Hi to the health expert(gynaecologist), I am a 24yr old lady working in an MNC with moderate work stress.
I've pcos since i m 14 yrs old. I matured at the age of 11. I m a second daughter to my parents. During my teenage(5'4 height , weighed between 47-50kg , watery body with no muscle or bone mass), since i was too ambitious about getting a job and working hard in my studies, i didn't focus on eating well enough. I never skipped my meals or ate any kind of outside food(not even chips or biscuits). It's just that i am mostly stressed due to studies and eat only till my stomach says i m full. I didn't workout or ate enough protein till 22yrs old. Since last year , i m starting to look online and doctors suggestion regarding pcos and started taking care of my nutrition, lifestyle.
Currently from the recent checkups I found out that have B12 and D3 deficiencies. Other than PCOS, my thyroid, insulin, prolactin, testosterone, female hormones, lipid profile etc.., everything is good. Currently, my height is 5'4, weight is 55kg, mostly water body with average muscle in legs atleast. I m focusing to take dry fruits , enough protein(eggs, dal, paneer, chicken) in my diet, along with working out atleast 3-4 times a week, sleeping peacefully. Getting periods between every 30-50 days.
I m at the start of the journey to improve my health and nutritional deficiencies. I m not sure when I'll be married or gonna plan kids. Please advise me on how much time my body may take for regularising the periods since my body was irregular for 10yrs and how to understand if my health is good for child planning. Please advise me regarding any additional care required.
Ans: History noted. Taking into consideration your age of 24, with Pcos with consistently irregular periods, vitamin D and B12 deficiency, and stress factor as the prime motivator in your studies
Following advises: 1) You can continue taking low-dose ORAl contraceptive pills for a few months if you have irregular periods.
2) To prevent withdrawal bleeding, take progesterone-only pills if your periods last longer than six weeks. 3) To cure deficiencies in vitamins, B12 and D, take 60 k of vitamin D once a week for 12 weeks. For three months, both
4) PCO supplements that include metformin, melatonin, myoionositol, and chiroioinositol 5) Changes in lifestyle: 45-minute walk every day. Zumba, yoga, meditation, and more. 6) 7 to 8 hours of restful sleep 7) Diet: proteins (eggs, paneer, dal, and pulses) and green vegetables, Fruits with color, Dehydrated fruits. For omega-3 fatty acids, flax seeds
Taking fertility health into account tests for amh levels and specific hormones, such as TSH, prolactin, fasting insulin, and HbA1c, can be performed. To maintain your fertility, you can also proceed with freezing your eggs.