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Concerns About PCOS Symptoms and Treatment Options
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Fertility & Reproductive Support
Question #26914
1 hour ago
7

Concerns About PCOS Symptoms and Treatment Options - #26914

Client_2bd240

Subject: PCOS symptoms – hair loss, acne, irregular periods Hello Doctor, I am 21 years old. My weight is around 88 kg. Most of my weight is concentrated in my lower body. I have been diagnosed with PCOS (pelvic ultrasound report available). My periods are irregular (60 days and very light). My main concerns are: Severe hair thinning at the front and middle scalp. My hair density has reduced a lot and the front area looks almost bald. Persistent acne with marks. I feel very sleepy after meals. Difficulty losing weight despite trying. I have already: Done 2 PRP sessions for hair. Done thyroid testing – results were normal. Had severe Vitamin D deficiency previously and completed treatment for it. I do not have a sugar craving because I have had sugar intolerance since childhood. I am concerned about insulin resistance because of: Irregular periods Post-meal sleepiness Weight gain Hair thinning (possible androgenic pattern) I would like guidance on: Whether I should start Metformin (Glucophage)? Should I check fasting insulin, HbA1c, testosterone, prolactin or any other hormones? Do I need anti-androgen treatment? Is my hair loss reversible? What lifestyle changes would you recommend? Thank you.

How long have you been experiencing hair loss and acne?:

- More than 6 months

How would you describe the severity of your hair loss?:

- Extreme, almost complete loss

What dietary changes have you made in response to your PCOS symptoms?:

- Reduced sugar intake
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