Q. I have irregular periods with unwanted hair growth and pimples. Please suggest.

#

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your statement, now you are suffering from amenorrhea (absence of menstrual cycle), hirsutism (hair growth in women in the male pattern), acne (pimples-one type of acne on the back) and having no history of thyroid or hormonal test and issues cause you are on childbearing age suggests that it may be PCOS. Polycystic ovarian syndrome (PCOS) can be established by your clinical features with some investigations result.

You should undergo abdominal ultrasound which can detect bilateral polycystic ovaries. You can undergo some blood tests too like blood for testosterone (increased), sex-hormone binding globulin (decreased), LH:FSH ratio (increased) and thyroid test to exclude hormonal diseases.

You can start Metformin (Bigunide-therapeutic class) to restore your regular cycle and fertility and supportive management for your other complications and estrogens therapy.

# Hello,
how do u do now.have u undergone the investigations?R u on metformin(bigunide) now?
hope u r well.if any complications occur,feel free and inform me.

# hello
thnx for knocking me again.
u can take metformin as follow
tab.glucophage(500mg)
1+0+0(after meal) for 7days then
1+1+0(after meal) for 7days then
1+1+1(after meal) for 7 days for 6month.
if u can't tolerate the 3 times daily dose then u can remain on the twice daily dose.

again u can take clomiphene along with metformin for anovulatory infertility in PCOS as given below dose-
tab.clomid(50mg)
1+0+0 for 5days(with or without meal)
if ovulation doesn't occur within 5-10days then 2nd course of 100mg clomifen may be initiated as below
tab.clomid(50mg)
2+0+0 for 5 days.
max. 3 course.
recent studies show that using of both metformin and clomiphene together r more effective than metformin or clomiphene alone.
In case of any problem feel free and please knock me

treatment in a nutshell as below
tab.glucophage(500mg)
1+0+0(after meal) for 7days. then
1+1+0(after meal) for 7days. then
1+1+1(after meal) [to be continued]
PLUS
tab.clomid(50mg)
1+0+0 for 5days (with or without meal).then repeat after 5-10days
2+0+0 for 5days(Max.3 course)

# Hello
Of course.i will send u as soon as possible.can u give me ur facebook messenger or whats up or gmail id?In the meantime,i will also contact with Icliniq team for their suggestion.dont worry.i will send u soon.

# hello
sorry for late reply.i have already contacted with Icliniq.i can't send u a written prescription as i didn't examine physically and it is not internationally accepted.
but u have sent an attachment ealier.it is quite possible.
u should just knock me through my consultation time with ur query.i will reply and u can download that easily.
extremely sorry again.

# hi
thnx for knocking me again.e prescription is available in consultation system as far i know.if u seek my consultation then I can send u via Icliniq consultation software system where methods,treatment protocol and reviews on treatment r included.
please come through the Icliniq consultation service.u can also contact with Icliniq support team,they will help u a lot.have a nice day.

# Hi
thnx.take tab.phagophage(500mg) for 7days and inform me. tab.phagophage is usually well tolerated to all.dont worry.hope for the best.

# thnx.U should take clomid with phagophage 1+0+0. or u can take phagophage only.after watching phagophage' response for 7-14 days u can take clomid then.Recent studies tell that PCOS patients will be beneficial by using both phagophage and clomid together.but my suggestion is just start ur phagophage and watch its action then decide to start clomid.So u have another option(tab.clomid).do u understand?if no then let me know,i will explain u again.

# Sorry
it is glucophage.not phagophage.sorry again for my slip of pen.thnx.

# U r always welcome.thank u too

# hi there
thnx for the query.u can Glucophage at any time of the day.but it is wise to take after breakfast.so u get time to watch its effects or side effects on u for the whole day.usually it is well tolerated to all as i have mentioned earlier.sorry for the late reply.here internet connection is troublesome.have a nice day.

---

---