Dr. Shaikh Sadaf
Endocrinology
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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Patient's Query
Hello doctor,
I am 26 years old, weighing 209 lbs, and 5.5 feet tall. I am struggling with hormonal imbalance. I suffer from irregular periods, thyroid issues, and polycystic ovaries. My lab results of ovary tumor markers and thyroid test results are as follows:
1. TSH is 4.03 (range - 0-4.20).
2. T4 free is 1.04 (range - 0.93-1.71).
3. Testosterone-free is 4.0 (range 0.0-4.2).
4. Anti TPO is 9.95 (range 0.00-34.00).
5. DGEA-S04 is 281.5 (range 98.9-340.0).
6. Fasting blood glucose is 105 (range 65-100).
I am currently taking Eutrix 500 mg. What medications can I take?
Hello,
Welcome to icliniq.com.
I just read your query, and from what you have attached (attachments removed to preserve patient's identity), you have polycystic ovarian syndrome (PCOS). Your body mass index (BMI), based on the weight and height you have mentioned, is 72 lbs/sq feet, and that is under the obese category. However, you can take care of your PCOS, and your weight will drop off. I suggest taking Dianette (Cyproterone and Ethinyl Estradiol) oral pills for PCOS. It is an oral hormonal contraceptive, but it regularizes your periods and eventually reduces PCOS. Consult your specialist doctor, discuss with them and take the medications with their consent. Secondly, I suggest taking the tablet Metformin 500 mg thrice daily after meals. It will help with weight loss, insulin resistance, and eventually PCOS. Consult your specialist doctor, discuss with them and take the medications with their consent. We shall follow up after three months to see how you are doing. Till then, exercise daily by walking briskly for 30 minutes.
Patient's Query
Hello doctor,
I apologize for not mentioning that I have currently inserted Jaydess for over a year. It is an intrauterine device that releases only progesterone. As a result, my weight increased, and my period has completely disappeared. I have once in a while some black spotting. Should I take any thyroid medicine as well? Should I change hormonal treatment?
Hello,
Welcome back to icliniq.com.
Your absent periods are due to this contraceptive device that you have inserted that releases progesterone. Well, then you do not need Dianette (Cyproterone and Ethinyl Estradiol) anymore. As I have mentioned, I suggest you go for Metformin. Consult with your specialist doctor, discuss with them and take the medicines after taking them. There is no need for thyroid medicine, and there is no need to change the hormonal therapy.
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Endocrinology
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