Endocrinological Disorders Online Doctors Consultation — page 2

Vaishali plz start metformin 500mg once daily after food and mainstray treatment for your complaints and pcod is change your lifestyle proper workouts brisk walking drink pleanty of water eat more amount of fiber food... take veg salads fruit salads And black patches on skin?? Plz send a image of it

Hypoglycaemia.

do you have irregular periods?

Hello Hamsa , 1) epiduo gel 30gm use once before bedtime in pea size amount for 1-2 months 2) Use cleanser like cerave or face wash Ahaglow twice a day. 3) tab Azithral 500 1 tab after dinner for 5 days 4) Tab limcee 1 tab twice day for 30 days * avoid spicy food* Give your valuable review

Thank you for your question, this is a very common concern, and you're definitely not alone. Here's a full guideline for managing PCOD (Polycystic Ovarian Disease)— from tests and doctor consultations to treatment and menstrual regulation — structured in a medical + easy-to-follow way. **PCOD (Polycystic Ovarian Disease) Management Guideline** **Patient Name:** [Tehmeena] **Age:** 31 **Chronic Illnesses:** Allergy You need to understand this. **What is PCOD?** PCOD is a condition where ovaries produce immature or partially mature eggs in large numbers, which become cysts over time. It’s linked to hormonal imbalance, insulin resistance, and irregular ovulation. **Common Symptoms:** - Irregular periods or missed cycles - Excess facial or body hair (hirsutism) - Acne, oily skin - Weight gain or difficulty losing weight - Hair thinning or scalp hair loss - Infertility (in some cases) --- **Important Tests to Diagnose and Manage PCOD:** 1. **Hormonal Profile:** - LH, FSH (Day 2 or Day 3 of cycle) - Prolactin - AMH (Anti-Müllerian Hormone) - Testosterone (Total & Free) - TSH (thyroid function) - DHEA-S (androgen level) - Insulin fasting - Fasting blood glucose and HbA1c 2. **Pelvic Ultrasound (TVS or abdominal)** - To check ovarian volume and presence of multiple small follicles (classic "string of pearls" appearance) 3. **Lipid Profile** to assess cholesterol & triglyceride levels **Treatment Goals:** - Regulate menstrual cycle - Reduce insulin resistance - Control weight and hormonal acne/hair growth - Preserve fertility (if planning pregnancy) - Improve metabolic health **How to Regulate Periods:** 1. **Lifestyle Changes (most crucial):** - **Exercise:** 30–45 minutes daily (brisk walking, yoga, strength training) - **Diet:** Low-carb, high-protein, fiber-rich meals. Avoid sugar, junk, processed foods. - **Weight Loss:** Even 5–10% weight loss can restore cycles in many women 2. **Medications (as prescribed):** - **Oral Contraceptive Pills (OCPs):** Regulate cycles and reduce excess hair/acne - **Metformin:** Especially if insulin resistance is present - **Myoinositol + D-Chiro Inositol supplements** – support ovulation and hormonal balance 3. **Cycle Irregularity – Is It Harmful?** - **Yes, if untreated**: It may lead to long-term risks like: - Endometrial hyperplasia (thickened uterine lining) - Fertility problems - Metabolic syndrome - Diabetes and heart disease - **No**, if cycles are medically managed and hormonal balance is restored regularly **PCOD-Friendly Lifestyle Tips:** - Sleep 7–8 hours regularly - Limit screen time before bed - Reduce stress (meditation, journaling, therapy if needed) - Use cycle tracking apps (Clue, Flo) to monitor changes - Avoid skipping meals **Regular Monitoring:** - Blood tests every 6–12 months (as advised) - Ultrasound once or twice a year - Track symptoms like cycle length, acne, hair fall Get the laid consultation. So I can help your in future monitoring. Thank you Dr Shayeque Reza MD 9800280276