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 estrogen therapy.

Hello,

Welcome back to iCliniq.com

How do u do now? Have u undergone the investigations? Are u on Metformin now?

Hope u r well. If any complications occur, feel free to inform.

Hi,

Welcome back to iCliniq .com

You can take Metformin as follows;

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 to 10days then 2nd course of 100mg Clomiphene may be initiated as below

Tab. Clomid (50mg) 2+0+0 for 5 days; maximum 3 courses.

Recent studies show that using of both Metformin and Clomiphene together are more effective than Metformin or Clomiphene alone.

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 (maximum 3 courses)

Hi

Welcome back to iCliniq.com

Take Tab.Glucophage (500mg) for 7days and inform me. It is usually well tolerated to all. Do not worry. Hope for the best.

Hi,

Welcome to icliniq.com.

You should take Tab.Clomid (Clomiphene citrate) with Tab. Glucophage 1+0+0. or u can take Tab. Glucophage and only after watching the response for 7-14 days, you can take Tab.Clomid . Recent studies tell that PCOS patients will be beneficial by using both Tab.Glucophage and Tab.Clomid together. But my suggestion is just start Tab.Glucophage and watch its action then decide to start Tab.Clomid.

Take care.

Hi,

Welcome to iCliniq.com

You can Tab. Glucophage at any time of the day. But it is wise to take after breakfast. So you get time to observe its effects whole for the day. Usually it is well tolerated to all, as I have mentioned earlier.

Take care.