Why spotting after laparoscopic treatment for PCOS/PMOS?

Hello,

Welcome to icliniq.com.

Let me clarify a few facts about PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome). It is not a disease you can just cure and say you will not get it again. It is just a condition that will appear until menopause, whenever your body weight increases.

It is our sedentary life and eating habits that create it. This is a congenital condition; I mean, it is a genetically programmed condition; you get it from your parents. When you suddenly put on weight, the cholesterol is converted into estrogen hormone (obese men develop breasts, and young obese girls develop periods at a younger age - they all have high levels of estrogen hormone or female hormone). When the fat in the body, which is a store for tomorrow, is more than normal, it is converted to a hormone, which tips the balance between FSH (from the brain) and the ovarian hormone.

FSH (Follicle Stimulating Hormone ), as the name suggests, stimulates the follicle from the ovary. Still, once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused, and the follicle growth stops early; a smaller follicle size will not rupture.

Next scan, you will see all these follicles as PCOS/PMOS. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problem indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast.

May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at the right time, so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your expected weight is 155 to 163 lbs. You are in the normal weight range, but still, maybe you have had recent weight gain. Once you reduce your weight to the normal range, you will not need any medicine to get periods or to get pregnant, and the pregnancy will be healthy.

To reduce weight:

1. No fasting, no junk food or fast foods, or red meat.
2. Have low-calorie food and high proteins.
3. Exercise regularly (especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well), and try to reduce 4 to 8 lbs/month. Take your time with weight reduction; it will be challenging to maintain. You will see the changes when you reduce by at least 11 lbs.

Try this schedule even if you are in the normal weight range; it will help.

If you are on Diane 35 (Cyproterone and Ethinyl Estradiol), keep taking it; the spotting will stop on its own. If not yet started, have one course and stop. You will have periods after the pills are over. You can start trying for pregnancy immediately, as there has been no significant tissue damage. You can use the benefits of the surgery immediately. Surgery is stressful, and this can alter the hormonal balance. Also, if there has been some curettage of the uterus during surgery, the lining will take some time to pick up. They will regenerate faster when you take the Diane pills.

I hope I have clarified your query.

Do write back if you have any more queries.

Thank you.