Gynecology and Obstetrics Online Doctors Consultation — page 10

Hello Pcod now a days is common Try to reduce carbohydrates in diet. Take Acless pro sachets morning and night in 200 ml glass water for 3 months. If periods are not started getting tested for thyroid profile too and diabetic profile. If not started then have to use OCP pills to regularise the cycle.

As u have been diagnosed with pcod ..for regular period u need to HRT and while u r taking HRT focus on ur lifestyle and health... decrease ur weight and increase physical activity

Patient Name: Shrutika Lakadkar Age: 22 years Date: [13/04/25] Chief Complaints: No significant increase in breast size despite weight gain (from 35kg to 48kg) Low self-confidence due to breast size not increasing with weight gain Previous treatments not showing results Diagnosis Considerations: Hormonal imbalance or lack of response to weight gain in breast tissue Insufficient muscle tone in the chest area Emotional and psychological impact of breast size on self-esteem Blood Tests: Hormonal profile (Estrogen, Progesterone, Testosterone, FSH, LH) to check for any imbalances Thyroid function test (TSH, T3, T4) to rule out thyroid-related issues that may affect metabolism and fat distribution **Follow up the reports as soon as possible so that I can plan a treatment ** Dr Shayeque Reza MD 9800280276

Hello Swati, After going through your complaints I wanted to ask your that is there cloth wetting suddenly? And one more thing.. repeated uti infection can be caused due to lack of vaginal hygiene or improper pH of vagina So I would advise you to 1 ) to get urine culture done to identify the organisms 2 use Vwash to maintain vagina hygiene 3 please use washroom after cleaning the seat even at home 4 continue the treatment and see improvement in your health 5 eat fruits and vegetables that would help to maintain pH

Hello Ruhi, Nothing to worry about, as I can see you high TSH which means you have hypothyroidism. And because of this you having delayed in period. For now you can do USG of Pelvis to overcome your fear. Thank you . Do give your review.

Hello Bazila, OPD PRESCRIPTION Name: Bazila Age/Sex: 18 years / Female Date: 12/04/25 Weight: Thank you for sharing that — it sounds like you're dealing with a really frustrating and painful situation. You’ve been doing everything right by getting tests done and watching your lifestyle, yet you're still experiencing symptoms that deeply affect your daily life and confidence. Chief Complaints: Irregular menstruation (last period: early February) Progressive weight gain despite healthy diet Hirsutism (excessive facial and body hair) Androgenic alopecia (scalp hair loss, balding) Inability to lose weight despite efforts Provisional Diagnosis: Oligomenorrhea with Clinical Hyperandrogenism — likely Subclinical or Phenotypic PCOS / Insulin Resistance (with normal labs) Let’s break it down clearly: Your Symptoms: Irregular periods (no period since early February) Belly bloating or "hanging" sensation Rapid or persistent weight gain despite clean eating Hirsutism – excessive facial and body hair Hair thinning/balding (likely androgenic alopecia) Difficulty losing weight despite efforts All blood tests (PCOD profile, CBC, TFT, USG) are reported as normal What Could Be Going On? You could still have a hormonal disorder that isn’t fully showing up in basic blood tests yet. Some forms of PCOS, especially lean or subclinical PCOS, don’t always reflect clearly in: Ultrasound (ovaries may appear normal) Testosterone (may still be in “normal” range but on higher side) Basic insulin/glucose levels You may have Insulin Resistance without diabetes — very common in women with your symptoms. Metabolic dysfunction can lead to: Fat accumulation around belly Weight loss resistance Increased androgens (causing hair issues) Non-classic Congenital Adrenal Hyperplasia (NCAH) or androgen-secreting issues (very rare but worth ruling out) These don’t always show up in general PCOD profiles They require specific tests like 17-OH Progesterone, DHEAS, and Free Testosterone Hypothalamic dysfunction or chronic stress can also disturb hormonal signals without showing in initial tests. What Can You Do? Even if reports are normal, your symptoms are clinically significant and deserve treatment. Dr Shayeque Reza MD 9800280276.

Hello, I understand how frustrating it must be to deal with chronic cervicitis and recurrent infections despite multiple antibiotic courses. Given your history of PCOS, recurrent vaginal and urinary infections, sore throat, and gum issues, here are some key considerations that might help: 1. Further Evaluation • Since standard antibiotics haven’t been effective, consider getting a high vaginal swab, cervical culture, urine culture, and STI panel (including Mycoplasma, Ureaplasma, and Trichomonas PCR) to check for persistent or resistant infections. • An ultrasound or pelvic MRI may help rule out chronic PID, adenomyosis, or other underlying conditions that could be contributing to recurrent symptoms. • Checking for diabetes, autoimmune disorders, or immunodeficiencies may also be useful, as these can predispose you to persistent infections. 2. Treatment Considerations • Since you have already tried broad-spectrum antibiotics, a targeted culture-guided approach would be ideal. • Combination therapy or a longer antibiotic course may be necessary if chronic low-grade PID is suspected. • If vaginal atrophy is present (especially in PCOS or hormonal imbalance), local estrogen therapy may aid in mucosal healing. 3. Hygiene and Preventive Measures Maintaining optimal genital hygiene is crucial to preventing reinfection and supporting treatment: • Avoid excessive vaginal washing or douching, as this disrupts the natural microbiota. Use mild, fragrance-free cleansers for external cleaning only. • Change underwear daily, preferably using cotton fabrics to allow breathability and reduce moisture retention. • Wipe front to back after using the restroom to prevent bacterial transfer. • Stay hydrated and practice regular bladder emptying to prevent recurrent urinary infections. • Safe sexual practices, including condom use, may help prevent reinfection if sexually transmitted pathogens are involved. • If using menstrual cups or tampons, ensure proper cleaning and timely changes to prevent bacterial overgrowth. 4. Adjunctive Management • Vaginal probiotics (like Lactobacillus rhamnosus and Lactobacillus reuteri) may help restore a healthy vaginal flora. • NSAIDs (if needed) for symptom relief from pelvic discomfort. • Balanced nutrition and stress management to support immune function. Since your condition has been persistent, a follow-up with a gynecologist and infectious disease specialist is recommended for a structured, stepwise treatment plan. Let me know if you’d like to review any of your previous test results together.

Dear Usera, Your symptoms, including breast pain, chest pain, stomach pain, uterus pain, and loose motions, could have multiple causes. Since your sonography was normal, there is likely no major structural issue, but digestive problems and hormonal imbalances should be considered. 1. Irritable Bowel Syndrome (IBS) or Food Intolerance – If loose motions occur right after eating, it could indicate lactose intolerance, gluten sensitivity, or IBS. 2. Gastritis or Acid Reflux – Stomach and chest pain could be due to acid-related issues. 3. Hormonal Imbalances – Breast and uterus pain may be linked to PMS, PCOS, or fibrocystic breast changes. 4. Stress and Anxiety – Digestive issues often worsen with stress. 5. Gut Infection or Bacterial Imbalance – Loose motions and stomach pain could be due to mild infection or gut dysbiosis. To help manage your symptoms: 1. Take probiotics – Either as OTC supplements or through natural sources like curd and buttermilk. 2. Follow a bland diet – Foods like bananas, rice, applesauce, and toast can help settle your stomach. 3. Stay hydrated – Drink ORS or coconut water to prevent weakness from loose motions. 4. Avoid trigger foods – Spicy, oily, and dairy products can irritate your stomach further. 5. Eat small, frequent meals – This can make digestion easier. 6. Try herbal remedies – Ginger or fennel tea may help relieve stomach pain and bloating. Consult a doctor in person if: 1. Loose motions persist for more than three days, worsen, or include blood. 2. Breast or uterus pain worsens or becomes constant. 3. Severe weakness, dehydration, or weight loss occurs. Focusing on gut health and identifying food triggers can provide long-term relief. If symptoms continue, consulting a gastroenterologist or gynecologist would be the best next step.