HomeAnswersObstetrics and GynecologypcosI have been diagnosed with PCOS and I am taking medications. Recently, I have been experiencing left hip pain. Why?

Can medications for PCOS worsen left hip pain in a 27-year-old female?

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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.

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Published At January 3, 2024
Reviewed AtJanuary 3, 2024

Patient's Query

Hello doctor,

I am a 27-year-old female and I weigh 172 lbs. My height is 6 feet and 1 inch. I was recently diagnosed with PCOS and I am not able to conceive. I was placed on Femara to regulate my cycle and I am asked to take Metformin to dissolve the cysts. I also have severe anxiety. I take BuSpar for anxiety. I have a new kind of pain that started, and I am unsure of what it could be. I have scheduled an appointment with my gynecologist, but I still have several days for the appointment. I left a job where I had to be on my toes all the time and switched to a job where I sit 80 % of the time. My husband and I tried to conceive this month and my period is not due for another four days.

About a week ago, I started having left hip pain (I sprained this hip seven months back) that is accompanied by a dull, sometimes burning pain that extends to the left of my pubic bone. The pain is exceptionally worse if I sit for an extended period of time. It also radiates to the area where my sacroiliac joint is and the left buttocks. The pain shifts and moves around and is not always constant. I am unsure about where the pain is actually coming from because I cannot pinpoint where it starts. It is never a sharp pain but more of a dull, burning ache. I am trying to figure out what this could be because the pain seems to change locations frequently throughout the day. I do not know if this is related, but I have also had intermittent pain in my middle and left back and I have been burping more than I ever have. Please help.

Answered by Dr. Sujata Mittal

Hi,

Welcome to icliniq.com.

I can understand your concern.

Tablet Letrozole (Femara) is an aromatase inhibitor that causes bone loss and bone pain. Since you had an injury seven months back in the left hip joint, Letrozole (Femara) might be exacerbating the symptoms due to bone loss. It causes bone pain too. You should discuss the other options of ovulation induction with your gynecologist and should get an MRI (magnetic resonance imaging) of the pelvis done to know the extent of the problem. Also, check the levels of vitamin D and do a bone densitometry to know the conditions of your bone. Try to lose around 15 to 17 pounds since this will help with your PCOS (polycystic ovarian syndrome).

I hope this helps. Do get back if you have any further queries.

Thank you.

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

Dr. Sujata Mittal
Dr. Sujata Mittal

Obstetrics and Gynecology

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