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I am on Femara for PCOS/PMOS. Is there a link to hip pain?

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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/PMOS, 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 before 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.

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 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.

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 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 condition of your bones.

Try to lose around 15 to 17 pounds since this will help with your PCOS/PMOS (polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome).

I hope this helps.

Do get back if you have any further queries.

Thank you.

Medically reviewed byiCliniq medical review team

Published At January 3, 2024
Reviewed AtMay 27, 2026

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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