Please help me in understanding lean PCOS/PMOS?

Question

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/PMOS. Will PCOS/PMOS cause acne? What could be done to prevent cycle delay? How to resolve this PCOS/PMOS problem? My gynecologist prescribed Gynex syrup and Ovalife tablets for three months. However, I have not started yet. Please provide a second opinion.

Answer 1

Hi,

Welcome to icliniq.com.

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

According to the ultrasound report, it is PCOS/PMOS (polycystic ovarian syndrome/polyendocrine metabolic 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/PMOS is not a disease, but just hormonal imbalance. You are a lean PCOS/PMOS 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.

Thank you for contacting icliniq.

Answer 2

Hi,

Welcome back to icliniq.com.

Lean PCOS/PMOS 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/PMOS 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.

Thank you for contacting icliniq.