I want tips on PCOS Management and the medicines or supplements that should be taken - #10876
I was diagnosed with PCOS at the age of 15. I have irregular periods, and dont get my peirod naturally. I have to take progesterone tablets or pills to induce period. I stopped taking them and I had my last period in January. Also I am struggling with assosicated symptoms like hirsuitism, i have to shave like every alternate days.Also i have acanthosis nigricans,dark neck underarms. What medicines and supplements am I supposed to take?I am also planning on making lifestyle changes although I cant my diet much because I reside in hostel, I am planning to avoid processed food and exercise regularly, Can you also share other things that I should focus on. I also have hypothyroidism,my recent lab reports shows normal T3, T4 but TSH is 9.How many mg tablet should I take?
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Doctors’ responses
Hello dear Please be ready See you already know pcos is a multiple organs involvement disease It will require comprehensive evaluation Iam suggesting below instructions and medication for improvement. However,i still insist on taking in person consultation with gynacolologist for further details
medication) 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 Meditation must Weight control must to prevent osteoporosis In case of no improvement as already mentioned by me please consult gynacolologist for further details Hope your problem subsides Regards Regards
Managing PCOS effectively involves addressing hormonal imbalances, managing symptoms, and making lifestyle modifications. Irregular periods in PCOS can often be managed with hormonal contraceptives or cyclic progesterone, which help regulate menstrual cycles and can reduce risk of endometrial hyperplasia. If you’re planning a long-term approach, it’s important to consult with your healthcare provider to see if combined oral contraceptives might be suitable for you. These can also aid in managing hirsutism. For hirsutism specifically, medications like spironolactone can help reduce hair growth, though it’s essential to discuss potential side effects and contraception as it can affect pregnancy. Lifestyle changes can significantly impact PCOS management. Regular exercise and reducing intake of refined carbs and processed foods can improve insulin sensitivity, which is often beneficial for PCOS as many women have insulin resistance. Exercise doesn’t necessarily mean daily intense workouts; even brisk walking or regular aerobic exercise can be impactful. Regarding acanthosis nigricans, addressing insulin resistance can often help improve this condition too.
For your hypothyroidism, an elevated TSH level like 9 suggests that your thyroid hormone replacement might need adjustment. Levothyroxine is typically used, and dosing is very individualized. Generally, doctors start somewhere between 1.6-1.8 mcg/kg/day based on body weight, adjusting gradually based on follow-up blood tests assessing TSH levels. It’s crucial to consult with your doctor who will be able to determine the precise dosing after considering your overall health profile, labs, and specific needs. As you’re in a hostel, try to prioritize what you can control in terms of exercise and minimizing processed foods, possibly supplemented with whatever fruits and vegetables you find available. Managing both PCOS and hypothyroidism involves long-term commitment and working closely with your healthcare provider can effectively guide you through the individualized treatment necessary for your conditions.
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