How can amenorrhea and acne be treated for a successful pregnancy?
Patient: Hi im 25 married girl i was diagnosed pcos due to amenorrhea 7 months back according to ultrasound i was having 8 cm simple cyst in my right ovary and many cysts in left ovary my gynecologist advised me to take neodipar 500mg TDS and wait as 8cm cyst may resolve while taking this medicine and no surgical intervention required.its been 5 months im taking this medicine but still no periods and im also facing acne problems.what can i do now?can i start diane 35 for 1 or 2 months and continue neodipar which im already taking bcoz of my acne or i should avoid any external hormonal stimulus and wait till my periods come naturally without any withdrawal medicine or diane? i dont know what to do as i realy want to resolve my acne amenorrhea and realy want to be pregnant Doctor: Hello , thanks for the query.Polycystic ovary is a very common problem which causes irregular periods. Let me help you understand few things.1. As you mentioned about your 8 cm right ovarian simple cyst is unlikely to resolve on its own as its size is bigger and it may need to be removed surgically. You may try to get ovarian drilling( about 4 punctures on each ovary) at the same time to help you ovulate( egg release process) regularly.2. Neodipar (metformin) is currently recommended in women who have intolerance to glucose (prediabetic like state) . But as you seem to be amenorrhoeic for a long time it helps if you continue it. For best results you need to maintain your weight by diet and exercise if you are on heavier side.3. If you are planning conception your doctor may suggest you ovulation induction drugs to help you release egg and conceive.4. Diane 35 will help you with acne but prevents pregnancy.5. For resuming your periods you may take T. Regesterone 5mg twice daily for 5 days . you can expect your periods once you discontinue medication. Hope this helps. Take care.