Q. Please help me in understanding lean PCOS?

Answered by
Dr. Kamalpreet Kaur Nagpal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 08, 2016 and last reviewed on: Aug 04, 2020

Hi doctor,

I have been getting acne for a few months. Two years back, I skipped a period. Then, my periods are regular, but the cycle is usually delayed by four to five days and sometimes more than that. My period lasts for 3 days rather than 5 to 7 days. I consulted a gynecologist and underwent some hormone tests and ultrasound. I am sharing the reports with you. Please let me know whether I am a patient of PCOS. Will PCOS cause acne? What could be done to prevent cycle delay? How to resolve this PCOS problem? My gynecologist prescribed Gynex syrup and Ovalife tablets for three months. However, I have not started yet. Please provide a second opinion.



Welcome to icliniq.com.

I have seen your reports (attachment removed to protect patient identity).

According to the ultrasound report, it is PCOS only (polycystic ovarian syndrome). All other tests ordered are normal.

To confirm this by hormonal correlation, you need to get your FSH (follicle stimulating hormone) and LH (Luteinizing hormone) levels done on day 2 of cycle. It is the reversal of this ratio in PCOS. You may take Ovalife tablet. It is just a supplement. PCOS is not a disease, but just hormonal imbalance.

You are a lean PCOS as you are very thin with a BMI of 23. Try to maintain your weight by a good and balanced diet and regular exercise.

For reduction of acne and maintaining regularity of your cycles, I suggest tablet Diane 35 (Ethinyl estradiol) once a day for 21 days starting from day 2 of the cycle. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

However, regarding acne, your male hormone testosterone levels and also free insulin levels are within normal range and probably not the cause of acne. Consult a dermatologist for acne.

For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Thank you doctor,

Your opinion is helpful. Please help me in knowing and understanding the term lean PCOS. Usually in PCOS, people tend to gain weight. Being too slim can cause PCOS? What should be the appropriate BMI in my case? Shall I put on more weight? For how long I need to take Diane 35? Is this tablet a permanent solution to irregular cycles? My period lasts for 3 days. Is it normal to get a 3 day cycle?



Welcome back to icliniq.com.

Lean PCOS mean your report and ovaries are showing polycystic pattern, but your weight is less.

Your BMI is very fine as per your height. You need not gain weight and this will not correct the problem. It is good that you are slim and try to maintain it as well.

Lean PCOS may lead stimulation of your eggs once you want conception. So, do not worry about it now. Eat healthy and exercise regularly.

For periods to be 3 to 5 days is perfectly fine. It should be regularly happening and not about the days or the bleeding.

You may continue Diane for six months or so and once you are planning conception just stop.

For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Was this answer helpful?



This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What is Persinal injection used for?

Query: Hi doctor, I have PCOS and planning for pregnancy. Last month I had HSG. My doctor told that my tubes are clear. My LMP was 25 days back. This month I had Persinal injection on my 3rd, 5th and 7th day. On 9th day my follicle was at the size of 19 mm. My doctor gave an injection called Lupride on my ...  Read Full »

Acne vulgaris, a Social Problem.

Article Overview: This article discusses the social problems encountered by teens as well as adults due to acne. Read Article

Dr. Kakkar

Acne is the most common skin problem encountered in the teenagers and also in adults. Acne is not a disease by itself, but being chronic in nature, it can have a significant impact in shaping the overall personality of a person. People with acne are often found to have low self-esteem which restrict...  Read Article

Acne - Causes, Types, Home Remedies and Treatment Strategy

Article Overview: Acne is a very common condition encountered among teens and adults. To decide the protocol for the treatment of acne, it is important for us to know the causes, conditions associated, sites of acne, the cause of acne and factors affecting the onset of acne. Many home remedies are helpful in treating acne. Mild and moderate acne can be treated with medication and severe acne with other treatment procedures. Prevention is more important than cure. Read Article

Dr. Archana

Acne is a very common skin condition. It commonly starts during puberty but can occur at any age. Although it is not a dangerous condition, acne can leave scars on the skin. Acne appears in different parts of the body like face, chest, and back. Acne affects almost all teenagers in different severit...  Read Article

Also Read

COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
Does CD marker help in identification of blood cancer?
Hi doctor, I am a 25-year-old male suffering from joint pain and pain in the knees. I also have nausea, vomiting, gynec...  Read more»
I suddenly got fainted and woked up with bruising in eyes. Why?
Hi doctor,I am 28 years old with normal weight and following a vegetarian diet. Last month, I fainted at home and my fri...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.