Dr. Natasha Bansal
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have a history of multiple follicles (20 each) on both ovaries. I have not taken any medications for that yet. I have severe pain at times that goes off only when taking Morphine. I have taken blood tests and an ultrasound.
Hello,
Welcome to icliniq.com.
Your ultrasound (attachment removed to protect patient's identity) suggests a polycystic appearance of the ovaries, but having polycystic ovaries and a polycystic ovarian syndrome called PCOS is entirely different. It depends on your symptoms. Do you have any menstrual problems like irregular or delayed cycles, or do you have features like excessive hair growth or acne? If any of these is present, we need to give you medicine to treat it; otherwise, nothing has to be done. Additionally, regular exercise and a healthy diet are essential for improving this condition. Is the pain you are talking about only during the periods or other than that? Kindly answer these questions so that I can help you out.
Patient's Query
Hello doctor,
I have missed periods for three months. I have a lot of acne on my face and have put on weight lately. The hair growth on the face is also there. I have had severe pain recently, which goes off only by taking painkillers. My stomach looks enlarged, and I have hair fall as well.
Hello,
Welcome back to icliniq.com.
All these symptoms and ultrasound report points toward a diagnosis of PCOS (polycystic ovary syndrome). Therefore, you will need to take oral pills daily for 3 to 6 months. But before that, as you have not had your periods, I suggest you consult a specialist and take the following medications with their consent. First, tablet Meprate (Medroxyprogesterone acetate) 10 mg twice daily for five days, and when you stop this medicine, you will get your periods within 3 to 5 days. Then from day 1 or 2 of your periods, start taking Dronis 20 mg (Drospirenone and Ethinylestradiol) one tablet daily at night for 21 days continuously, then stop for seven days when you will get your next periods, then again start for 21 days. Continue this cycle for three months. This will help in regularising your cycle and your weight loss, acne, and pain. Meanwhile, repeat your serum prolactin level, and if it comes raised on a repeat sample, then medicine for this will also be required. Secondly, get your fasting and postprandial blood sugar and lipid profile done. All these things should be followed along with regular physical activity and a healthy diet, including more fruits and salad, less sugar and oily fried food.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Obstetrics and Gynecology
Related Questions
Please see my ultrasound pelvis images and explain the abnormalities present.
PCOS and Weight Management
Can PCOS cause irregular periods?
I have PCOS, and I am planning to conceive. Please look at my reports and help.
I have acne, hair fall, facial hair, and back pain. What tests do I need to confirm PCOS?
How to stop prolonged menstrual bleeding?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
