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दवाई बंद करने के बाद वजन कम करने और PCOS और हार्मोनल एक्ने का इलाज करने का सबसे अच्छा तरीका क्या है?
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Gynecology & Pregnancy Care
Question #30225
26 days ago
74

दवाई बंद करने के बाद वजन कम करने और PCOS और हार्मोनल एक्ने का इलाज करने का सबसे अच्छा तरीका क्या है?

Client_8abb67

मैं एक महिला मरीज हूँ, वजन 68 किलोग्राम है, और मुझे PCOS/PCOD की समस्या है। मेरी मेडिकल रिपोर्ट्स में दोनों तरफ PCO पैटर्न, एक पीछे की ओर झुका हुआ गर्भाशय, और दोनों तरफ फैलोपियन ट्यूब्स की सूजन (बाइलेटरल 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 हो गई; मुझे 6 महीने तक मासिक धर्म नहीं हुआ और पिछले साल में केवल 3 बार ही मासिक धर्म हुआ, वो भी तब जब मैंने इमरजेंसी गर्भनिरोधक (आई-पिल) लिया। फिलहाल, मैं अपने जबड़े और गालों पर गंभीर सूजन वाली हार्मोनल मुंहासों से जूझ रही हूँ, और मेरी हाल की ब्लड रिपोर्ट में विटामिन डी का स्तर बेहद कम 0.5 ng/mL है। मैं 10 किलो वजन कम करना चाहती हूँ, मुंहासों और PCOS का इलाज करना चाहती हूँ।

How long have you been experiencing the severe hormonal acne?:

- More than 6 months

What treatments have you tried for your acne since it flared up?:

- Prescription medications

How would you describe your current diet?:

- Frequent snacking or skipping meals

How often do you exercise each week?:

- Not at all

Have you experienced any other symptoms related to PCOS, like hair loss or weight gain?:

- Yes, significant weight gain

How would you rate your stress levels currently?:

- Low — manageable

Have you consulted a healthcare professional about your low Vitamin D level?:

- No, I haven't consulted anyone
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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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To address your weight loss, PCOS, and hormonal acne, it’s pivotal to approach this from multiple angles. First with weight loss, focus on a balanced, consistent meal plan incorporating low-glycemic, whole foods. Aim for a diet rich in fiber, lean proteins, and healthy fats - avoiding refined sugars and processed foods which can exacerbate insulin resistance common in PCOS. Regular physical activity, like brisk walking or any aerobic exercises for at least 150 minutes per week, is equally beneficial. Include strength training twice a week to build muscle mass and boost metabolism.

For your acne and PCOS management, consider seeing a healthcare provider. They might suggest hormonal treatments such as combined oral contraceptives which can regulate your menstrual cycle and help with acne. Another avenue, Spearmint tea is sometimes recommended as it has mild anti-androgen effects that may curb symptoms. Relating to your vitamin D deficiency, supplementation is crucial - please consult with your doctor to get the right dosage and monitor levels. Vitamin D has a regulatory effect on the immune system and may aid with both your acne and overall hormonal balance. Also, practices such as yoga or meditation can significantly help in managing stress, which could be impacting your cycles. Avoid emergency contraception like I-Pill to regularize periods, as it’s not intended for that purpose. Aim for consistent medical follow-ups to better tailor treatments to your needs. If the symptoms persist or worsen, prioritizing a specialist visit would be essential.

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