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I got my periods before five years and I have hirsutism and acne. Is it due to PCOS/PMOS?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 27-year-old virgin female. I got my period five years back and then again 40 days after that and no periods after that. My prolactin was 30.8 and insulin was 10 (within range). My TSH was also normal when I got it tested. Also, I had PCOS/PMOS. Ultrasound and everything are normal. I have mild hirsutism and I am having acne. My hair is becoming brittle. What should I do?

Answered by Dr. Jaydeep Tripathy

Education:

MBBS

Professional Bio:

Dr. Jaydeep Tripathy is a dedicated General Practitioner and an expertise in mater of public health committed to compassionate, individualized care. He excels at accurate clinical diagnosis, preventive health strategies, and effective management of chronic conditions such as hypertension and diabetes. He prioritizes clear communication and trust‑based patient relationships, ensuring continuity of care across diverse populations. 

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern. Your prolactin is normal and also it is a good sign that TSH (thyroid-stimulating hormone) is normal. What I did not get from your query though, was whether you have PCOS/PMOS (polycystic ovarian syndrome/Polyendocrine metabolic ovarian syndrome) or it has been ruled out.

Because all your symptoms match more like PCOS. If you do have PCOS/PMOS, you need to exercise regularly, modify your diet, and if required take Metformin for preventing diabetes. Since most women with PCOS/PMOS get obese, have very irregular periods and also have hirsutism. If it does not get normal, then hormone replacement therapy has to be considered and also Clomiphene can be given for three to six cycles for regular ovulation.

I will advise a gynecologist opinion as soon as possible and I will also request you to send your reports to me.

Medically reviewed by iCliniq medical review team
Published At November 3, 2019
Reviewed At May 29, 2026

Education:

MBBS

Professional Bio:

Dr. Jaydeep Tripathy is a dedicated General Practitioner and an expertise in mater of public health committed to compassionate, individualized care. He excels at accurate clinical diagnosis, preventive health strategies, and effective management of chronic conditions such as hypertension and diabetes. He prioritizes clear communication and trust‑based patient relationships, ensuring continuity of care across diverse populations. 

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Jaydeep Tripathy is a dedicated General Practitioner and an expertise in mater of public health committed to compassionate, individualized care. He excels at accurate clinical diagnosis, preventive health strategies, and effective management of chronic conditions such as hypertension and diabetes. He prioritizes clear communication and trust‑based patient relationships, ensuring continuity of care across diverse populations. 

This doctor is not available for online consultations on the platform anymore.

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