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Dr Archana

Dr Archana Bajaj  | Answer  |Ask -

Gynaecologist, Obstetrician, IVF Expert - Answered on Apr 05, 2023

Dr Archana Dhawan Bajaj is an infertility specialist with over two decades of experience in IVF and reproductive medicine.
She founded The Nurture IVF Clinic in New Delhi in 2003.
Dr Bajaj has completed her MBBS from Maulana Azad Medical College and has a diploma in gynaecology and obstetrics and DNB (obstetrics and gynaecology) from the Sir Ganga Ram Hospital.
She has an MMSc degree in assisted reproductive technology from the University of Nottingham, UK.... more
Ashwini Question by Ashwini on Mar 19, 2023Hindi
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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.
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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Dr Nandita

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Gynaecologist, IVF expert - Answered on Oct 28, 2024

Asked by Anonymous - May 26, 2024Hindi
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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.

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Dr Nandita

Dr Nandita Palshetkar  |75 Answers  |Ask -

Gynaecologist, IVF expert - Answered on Dec 26, 2024

Asked by Anonymous - Dec 17, 2024Hindi
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Hello Doctor, I’m in my late 20s, and lately, I’ve been feeling like something’s off with my body. My periods either show up way too early, sometimes not at all for months. And, I’ve been putting on weight even though I haven’t changed my diet or exercise routine. My skin has also turned into a battlefield with acne all over, which I never used to have before. My cousin, who’s around my age, just found out she has PCOS, and her mom (my aunt) went through something similar when she was younger. Now, I’m scared because I’ve been hearing all these horror stories about how it can affect fertility, and I’m not even married yet. What if it’s a family thing and I end up facing the same problems? My mom says, ‘Don’t worry, it’ll be fine,’ but I can’t stop thinking about it. Should I see a gynecologist, or is there another kind of doctor I should be visiting? What tests should I do to get to the bottom of this before it gets worse? Honestly, I’m feeling overwhelmed and just want to know what’s going on before it’s too late.
Ans: Hello, noted your concerns
You are in late 20’s with irregular periods, acne, weight gain,
You are undergoing hormonal imbalance
We need to do certain blood test like
CBC, tsh prolactin fasting insulin level
Hba1c, testosterone level
DHEA, LH FSH ESTRADIOL LEVEL
Amd AMH level to check for fertility level
Usg pelvis to rule out
Pcos
The mainstay treatment. For pcos is lifestyle changes
1) Daily exercise, walks. Zumba, running
2) Good nutritious food with proteins, vitamins, minerals, low carbs and fats
3) good adequate sleep 7 to 8 hours
4) stress management: yoga meditation, breathing exercise
5) supplements to controls effects of pcos
6) low dose OC PILLS TO regularize the cycles

..Read more

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