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I have irregular periods even after taking PCOS/PMOS medicines for four months. Why?

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Patient's Query

Hi doctor,

My recent USG showed bilateral polycystic ovaries. Both the ovaries are mildly enlarged with multiple tiny cysts peripherally arranged. I have irregular periods for ten years. And three years ago, I showed the doctor for these tiny cysts. I took Metformin and Normen according to her advice. But I stopped it after four months. Should I continue the medication again, and for how long? Please note my prolactin and TSH is at a normal level. Do I need any further investigation? Kindly guide me.
Answered by Dr. Poonguzhali Liston

Education:

MS

Professional Bio:

Dr. Poonguzhali Liston is a skilled Obstetrician and Gynecologist specializing in comprehensive women’s health care, including high-risk pregnancies, infertility, and minimally invasive gynecological surgeries. She is experienced in prenatal care, childbirth, and managing reproductive health disorders. Dr. Liston is committed to providing compassionate, personalized care focused on enhancing women’s health and well-being at every stage of life through evidence-based and patient-centered treatment.    

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Hello,

Welcome to icliniq.com.

I understand your concern. PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome) is a disorder that presents throughout life and is easily managed by medication and lifestyle changes. PCOS/PMOS makes it difficult to conceive and may present with menstrual problems. This can also lead to other complaints like weight gain, acne, hair loss, voice change, facial hair, diabetes, etc. Hence it is a necessity you take the right step. Metformin will help reduce insulin resistance and help in weight loss, and prevents diabetes. Normen (Norethindrone Acetate) is progesterone that your doctor has prescribed for regular periods. Though these will help, it is important to make many lifestyle changes and continue newer medication. I suggest you start medications again (cyclic oral contraceptives) with Metformin, PCOS diet, and exercise after consultation with a gynecologist.

I hope this was helpful.

Medically reviewed by Dr. Sushrutha M.
Published At August 10, 2021
Reviewed At May 27, 2026

Education:

MS

Professional Bio:

Dr. Poonguzhali Liston is a skilled Obstetrician and Gynecologist specializing in comprehensive women’s health care, including high-risk pregnancies, infertility, and minimally invasive gynecological surgeries. She is experienced in prenatal care, childbirth, and managing reproductive health disorders. Dr. Liston is committed to providing compassionate, personalized care focused on enhancing women’s health and well-being at every stage of life through evidence-based and patient-centered treatment.    

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

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sushrutha M. is an ambitious Dentist who completed her BDS degree from JSS Dental College and Hospital. In 2019, she pursued a Postgraduate Certification course in Esthetic Dentistry from M.S. Ramaiah Dental College. Fluent in English, she possesses six years of clinical experience.

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

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Dr. Poonguzhali Liston

Obstetrics and Gynecology

Education:

MS

Professional Bio:

Dr. Poonguzhali Liston is a skilled Obstetrician and Gynecologist specializing in comprehensive women’s health care, including high-risk pregnancies, infertility, and minimally invasive gynecological surgeries. She is experienced in prenatal care, childbirth, and managing reproductive health disorders. Dr. Liston is committed to providing compassionate, personalized care focused on enhancing women’s health and well-being at every stage of life through evidence-based and patient-centered treatment.    

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

Consult other doctors in the same speciality
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