/PMOS is a congenital condition (a genetically programmed condition) that you get from your parents. When you suddenly put on weight, the cholesterol is converted into estrogen hormone (if I may simulate, obese men developing breasts, and in young obese girls who develop periods at a younger age, they all have high levels of estrogen hormone or the female hormone).

In your body, when fat (which is a store for tomorrow) is more than normal, it gets converted to a hormone that tips the balance between FSH (the follicle-stimulating hormone from the brain ) and the ovarian hormone. FSH, as the name suggests, stimulates follicles from the ovary.

But once the follicle is big enough to ovulate, FSH is suppressed by the same Estrogen hormone from the ovary. But when the estrogen hormone comes from fat, the brain is confused, and the follicle growth stops early at a smaller follicle size. It will not rupture and is seen as polycystic ovaries.

This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, and no fat beyond the elbow and knees.

You may also have excessive body hair growth, hair fall, a dark shade over the lower half of your face, acne, oily face skin, black skin behind the neck, inner thighs, and under the surface of your breasts. You may have a family history of diabetes, especially if your father or his family. This does not allow ovulation to occur on time. As a result, you can not get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Your weight has to be calculated by the following formula:

Weight (in Kgs)= Height (in cms) -100

Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant, and will have a healthy pregnancy.

To reduce weight, I suggest:

1. Do not fast.

2. No junk, fast foods, red meat, and reduce snacking in between meals.

3. Have low-calorie and high-protein food.

4. Exercise regularly (especially for the waist and hip area) by practicing aerobics, yoga, and brisk walking (swing your hands well), and try to reduce 4.41 to 8.82 pounds in a month. Do not hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 11.02 pounds, you will see changes. There is no compromise of periods being better, as pregnancy can be healthy only if the hormone balance is absolutely perfect. Kindly see if the following checklist of investigations has been done.

For the husband - Have at least two semen analyses, done four weeks apart, preferably in an infertility center (examination done by an andrologist), and check his blood sugar levels.

For the wife, I suggest checking the following:

Blood sugars.

Thyroid profile.

Ultrasound scans to evaluate the uterus, ovaries, and adnexa. Confirm tubal patency, which is the most important. Being a small opening, the tube can get blocked easily,

Check with HSG (hysterosalpingography, an X-ray with dye), SSG (sonosalpingography, a scan done by injecting dye), or a laparoscopy (a surgical procedure used to examine the organs in the abdomen).

If all these are found to be normal, nothing can stop a pregnancy. So do not worry. PCOS/PMOS women can always have babies, as many as they want.

I hope this information helps provide some insight into your symptoms.

Please do not hesitate to reach out if you have any further questions or concerns.

Thank you.