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pco treatment needed

hello doctor
my sister age 33...height 5/4
weight 90 kg.
having polycystic overies since the age if 13.
irregular periods
long cycles
sometimes twice a month sometimes disappear for 4/5 months
sometimes heavy flow sometimes spotting
did all kinds of treatment.
Now she us overweight....facial hair..sluggish....lethargic.....periods come after 35 days approximately but no blood.....only spitting or empty pads..only a few drops come out with urine....continue for 9/10 days....feels tired and less energetic...eating habits are not so good as she wants to eat pulao....b iryaani...pizza like items...likes sweets also...
kindly suggest medication
 
  afskarimymail.com on 2017-03-30
This is just a forum. Assume posts are not from medical professionals.
Copy this and resend to me after filling:


1. Age:
2. Sex:
3. Built up:obese/moderate/slim
4. Complexion: fair,dark
5. Occupation:
6. Single/married:
7. Country:
8. List out all your PROBLEMS with its since how long,where,what you feel etc:in an order(which came first then which came?
ANS:

a)Worsening factors for each complaint (eg:-by pressure,what time,heat,cold,season,food,eating,after
sleep,by sweat,,by stooping,after stool & urine,after bathing etc.?)
ANS:

b)When Its Better,for each complaint (eg: by pressure,what time,by heat, by cold, any season,any food, eating,after sleep,by sweat,after stool & urine ,after bathing etc.?)
ANS:

9. Mind:sensitive/angry/sad/weeping/fear of/anxiety/shy etc.,memory,desire company,grief,lewd etc.
ANS:

10. Thermal:which weather do you prefer hot or cold? Which is NOT tolerable?
ANS:

11. Frequent or occasional nausea,vomiting to any food,headache,gas trouble,leucorrhea(white discharge-females) ,dandruff,hairfall etc.explain if any
ANS:

12. Stool:regular/quantity/frequent desire/satisfied/bleeding?
ANS:

13. Urine: regular/quantity/frequent desire/satisfied
ANS:

14. Menses: regular,how many days,frequency of cycle,any complaints before or during menses like pimples,backache,white discharge,pain in abdomen,legs etc.,irritability,constipation,diarrhea,nausea etc?
ANS:

15. Sweat:profuse,scanty,offensive,stains
ANS:


16. Sleep:satisfied/disturbed?particular dreams?
ANS:

17. Appetite: how often,quantity,satisfied?
ANS:

18. Thirst: how many glasses ?how often?
ANS:

19. Cravings:salt/sweet/sour /milk/egg/meat/veg/fruit/vinegar etc.
ANS:

20. Aversion: salt/sweet/sour /milk/egg/meat/veg/fruit/vinegar etc.
ANS:

21. Intolerant foods if any which might be your favorite or not.
ANS:

22. How is your sex life?no desire/premature ejaculation/no erection/painful sex?
ANS:

23. Do you have diabetes/BP/Cholestrol/thyroid etc Done any surgey ?
ANS:

24. Do you have any skin complaints-itching,warts,rashes,discoloration etc.?
ANS:

25. List out all medicines you have taken till now and its result
ANS:

26. Any other things which you think it make you unique from others ..
ANS:


http://www.facebook.com/drthoufeeque
.
 
drthoufeequebhms 4 years ago
hello doctor
i m sending my details in the following post plz reply
 
afskarimymail.com 4 years ago
1. Age: 33years
2. Sex: female
3. Built up:obese/95
4. Complexion: fair
5. Occupation: house lady
6. divorced
7. Country: pakistan
8. List out all your PROBLEMS
ANS: hormonal imbalance
Over weight
Facial hair
Fatty liver
Bilateral polycystic ovarian disease
Started since the age of 13...when periods started
Born in 7th month
Eye sight very weak
Right sided sciatica pain with gap b/w L4 and L5

a)Worsening factors for each complaint (eg:-by pressure,what time,heat,cold,season,food,eating,after
sleep,by sweat,,by stooping,after stool & urine,after bathing etc.?)
ANS: when bends down or carries weight or stands for long the sciatica and lower back pain worsens.

b)When Its Better,for each complaint (eg: by pressure,what time,by heat, by cold, any season,any food, eating,after sleep,by sweat,after stool & urine ,after bathing etc.?)
ANS: when stays at bed or takes rest the sciatica pain settles down.

9. Mind:sensitive/angry/sad/weeping/fear of/anxiety/shy etc.,memory,desire company,grief,lewd etc.
ANS: angry...comes in anger very quickly,short tempered,sad and deppressive phases occur,weeps over her illnesses and problems,shows anxiety often,and yes she is shy....does not mingle or does not want to face people generally.

10. Thermal:which weather do you prefer hot or cold? Which is NOT tolerable?
ANS: i like cold weather....can not tolerate hot weather.

11. Frequent or occasional nausea,vomiting to any food,headache,gas trouble,leucorrhea(white discharge-females) ,dandruff,hairfall etc.explain if any
ANS: hair fall is obvious,dandruff problem is faced, severe leucorrhea with itchy feeling and its often smelly.gas trouble is faced.headaches occure often.

12. Stool:regular/quantity/frequent desire/satisfied/bleeding?
ANS: passes stool in good quantity twice a day.

13. Urine: regular/quantity/frequent desire/satisfied
ANS: passes normal regular urine

14. Menses: regular,how many days,frequency of cycle,any complaints before or during menses like pimples,backache,white discharge,pain in abdomen,legs etc.,irritability,constipation,diarrhea,nausea etc?
ANS: pimples and acnes before periods....irregular menses...now cycle of approximately 40 days...but not proper bleeding,only spotting or sometimes pad is clear but a few drops come out with urine.

15. Sweat:profuse,scanty,offensive,stains
ANS: no remarkable sweating.only in summer season she sweats a lot


16. Sleep:satisfied/disturbed?particular dreams?
ANS: normal sleep,no disturbance during sleep. general dreams come .

17. Appetite: how often,quantity,satisfied?
ANS: eats 3 times a day,in full rich quantity,takes snacks in between meals,all time willing and ready to eat.these days she is complaining that she eats to her full but still wants more and is not satisfied.

18. Thirst: how many glasses ?how often?
ANS: no urge for water,does not like to drink water ,feels nausea when we adk her to drink plenty of water,drinks only with meal.

19. Cravings:salt/sweet/sour /milk/egg/meat/veg/fruit/vinegar etc.
ANS: loves to eat salty and mirch masala items.also fond of sweet dishes and likes sour at times,never likes milk,likes to eat egg in all forms,crazy for meat,likes selected veggies,never likes fruits,not interested in vinegars.

20. Aversion: salt/sweet/sour /milk/egg/meat/veg/fruit/vinegar etc.
ANS: as mentioned above.

21. Intolerant foods if any which might be your favorite or not.
ANS: LOVES to eat pulao n biryaani.....does not like plain veggies or daals with roti.fond of rice dishes.

22. How is your sex life?no desire/premature ejaculation/no erection/painful sex?
ANS: when periods cycle settele down she feels urge to marry and have her life partner but sometimes very dishearted and not interested in having married life.

23. Do you have diabetes/BP/Cholestrol/thyroid etc Done any surgey ?
ANS: not any

24. Do you have any skin complaints-itching,warts,rashes,discoloration etc.?
ANS: there are small wart
 
afskarimymail.com 4 years ago
some corrections please
3. weight is 95 kg
24.small warts,rashes.
25. dian 35
glucopheg
no results...when she took dian 35 facial hair grew and weight increased.
tried many herbal n homeo treatments but all in vain.
5 months back a homeo doctor gave a mixture of liquid drops that showed he result;
sciatica became less painful
menses were absent before for months and months now they come every 35/40 days but no proper bleeding.only spotting.or sometimes clear pads and a few drops come out wiyh urine.
26.not any
thanx
 
afskarimymail.com 4 years ago
I want to clarify:

1.is she having thyroid problem?have checked TSH,T3,T4? If not.. Try to update if possible.

2. Describe more about headache? When is more? On sun exposure? More on stopping?

3. Does she like to be consoled where she is very much depressed?

4. Mood swing s?

5. Does she have leucorrhea or white discharge?

6. Emotional sensitive to sentiments?

7. How is her religious attitude?

8. Does she want to be alone or want company?

9. Diarrhea after eating heavy rich fatty foods?


10. Special craving for excess salt or not?

11. Any long lasting grief?



http://www.facebook.com/drthoufeeque
.
 
drthoufeequebhms 4 years ago
hello doctor
here are the answers to your questions:
1.is she having thyroid problem?have checked TSH,T3,T4? If not.. Try to update if possible.
ANS:TSH reports in 2011
T4...5.6
TSH....I.0
FSH...4.6
LH....4.5
PROLACTIN......22.2
TESTOSTERONE....23
PROGESTRONE....0.3
REPORTS OF 2013
T4 FREE....0.92
TSH...0.87


2. Describe more about headache? When is more? On sun exposure? More on stopping?
ANS:Headaches occure due to severe heat and noisy gatherings.
3. Does she like to be consoled where she is very much depressed?
ANS: she prefers to be alone.
4. Mood swings?
ANS:yes,often.
5. Does she have leucorrhea or white discharge?
ANS:yes,its very severe,smelly and itchy.it is in flow.
6. Emotional sensitive to sentiments?
ANS:very emotional and sensitive.
7. How is her religious attitude?
ANS:yes she is religious minded, done courses , wears hijab. one important thing to be mentioned that she is not CONSISTENT ..she starts courses and leaves incomplete. she never accomplishes or carry on any routine for long.
8. Does she want to be alone or want company?
ANS wants to be ALONE mostly.
9. Diarrhea after eating heavy rich fatty foods?
ANS:No such problem.

10. Special craving for excess salt or not?
ANS:Normal average salt.
11. Any long lasting grief?
she has grieves..divorce and facial hair due to PCOS and excessive weight and she never
forgets them.
regards
 
afskarimymail.com 4 years ago
hello doctor
I v sent my TSH reports
kindly consider and reply
regards
 
afskarimymail.com 4 years ago
I did not see your updation. Please update once again..


http://www.facebook.com/drthoufeeque
.
 
drthoufeequebhms 4 years ago
hello doctor
here are the answers to your questions:
1.is she having thyroid problem?have checked TSH,T3,T4? If not.. Try to update if possible.
ANS:TSH reports in 2011
T4...5.6
TSH....I.0
FSH...4.6
LH....4.5
PROLACTIN......22.2
TESTOSTERONE....23
PROGESTRONE....0.3
REPORTS OF 2013
T4 FREE....0.92
TSH...0.87


2. Describe more about headache? When is more? On sun exposure? More on stopping?
ANS:Headaches occure due to severe heat and noisy gatherings.
3. Does she like to be consoled where she is very much depressed?
ANS: she prefers to be alone.
4. Mood swings?
ANS:yes,often.
5. Does she have leucorrhea or white discharge?
ANS:yes,its very severe,smelly and itchy.it is in flow.
6. Emotional sensitive to sentiments?
ANS:very emotional and sensitive.
7. How is her religious attitude?
ANS:yes she is religious minded, done courses , wears hijab. one important thing to be mentioned that she is not CONSISTENT ..she starts courses and leaves incomplete. she never accomplishes or carry on any routine for long.
8. Does she want to be alone or want company?
ANS wants to be ALONE mostly.
9. Diarrhea after eating heavy rich fatty foods?
ANS:No such problem.

10. Special craving for excess salt or not?
ANS:Normal average salt.
11. Any long lasting grief?
she has grieves..divorce and facial hair due to PCOS and excessive weight and she never
forgets them
 
afskarimymail.com 4 years ago
Give her pulsatilla 1M 2pills in 1/2glass water..only once ina week...repeat again after a week.

Also take silicea 6x 3tablets 3times daily.



Do not take medicine during menses.


Try to update dates of menses..


Report any changes if u think necessary whenever you need...


http://www.facebook.com/drthoufeeque
.
 
drthoufeequebhms 4 years ago
dr.sahib
plz describe pulsatilla 1M
2 pills in half glass water????????????
pills in water????
or drops u mean?
 
afskarimymail.com 4 years ago
Either 2pills or 1drop in 1/2glass water..and sip slowly..Only one time.

Repeat same process after a week

http://www.facebook.com/drthoufeeque
.
[message edited by drthoufeequebhms on Sun, 02 Apr 2017 07:57:08 UTC]
 
drthoufeequebhms 4 years ago
Respected Dr.
Kindly as use if u think it necessary
That is there any thing to avoid for a poc patient
I mean some foods to prefer or to avoid
Like broiler chicken etc.
 
afskarimymail.com 4 years ago
Exercise – Regular exercise helps anyone to stay fit and healthy. If you are having any symptom of PCOS like obesity or irregular periods, you can control these with the help of right kind of exercise and following the routine on regular basis.

Yoga – Yoga asanas that are specific for women help a lot in keeping the symptoms of PCOS away. Suryanamaskar and other yoga asanas that help control stress can help a lot in taking care of the woman suffering from PCOS. It will also help you have a good control on increasing weight and probably you can control your emotions as well.

Pranayama – Doing the basic pranayamas regularly will help you get energized from within and this will help you have control and gain health. Pranayamas are, in fact, breathing exercises and these help the oxygen taken in by the woman to get absorbed by the cells inside her body. These help reduce your stress level also.

Diet – Increase the intake of complex carbohydrates and proteins and try to avoid fat and fatty food items. Check out the meal portion so that you can have a good control on your diet and in this way check your weight gain as well. Try to increase intake of vegetables and fruits and add salad and soups. Have balanced and controlled diet regularly.

Avoiding or preventing PCOS is not so difficult. You have to consistently follow the tips and guidelines and make considerable changes in your lifestyle and daily routine. This will help you stay fit and healthy and save you from discomfort and embarrassment from the disease. Try to avoid having stress in your life and do not stay cut off or isolated. Join hobby classes or clubs and keep yourself busy and engaged.

http://www.facebook.com/drthoufeeque
.
 
drthoufeequebhms 4 years ago
allah bless u
thhanks a lot
i'ill be back to u after some feed back soon.
in sha allah
 
afskarimymail.com 4 years ago
 
drthoufeequebhms 4 years ago
respected dr.
my sister took
PULSITILLA IM 1drop in half glass of water last Sunday
she is also taking SILICEA 6X
3pills thrice a day
today(after 5 days of med.)
she got her menses today,she has stopped SILICEA but she 'll take PULSATILLA on Sunday.
now the condition is again that menses started after 28 days which is no doubt a good cycle but the bleeding is poor.There is only a small line of blood on the pad after 8 hours.
kindly advice in the light of the above given report.
regards.
 
afskarimymail.com 4 years ago
now you can give thlaspi bursa pastoris Q 5drops in some water 2hourly.

give next dose of pulsatilla 1m after menses.

http://www.facebook.com/drthoufeeque
.
 
drthoufeequebhms 4 years ago
Dr. sahib
would THELASPY BURSA increase the flow?
only thelsapy bursa during the menses?
for how many days she is supposed to take it 2 hourly?
regards
(I m just asking bcz my daughter is taking thlaspy to reduce the flow and to regulate the menses that occurs in between the cycle)
 
afskarimymail.com 4 years ago
Is she already taking thlaspi ? How many dose potency?
 
drthoufeequebhms 4 years ago
I meant to regulate the flow during menses .once the flow is ok ..stop taking it... You didn't mention that she is taking thlaspi
 
drthoufeequebhms 4 years ago
Respected Dr.my sister is NOT taking Thlaspi already...
Her problem is not having flow during menses.only a small patch after 8 hours ...
Cycle is Fine but no blood.only spot or stain or small patch.
How many days she has to continue thelaspy 2hourly?
Kindly guide
 
afskarimymail.com 4 years ago
hello Dr.
here is my concern
u v advised Thelaspy to my sister age 33 with Pco....NO BLEEDING DURING MENSES
u v also advised Thelaspy to my daughter age 12 and half with frequent and prolonged menses
kindly confirm me that is THELASPY
fine in both cases??????
 
afskarimymail.com 4 years ago
if I m right ...Thelaspy is best in my daughter's case
but the one who is not having bleeding already?????....she has taken 2 doses 2 hourly but not even a drop has come out and this is the 2nd day of her menses
kindly reply asap that should she continue or stop???
she has already stopped PULSATILLA n silences
regards
 
afskarimymail.com 4 years ago
*pulsatilla and SILICEA I meant
 
afskarimymail.com 4 years ago

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