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37-Year-Old Unable to Conceive: Seeking Advice for PCOS, Weight Loss, and Irregular Periods

Dr Nandita Palshetkar | Answer |Ask -Follow

Gynaecologist, IVF expert - Answered on Dec 13, 2024

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more

Question by SHABRIN on Dec 06, 2024Hindi

Health

Hi doctor , my age is 37 , i got married at the age 32yrs almost 5yrs happened still i dont have baby, i have pcod problem for a long time im unable to lose weight which was 85kgs.. i have consulted doctors too every one do same procedure but till now i dont get regular periods.. without medicine iam unable to get my periods.. bcoz of this im getting more stress. pls suggest me wat i have to do

Ans: Hello
Since you are 37 years, married since, 5 years, primary infertility with weight gain with irregular periods and stressor
I would first advise you series of hormonal test to be done like TSH, prolactin, HBA1C, fasting insulin level, fasting and post lunch sugars, cortisol level, testosterone level, vit D and vit B12 and CBC and most importantly AMH LEVEL to know about fertility level
To do usg pelvis to rule out ovarian cyst or pcos or any other gyneac pathology.
Lifestyle modification
Daily walks, yoga, meditation, stress management or any other form of exercises which help to release endorphins, dopamine and good hormones which help to regulate the cycle
Diet: nutritious diet, green veggies, fruits, nuts, proteins, chicken, eggs (if you are non veg).
Please visit your doctor, because considering your age it's better to understand to concentrate on fertility then regularizing your cycles.

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Hi doctor, I've been having periods problems past 3 years.. I was earlier diagnosed with pcos, with and deit and weight maintanence the condition is reversed, yet I'm facing irregular periods I underwent multiple scans the test results were positive( like there are no cysts and issue with the ovaries in the ultrasound scan and fsh tsh and hormone results are positive). I'm 5'4 65 kg, I workout regularly and eat healthy and only rarely I eat junk food. Only with help of hormone tabs I'm able to mensurate. Could anyone suggest what needs to be done like any test I need to take up ?

Ans: PCOS is a condition of the ovary that one is born with. You can optimize the hormonal imbalances in PCO, but the condition never factually reverses because it is a type of theory. So, lifestyle modifications and medication are sometimes necessary to ensure that regular ovulation happens with PCO. Lifestyle modification in terms of diet control, exercise, medication like metformin, MYO inositol. In exceptional cases, cyclical contraceptive pills, etc., may be needed to regulate cycles and ensure hormonal imbalances in PCO, PCOS with androgen excess, men need medication like spironolactone and aldactone to optimize their hormonal imbalances. Weight loss often helps to optimize the condition and resume ovulation in cases of PCOS. Since you weigh 64 kilos, it might be a good idea to lose around 7 to 8 kgs of weight, which will help further improve the cycles.

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Asked by Anonymous - Apr 16, 2024Hindi

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Hi sir/ma'am, I'm 27 I only had few time in my life have period that is also in very less amount if I'm saying it correct, from past 1 year I don't think I had my periods, all my test are completely fine and I don't what is the problem with me. First doctor suggested me some medication but that reacted me and I had rashes and pimple in my body which is very uncomfortable because that time I was in school , so I decided not to take medicine and some people suggested me it will become normal cause maybe I have pcos , I don't what I have and that doctor never told what is the problem just prescribed medicine. Now , at the age of 27 I started to worry about my health, I know many people think why I'm speaking so late because some people don't have money to visit doctor regularly but now I have a government job and finally I can focus on my health so please suggest me what should I do?

Ans: Scanty periods or No periods can be due to many reasons. If your cycles are always been like this, then you need to meet an endocrinologist to check your hormonal levels. Stress could be another important factor which plays a major role in hormonal imbalance

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Hello mam, I am a girl 18years old I had pcod since my period started I got my period when I was 13years that time everything was ok but after few months I was bleeding heavy getting menses 2-3in a month so my mom got very worried and she takes me to a gynaecologist and she prescription and tablets like "novelon"and then I am ok but after that I didn't get my periods for few months and also that time lockdown happened so we can't go to a gynaecologist and then after everything got normal and hospitals we go to the doctor and she asked from how many time you don't get your menses and then I replied from past 6months and she shouted on me and immediately told me to have ultrasound and after seeing the reports she said you have pcod then the rest of the story you know I am still suffering from this disease I don't get my periods if I don't take the tablets now I can't understand what to do even I changed a lot of gynaecologists but nothing happened and they this is a incurable disease you have to take tablets for lifetime and also I am not even financially strong

Ans: Polycystic ovary syndrome (PCOS) is a hormonal condition that can cause irregular or absent menstrual periods.
Higher amounts of androgens in PCOS can interfere with egg development and ovulation, leading to skipped or absent periods.
One of the best ways to cope with PCOS is to maintain a healthy bodyweight, eat nutritious foods and exercise regularly.
LIFESTYLE CHANGES:
Eating healthy foods, exercising regularly, and maintaining a healthy weight can help regulate your menstrual cycle
BIRTH CONTROL PILLS:
Combination oral contraceptives (COCs) can help regulate menstrual periods and treat acne and hirsutism. It can take up to six months to see if birth control is effective.
ANTIESTROGENS:
These medicines can help with skin and hair growth problems
METFORMIN
This diabetes medicine can help control ovulation and androgen levels, which can make menstrual cycles more regular
Supplements containing
Myo ionositol, chirositol, vitamin D, chromium also helps in maintaining pco

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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