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urgent help in pcos

Dear Doctors
I am a 26 year old unmarried female
and have been having irregular periods for a long time.
2 years back I was diagnosed with PCOD and the doctors put me on metformin 250mg B.D
and the oral contraceptive pills.
I took them for almost a year during which my periods were normal. but then I stopped taking them, as the doctor advised and then my periods again went berserk... I have regular break outs of pimples and my skin is becoming oily in this humid delhi weather now, my hair are also falling, I don't want to go back to allopathy as when you stop meds this reaction will again take place.
I have moderate hirsutism as well having facial hair, as well as hair on belly and chest...

I n accordance with what Dr. dinesh asks the details are as follows:
To help you I need more details.So please answer these...
2. Age : 26
3. Sex : female
4. Married/Unmarried : unmarried
5. weight :48 Kgs
6. Height …. 5 ft. 5 in
7. country : India
8. climate : very dry in summers and humid in monsoon and again dry winters
9. List of your complain first 1.: hair loss
2.: irregular periods: they are generally off time but when they come it is as if flood gates have opened and I bleed heavily, though in between I guess, I have regular periods with my breast getting hard and then lower back pain etc. and that time the periods lasts 7-8 days (I ve never had natural periods for less than 7 days though the flow if negligible after 5 days but when on OCPs and metformin periods were generally for 4-5 dys.
3. hirsuitism ( I have facial hair and hair on my belly and chest but the growth is not that severe but still it is greater than the normal females.
10. Diabetic or non Diabetic: non diabetic, no family history of diabetes
11. Desire(food) seets/sour/salt : I generally avoid sweet foods, but I like salty and sour foods I guess I don't have sweet tooth
12. Thirst : normal
13. Tongue ; normal, nothing out of ordinary
14. Current BP (without medicine and with medicine) : without medicine ; 120/75
15. What exactly is happening: refer to answer 9
16. How do you feel ? I feel anxious for my condition, as Many of my doc. friends say that this could lead to problem in conceiving once I get married, and suggest I get married at the earliest, which ofcourse being a PhD student is not possible for me right now, as I have hectic working schedule in the lab, I don't exercise much, but I guess running around to do your experiments is also not completely sedentary.
17. How does this affect you ? It causes public consiousness and I feel a little awkward in public, though I hav very good communication skills but still sometimes I am on the defensive
18. How does it feel like ? refer answer 17.
19. What comes to your mind ? How can I get rid of this condition.
20. One situation that had a big effect on you ?: hair fall (my hair are not even half thick as they used to be, and are kind off rough. and plus the acne, though not very severe but I almost always have one or two pimples.
21. How did that feel like ? makes me stressed and think about the condition.
22. What sensation do you experience in that situation ? no specific sensation as such I guess.
23. What are you showing by that gesture of your hand.(habits or Action) ? I don't know
24. current medicine you are taking : none
25. family back ground : family history of high blood pressure,and nothing else.
26. qualification of patient: PhD in life science student.
27. Nature of working : experiment and analysis of the research work undertaken.
28. desire and aversion of food : I don't like sweets much, but now and then I eat them too, I generally eat everything but avoid sweets as more sweet harmful for pcod, but i love sour foods.
29. Mind-behavior, anger, irritability, hurry, impatient…: i get irritated now and then, but I am generally a happy person, sometimes though I do get depressed for no obvious reason and become sulky, and really stubborn and impatient.
31.Any aggravation or change before,during or after menses? PMS, yes
pain in the back, abdomen, letds . When I do get periods, the flow is
heavy and the periods are painful.

my medical reports are done 1 month ago;
USG scan; urinary bladder- normal
uterus- normal
myometrium-normal
both ovaries show multipl small follicles in peripheral distribution with mild stromal echogenicity
right ovary- 48*25*19 mm
left ovary- 42*25*16 mm
no free fluid in cul-de-sac
inference- polycystic ovaries

hormonal profile:
serum prolactin- 17.71 ng/ml
serum testosterone- 0.26 ng/ml
FSH- 5.27 mlU/ml
LH- 4.68 mlU/ml
hormonal tests were done on 2nd day of period.

cholesterol levels- normal
hemoglobin 10.7 g.dl

kindly help me dr. dinesh and other esteemed doctors on this forum.
I need urgent help.
 
  curiousseeker on 2014-06-14
This is just a forum. Assume posts are not from medical professionals.
Will get back to you for some more information.
 
rishimba 7 years ago
In order to suggest a remedy, I need to understand your mental state and physical generals as well. So, you need to give me more information.

Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experience and happenings.

1. Describe your main suffering? State the correct location.

2. What other physical sufferings do you have in your body?

3. What mental sufferings / feelings do you have associated with your physical sufferings?

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.

5. When did it all start? Can you connect it to any past event or disease?

6. Which time of the day you are worst?

7. What are the things that aggravate your suffering and those that ameliorate the same? Example: time, temperature, pressure, rubbing, washing, eating, tight clothing etc.

8. Do you think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)?

9. When do you feel better, during hot weather or cold weather, humid or dry weather?

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.

- How do you feel before or during a thunderstorm?
- Do you like being consoled during your tough times?
- Are you sensitive to external stimuli like smell, noise, light etc?
- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc?

-What makes you angry the most in yourself and in others?
-What is your ambition in life?
- How do you feel about your friends, family, your children and especially your husband / wife?
- If you could turn the clock backwards, what changes would you have brought to your life to what you are now?

11. What are your fears and do you dream of any situation repeatedly?

12. What do you crave in food items and what are your aversions?

13. How is your thirst: Less, Normal or Excessive?

14. How is your hunger: Less, Normal or Excessive?

15. Is there any kind of food which your body can’t stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

17. How is your bowel movement and stool type?

18. How well do you sleep? Do you have a particular posture of sleeping?

19. Do you think you are able to satisfy your sexual desires in general?

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others?

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

22. What major diseases are running in your family?

23. Describe, how do you look like? Describe your overall appearance.

(For Females)
24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.

25. What major diseases have you had in your life and when. Please write them in a chronological manner.
 
rishimba 7 years ago
Thank you Dr. Rishimba
as per the details you need.
1. Describe your main suffering? State the correct location.: Main suffering is PCOS location is ovaries, and the syptoms related to it, hairfall, acne and hirsuitism along with irregular periods.

2. What other physical sufferings do you have in your body?
other physical sufferings are like I mentioned hairfall, oily skin, acne and excess body hair.
3. What mental sufferings / feelings do you have associated with your physical sufferings? I feel distressed and disappointed , irritated, moody and sometimes angry and very sad without any specific reason.
but I try and make my life as happy as possible and avoid thinking of it.

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words. sensations are stress and aloofness, wherein i want to be left alone, not talked to, think over the disaster this disease is causing to be

5. When did it all start? Can you connect it to any past event or disease?
I got diagnosed after I had a severe acne break out account to doc. it was acne stage II, and was having irregular periods and with all the tests in hand i started the meds in 2010 june.

6. Which time of the day you are worst?
in the afternoons. and i suddenly feel as if I have fever, but then after some time I am fine and the body temp. also comes down.
7. What are the things that aggravate your suffering and those that ameliorate the same? Example: time, temperature, pressure, rubbing, washing, eating, tight clothing etc.
not particularly anything but I guess looking at girls with clear skin with any unwanted growth on face etc. makes me go back and ponder about my situation in PCOD.

8. Do you think your sufferings have relation to any external stimuli (like, change of place) or any internal biological changes in the body, like, menses (in females)? yes, irregular periods are the cause of it all.

9. When do you feel better, during hot weather or cold weather, humid or dry weather?- I feel the best in cold weather and d worst in hot dry delhi summer.

10. Describe your general mental set up? Are you Moody, Arrogant, Mild, Agreeable Changeable, Nervous, Suspicious, Easily offended, Quiet, Arguing, Irritating, Lazy etc.
I am mild, aggreable, a little short tempered, but i don't shout on people around rather keep the anger to myself,but I am emotional and het emotionally hurt easily as I probably expect a lot from people and I stress a lot, but otherwise I am a happy person.

- How do you feel before or during a thunderstorm? fine, nothing out of ordinary.
- Do you like being consoled during your tough times? sometimes though not always generally I like to console myself.
- Are you sensitive to external stimuli like smell, noise, light etc?- no i AM NOT
- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc? NO I Don't

-What makes you angry the most in yourself and in others?
my work progress and my physical appearance and in others their inefficiency to deliver the task they were assigned to and then if they try to be bossy, I get angry.
-What is your ambition in life?
- How do you feel about your friends, family, your children and especially your husband / wife? -Friends and family I am happy about, no complains, Not married so other categories don't apply.
- If you could turn the clock backwards, what changes would you have brought to your life to what you are now? I would reverse PCOD, gain a little weight more as right now I am 5ft 5in and just 48 kgs, so putting on would not matter, and reduce the excess body hair.

11. What are your fears and do you dream of any situation repeatedly?
no I don't dream of any situation repeatedly, my fear is that I would not succed in my career that's it.

12. What do you crave in food items and what are your aversions? I avoid sweets, and love sour foods, I can eat an ice cream anytime, I like dark chocolate.

13. How is your thirst: Less, Normal or Excessive? Normal

14. How is your hunger: Less, Normal or Excessive? Normal, but I get hunger pangs and should eat at around 5-6 pm after my lunch at 1:30-2 pm.

15. Is there any kind of food which your body can’t stand? nothing in particular I am a vegeterian and eat almost evrything.

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs? normal, limbs and face probably sweat more, if sitting against a chair, back sweats.

17. How is your bowel movement and stool type?
bowel movement got disturbed in this heat and the stool is not very firm but i guess semisolid kinds.
18. How well do you sleep? Do you have a particular posture of sleeping? I sleep well 8 hrs atlast, and I sleep on one side generally left and sometimes flat stomach side down.

19. Do you think you are able to satisfy your sexual desires in general? not thought of them.

20. Do you have any strange, peculiar or unusual symptom or feelings? How are you different from others? I have hirsuitism and acne and my body is generally warm while others when I touch feel they are a little cooler.

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?
metformin 250mg BD
oral contraceptive pill- Diane
after I stopped taking them, acne reappeared and hairfall started profusely.
22. What major diseases are running in your family? high blood pressure, and heart attacks, nothing more.

23. Describe, how do you look like? Describe your overall appearance. I am lean, a little underweight with a BMI of 17.5 I guess, I have long curly hair which are kind of rough, wheatish complexion towards fair, overall I look pleasing.

(For Females)
24. If your menstrual cycles are not normal, please describe the irregularities, like pains, moods, flow type, clots etc.
flow is profuse when the cycles occur without the meds I was taking, yes clots do appear, mood is a little irritable probably due to back and stomach ache on the first or second dat but after that I am fine, no major mood swings.

25. What major diseases have you had in your life and when. Please write them in a chronological manner.
Ive had just one disease, chicken pox when I was 8 years old, it was very heavy then, since then, I don't have had any other major disease, just normal flu, or cold.
 
curiousseeker 7 years ago
I need more information about your sufferings during your periods.

Before the flow-

What is the location and exact sensation of the pain?

What aggravates the pain and what do you do to reduce it or feel better?

During the first few days of the flow-

What is the location and exact sensation of the pain?

What aggravates the pain and what do you do to reduce it or feel better?

What other physical sufferings do you have in general?

How do you deal with the back pain? Do you press your back on a hard surface to reduce the pain?

How do you deal with the pains around your ovaries, if at all? Do things like rubbing, pressing, hot or cold application, bending double etc. give relief?

Can you tell me what was happening in your life when you first noted break-out of acne? What was your mental state then?

Do you think there was some emotional disturbance in you when this began?

Have you been using birth control pills BEFORE you noticed PCOS?

How were your periods when you started menstruating? At what age they became irregular? What was happening in your life then?
 
rishimba 7 years ago
regarding your further queries Dr. Risimba

Before the flow-

What is the location and exact sensation of the pain? the exact location is the lower back and lower abdomen and the sensation is excruciating pain there.the breasts also harden and hurt when touched.

What aggravates the pain and what do you do to reduce it or feel better?- being hungry and eating oily food aggravates the pain, I put hot compress on the lower back and it relieves the pain.

During the first few days of the flow-

What is the location and exact sensation of the pain?
same as answered above before flow but the beast hardness goes on its own as the periods starts
What aggravates the pain and what do you do to reduce it or feel better? same as answered for before the flow.

What other physical sufferings do you have in general? I feel weak and fatigued on the first day but after that I'm fine.

How do you deal with the back pain? Do you press your back on a hard surface to reduce the pain? I use hot compress to reduce the pain and nothing else.

How do you deal with the pains around your ovaries, if at all? Do things like rubbing, pressing, hot or cold application, bending double etc. give relief?
-no such pain.
Can you tell me what was happening in your life when you first noted break-out of acne? What was your mental state then?
I was at home during my summer vacations when suddenly the breakout happened and no special incident as such.
Do you think there was some emotional disturbance in you when this began?
I guess nothing in particular except that I was not getting selected in the courses and colleges of my choice, so, I was emotionally stressed.

Have you been using birth control pills BEFORE you noticed PCOS?
-No, I had never used it before, the doctor prescribed me after diagnosing me with PCOS
How were your periods when you started menstruating? At what age they became irregular? What was happening in your life then? my periods started when I was of 13 years of age and they became irregular in my graduation years which were when I was 18 years of age, but I used to get 9-10 cycles per year even then, they got very irregular after I stopped my medicines (allopathic) prescribed for PCOS, probably due to the side effects.
 
curiousseeker 7 years ago
Please take IODIUM 12C three times a day for some 7 days and then come back here to report if you felt some changes in your system.

Hope you know how to take homeopathic remedies. If you don't, please look up other threads.
 
rishimba 7 years ago
Thank you Dr. rishimba
I am sorry but I don't know how to take homeopathic medicine.
and moreover what changes should I expect after this medicine.
and do I have to avoid certain food items or any other change in lifestyle what do you recommend?
 
curiousseeker 7 years ago
moreover, is this IODIUM 12C in the form of liquid or tablets?
and when can I expect to see improvement in my acne and hirsuteness i.e. what is generally the course of recovery.
Thanking you again.
 
curiousseeker 7 years ago
IODIUM 12C can be in pellets or in the liquid form. If you buy in pellet form, you should take 2 pellets as one dose. Don't bite or swallow the pellets. Let them dissolve and get absorbed in your mouth. Don't take any food or drinks one hour before or after taking the dose.

If the remedy is in liquid form, take 2 to 3 drops in 10 ml of water and sip up in clean mouth and empty stomach.

This remedy, taken on a continuous basis, will gradually set your periods right and dissolve the cysts in your ovaries.

You need to continue it for some months if it created a good response in you.

You will probably know it during your next cycle. I believe your next cycle will be less painful and less copious.

I asked you to give me your feedback after 7 days just to see if there was any aggravation or unintended response.

Once your hormones are set right in a few months, the cysts will dissolve and simultaneously,acne and hirsutism will also get cured.

I am looking at some 3 to 4 months before you see changes in your hirsutism and acne.

However, if the remedy creates a response, your periods will start getting smoother and less painful right from the next one.
 
rishimba 7 years ago

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