Is it advisable to stop PCOS/PMOS medications due to their side effects?

Question

Hi doctor,

I have been married for five months, and from the second day of marriage, I faced bleeding that extended up to 15 days. With a few days' gap, it started again with the same bleeding for more than 15 days. That is how I started checking up with the doctor for the first time.

Before marriage, I used to get periods once every 40 days without effort. Now, after marriage, I feel like having periods after each intercourse. I am currently taking Krimson 35 for PCOS/PMOS. Previously, I was taking Meperate for two months.

Please answer. I am feeling lost and abnormal always. My body condition has changed completely visibly. I feel these medicines are not suiting me. I never took any medicines before five months of marriage. I used to have much pain during periods, but I will not take tablets. Blood, thyroid, and urine tests were done, and all were good and fine. I have attached the scan report. I want to have a baby.

I want to have a baby. How long do I need to be on medication to have a baby?
My doctor is not answering properly and is just giving me medicines. I am facing sudden weight gain, hair loss, a skin tone change, and back and leg pain every day. I think these are hormonal changes. How to treat this?

Kindly assist.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your question, and I can understand your concern.

The following are my suggestions:

Meprate (Medroxyprogesterone acetate) is often suggested to help with ovulation and regulate cycles, especially in women with PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome) or hormonal imbalance. However, you need a complete overall workup.
Have a healthy diet with less salt, sugar, oil, and spicy food.
Walk daily, exercise, or do yoga to maintain a normal BMI (body mass index) and healthy weight, as weight management plays an important role in PCOS/PMOS treatment and improving fertility.
Have plenty of fruits, vegetables, and water. Avoid ready-made foods and prefer homemade meals.
If you want regular cycles without unscheduled bleeding, hormonal support for two to three months may help regulate periods before trying for conception. These medicines act as contraceptives temporarily but can help stabilize cycles and reduce unnecessary bleeding, which is commonly seen in PCOS/PMOS.
I suggest tablet Norethisterone 10 mg from day 5 to day 26 for three cycles.
After completing this course, you may have more regular cycles and fewer bleeding days. Meanwhile, focus on weight reduction and then try to conceive during the fertile period of your cycle.
Engage in healthy recreational activities that support emotional and physical well-being, such as painting, outings, or teaching small children.
Take folic acid 0.4 mg daily.
Have a complete check-up and proper treatment for any underlying health issue.
For unwanted hair growth, plucking, threading, or waxing may help cosmetically. Excess hair growth can also be associated with PCOS/PMOS-related hormonal imbalance.

Hope I have answered your query.

Best of luck.