Pcod and pain in back and stomach and period delay 10 days

Question #11533

51 days ago

164

Pcod and pain in back and stomach and period delay 10 days - #11533

Nisha

Right ovary mild bulky with normal size and left ovary with multiple small peripheral and arrange follicles and mildly increased stromal echogrnicity rk baar miscarriage hua hai dec mai back or stomach mai pain rehta hai

Age: 29

Pain stomach

300 INR (~3.53 USD)

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

51 days ago

Hello dear,
For back pain and stomach pain, take these tablets
1. Tablet Meftal-spas twice daily for 3 days
2. Capsule Pantop 40mg once daily for 3 days
3. Tablet Zerodol-P Twice daily for 3 days.
For further management, we need the Ultrasound report and detailed menstrual history.
Take care

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

50 days ago

Hello Nisha,
I understand your concern, especially since you’ve had a miscarriage before. Let me explain what these findings mean and guide you.
Your ultrasound shows polycystic ovaries, which is a common condition and can cause delayed periods, pain, and hormonal imbalance. First step: please do a urine pregnancy test since your period is delayed and you have a history of miscarriage.
If pregnancy is ruled out, this pain and delay are likely due to PCOS. I advise:
1. Lifestyle changes – exercise 30 min/day, healthy diet, weight control.
2. If not planning pregnancy now – Oral contraceptive pills for 3–6 months help regularize periods.
3. Metformin 500 mg once daily may help in PCOS if you are overweight or have insulin resistance.
4. For pain, you can take Mefenamic acid 250 mg when needed.
You need hormonal evaluation also - TSH, FT3, FT4, Prolactin, HbA1C
If your pain is severe, or pregnancy test is positive, please see a Gynaecologist or a Family Physician in person urgently.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med.

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

50 days ago

Your ultrasound suggests PCOS changes in the left ovary, which can cause irregular ovulation and miscarriages.
With proper treatment (lifestyle + medical), chances of successful pregnancy are good.
Please visit a gyaenecologit.
Thank you.

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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.

51 days ago

Hello dear
See delay in periods are usually due to hormonal alterations or physiological variation
I think I’m your case it seems physiological variation
I am suggesting some tests for confirmation
Please get them done
Serum prolactin
Serum tsh
Serum progesterone
Serum RBS
Serum prolactin
Pelvic ultrasound
Urine analysis
Urine culture
Pregnancy strip test beta HCG levels blood
Vitamin d level
Please share the details with gynacolologist in person for better clarification
Please donot take any medications without consulting the concerned doctor
Hopefully you recover soon regards

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

50 days ago

What Your Ultrasound Findings Mean
PCOS:
Common in young women, causes irregular cycles, difficulty conceiving, sometimes miscarriage.
Sometimes after miscarriage, pelvic pain may also come from infection, adhesions, or endometriosis needs gynecologist review.
What Tests Are Helpful Next
Please discuss with your gynecologist about:
Hormonal profile: LH, FSH, AMH, TSH, Prolactin, Testosterone.
Blood sugar & insulin resistance tests.
Pelvic scan follow-up (to monitor cysts/ovarian changes).
Basic pregnancy loss workup (thyroid, blood sugar, infections, clotting profile) since you had a miscarriage.
Lifestyle changes (very important in PCOS):
Balanced diet: high protein, high fiber, low refined sugar.
Regular exercise (30–40 min/day).
Weight management if overweight.
For Pain:
Hot compress, mild painkillers (paracetamol/mefenamic acid under doctor advice).
Rule out infection/endometriosis if pain is persistent.
For Future Pregnancy / Fertility:
Your doctor may prescribe ovulation-inducing medicines if you plan conception.
Supplements: Folic acid, Vitamin D, omega 3

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

50 days ago

Hi Nisha,
Right ovary: mildly bulky – can happen in PCOD/PCOS.
Left ovary: multiple small peripheral follicles + increased stromal echogenicity – this is a classic ultrasound finding of PCOD (Polycystic Ovarian Disease).
This means your ovaries are not releasing eggs regularly → can lead to delayed or irregular periods, hormonal imbalance, and difficulty conceiving.
Medical management
For pain, you can take Mefenamic acid 250 mg when needed.
Metformin 500 mg once daily for pcos if you are overweight or have insulin resistance.
You need tests:
TSH, FT3, FT4, Prolactin, HbA1C
Diet:
Eat balanced meals rich in vegetables, whole grains, proteins (eggs, dal, paneer, chicken).
Avoid excess sugar, junk, and processed foods.
Prefer low GI foods (oats, millets, brown rice).
Exercise: 30–40 mins brisk walk/yoga/strength training at least 5 days a week.
Weight control: Even a 5–7% weight reduction improves periods and fertility.
Feel free to ask dear
Thank you

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Dr. Jitesh Satija

I am working as an obstetrician and gynecologist, after completing my MS in Obstetrics and Gynecology in 2020 from Medical College, Kolkata. The training years there were tough, demanding long hours, sleepless nights and constant exposure to both routine and emergency cases. But they shaped me into a doctor who can stay calm and focused even when the situation is unpredictable. Since then, I have worked for around 5 years across different medical colleges and hospitals, which gave me a very wide clinical exposure. Each setup brought different challenges—some had resource limitations, some had high patient loads, some had complicated referral cases—and all of them helped me grow. Currently I am practicing at BLK Max Hospital, Delhi, where my main work revolve around managing high-risk obstetric cases and a broad range of gynecological conditions. High-risk pregnancies demand extra vigilance, cause one small change can shift the entire outcome for both mother and baby. I have been trained and experienced in handling such cases with a balance of caution and decisiveness, whether it involve preeclampsia, gestational diabetes, multiple pregnancy, or preterm labor. I also hold a strong interest in minimal access surgeries in gynecology. Laparoscopic and hysteroscopic procedures allow patients quicker recovery, less pain and fewer complications compared to traditional approaches. For me, learning and practicing minimal access surgery is about constantly updating my skills and ensuring patients get the benefit of modern surgical care. My approach has always been comprehensive—medicine and surgery are important, but so is counseling, explaining, and reassuring patients and families. Women often hesitate to share openly about gynecological problems, and I try to create an environment where they feel heard and supported without judgement. Looking back, these years in obstetrics and gynecology taught me that every delivery, every surgery, and every consultation is unique. There are no perfect formulas, just experience, knowledge, patience, and empathy to guide the way. And that’s what I aim to carry forward in my practice everyday.

50 days ago

Hello
There’s a History of PCOS and a miscarriage.
Those need to be further evaluated by hormonal tests
For the pain take symptomatic treatment either T.Meftal spas or T.Drotin, but they needs to be evaluated too with an Ultrasound

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

50 days ago

Your scan findings and symptoms suggest polycystic ovarian changes (PCOS), which can cause irregular ovulation, pain, and may be linked with miscarriage risk. Maintaining a healthy lifestyle with balanced diet, exercise, and weight management can help improve fertility outcomes. Please consult a gynecologist/reproductive endocrinologist for proper hormonal evaluation and treatment options to support future pregnancy.

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

49 days ago

Your ultrasound findings suggest PCOD (Polycystic Ovarian Disease), which is why you are having irregular periods and pain in the back and stomach.
PCOD causes hormonal imbalance, multiple small ovarian follicles, and often leads to delayed periods and difficulty in conceiving.
Since you also mentioned a history of miscarriage, proper hormonal evaluation (thyroid, prolactin, blood sugar, and reproductive hormones) is important.
Pain can be due to ovarian cyst changes, hormonal imbalance, or associated uterine issues it should be monitored with follow up scans.
Lifestyle changes such as weight control, regular exercise, balanced diet (low sugar, high protein, fiber), and stress management significantly improve PCOD symptoms.
Medicines like hormonal tablets (OCPs) or ovulation inducing drugs may be prescribed by a gynecologist depending on whether you are planning pregnancy now or later.

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Dr. Alan Reji

46 days ago

Your scan findings suggest polycystic ovary changes, which can sometimes cause pain, hormonal imbalance, and increase risk of miscarriage. Since you’ve had a miscarriage before and ongoing pain, it’s important to get your hormonal profile and reproductive health evaluated. Please consult a gynecologist or fertility specialist for further tests and a tailored treatment plan.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

26 days ago

The symptoms you’re describing, including the presence of multiple peripheral follicles in your left ovary and increased stromal echogenicity, can be indicative of Polycystic Ovary Syndrome (PCOS), which is a common hormonal disorder among women of reproductive age. PCOS can lead to irregular menstrual cycles, which might explain the delay in your period. As for back and stomach pain, while these symptoms can sometimes be associated with PCOS, it’s important to also consider other potential causes, which might include gastrointestinal or musculoskeletal issues. Given that you’ve experienced a miscarriage and persistent discomfort, further evaluation is warranted to ensure there are no underlying complications or additional conditions. For management, lifestyle changes often play a crucial part. This includes maintaining a balanced diet aimed at achieving a healthy weight, as weight management can significantly impact PCOS symptoms. Regular physical activity also helps to regulate your cycle and reduce insulin resistance, which is a factor in PCOS. Pain management might involve over-the-counter pain relievers, but consult your healthcare provider to avoid any contraindications, especially considering your history of miscarriage. If pain persists or worsens, consult a doctor. They may consider imaging tests to rule out other causes or tailor specific treatments for your symptoms. Additionally, it’s important to monitor your menstrual cycle and report any significant changes or concerns to your gynecologist — this is particularly pertinent because of your miscarriage history. Keep a detailed account of your cycle, pain occurrences, and any other symptoms, which will assist in providing more precise treatment options. If you’re trying to conceive again, working closely with a fertility specialist might be beneficial to address any potential hormonal imbalances and plan your care accordingly. Remember, while self-management steps are helpful, it’s crucial to maintain regular follow-ups with your medical provider to ensure comprehensive care and address any advanced interventions that might be necessary.

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Pcod and pain in back and stomach and period delay 10 days - #11533

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