Please help me in understanding lean PCOS?

Hi,

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.

Hi,

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.