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पीसीओएस, हार्मोनल एक्ने का इलाज कैसे करें और एमेनोरिया के बाद वजन कैसे घटाएं?
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Gynecology & Pregnancy Care
Question #30224
26 days ago
78

पीसीओएस, हार्मोनल एक्ने का इलाज कैसे करें और एमेनोरिया के बाद वजन कैसे घटाएं?

Client_8abb67

मैं एक महिला मरीज हूँ, वजन 68 किलो है, और मुझे PCOS/PCOD की समस्या है। मेरी मेडिकल रिपोर्ट्स में दोनों ओवरी में PCO पैटर्न, एक रेट्रोवर्टेड (पीछे की ओर झुका हुआ) गर्भाशय, और दोनों फैलोपियन ट्यूब्स में सूजन (सैल्पिंगाइटिस) की पुष्टि हुई है। मैंने इन समस्याओं के लिए 6 साल तक दवाइयाँ लीं, जिन्हें मैंने एक साल पहले बंद कर दिया। इलाज बंद करने और कॉलेज से जुड़े गंभीर तनाव के बाद, मेरी मासिक धर्म चक्र बुरी तरह से प्रभावित हुई है; मुझे 6 महीने तक मासिक धर्म नहीं हुआ और पिछले साल में केवल 3 बार ही पीरियड्स आए, वो भी इमरजेंसी गर्भनिरोधक (आई-पिल) लेने के बाद। फिलहाल, मुझे जबड़े और गालों पर गंभीर सूजन वाली हार्मोनल एक्ने की समस्या हो रही है, और मेरी हाल की ब्लड रिपोर्ट में विटामिन डी का स्तर 0.5 ng/mL पाया गया है, जो बहुत कम है। मैं 10 किलो वजन कम करना चाहती हूँ, अपने PCOS को ठीक करना चाहती हूँ और एक्ने से छुटकारा पाना चाहती हूँ।

How long have you been experiencing amenorrhea and irregular periods?:

- More than 6 months

What treatments or medications have you previously used for PCOS?:

- Prescription medications

How would you rate the severity of your acne flare-up?:

- Mild — occasional spots

Have you made any recent changes to your diet or exercise routine?:

- No changes

How is your energy level during the day?:

- Low

Have you experienced any other symptoms, such as weight gain or hair loss?:

- Yes, both

What is your current level of stress or emotional well-being?:

- Moderate — some stress
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
25 days ago
5

Hello dear Please be aware See pcos is a multiple organs associated disease with varying complications. Below medications and precautions can be taken to control the disease progression to maximum chances. In your case investigation like Pelvic USG Transbdombal USG Rft Lft Serum prolactin Esr CBC Urine analysis Are must and are required to be shared with gynaecologist Oral Contraceptives Diane-35 ( acne medication) if found Progesterone - Duphaston ( bleeding induction) Spironolactone -( associated bp fluctuations of present). Metformin - ( glucose control) Letrozole (ovulation induction- but only after confirmation from gynacolologist) Eflorthine- ( for facial hair) Orlistat- ( for fat reduction) In addition,please take preventive measure Do meditation Exercises regularly for half an hour Avoid overthinking Weight control must to prevent osteoporosis In case of no improvement in 1 month,please consult gynacolologist for further details Regards

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Given your history of PCOS, amenorrhea, and hormonal acne, it’s important to address both the underlying hormonal imbalance and lifestyle factors. For weight loss, the first step is developing a sustainable routine focusing on balanced nutrition and regular physical activity. Introducing a diet rich in whole foods, lean protein, healthy fats, and reducing refined carbohydrates can help manage insulin resistance, which is often associated with PCOS. Aim for at least 150 minutes of moderate cardiovascular exercise weekly, like brisk walking, swimming, or cycling, combined with resistance training to maintain muscle mass. Addressing your severe Vitamin D deficiency should be a priority. Supplementation, as advised by your doctor based on your specific needs, is crucial to improve overall health, including hormonal regulation. Discuss an appropriate dosage with your healthcare provider, as rectifying this deficiency might also positively impact mood, energy levels, and overall PCOS symptoms. Hormonal acne can often be improved by hormonal therapies prescribed by your doctor. Options may include combined oral contraceptives or anti-androgens such as spironolactone, which can help reduce androgen levels and improve acne. However, given your history with menstrual irregularities and use of contraception to induce periods, these therapies should be carefully chosen with professional guidance. Consider consulting a gynecologist or endocrinologist to evaluate options that best fit your medical history and current condition. Lastly, maintain regular follow-ups to monitor your progress and adjust treatment plans as needed. It’s also advisable to avoid taking emergency contraception as a method to regulate periods, as it may contribute to further hormonal imbalances.

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