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What are the possible causes of vaginal sporting, hair on the upper and lower lips, and weight gain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a virgin, 29 years old, and I have vaginal spotting. I have hair on the upper and lower lips, on the face, and on the lower abdomen. I gain weight abnormally, and I have acne on my face and chest.

I sometimes miss my monthly periods. What can I do for treatment and prevention?

Kindly assist.

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

I understand your concern.

All your signs and symptoms are of PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome), and you need to have a healthy lifestyle and food habits.

  1. Do daily exercise, yoga, and walking.
  2. Try to have a normal BMI (body mass index) and weight.
  3. Eat lots of fruits, vegetables, and plenty of water.
  4. Do checkups and treatment of all health issues you have.
  5. Eat less salt, sugar, oil, and spices in food, and try to have home-cooked food.
  6. You can use waxing, threading for hair, and a mud mask for acne.
  7. Take combined oral contraceptive pills for three months to regulate cycles.
  8. A transvaginal scan will be needed. On day two of periods, do a serum progesterone, serum testosterone, serum prolactin, serum insulin, and thyroid function test. Collect all the laboratories and discuss them here or local doctor.
  9. Do recreational activities and quit recreational drugs.

I hope it helps.

Please let me know if I can assist you further.

Thank you.

Answered byDr. Uzma Arqam

Medically reviewed byiCliniq medical review team

Published At May 22, 2023
Reviewed AtMay 26, 2026

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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