pco treatment needed

hello doctor
i m sending my details in the following post plz reply

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

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

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

hello doctor
I v sent my TSH reports
kindly consider and reply
regards

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

dr.sahib
plz describe pulsatilla 1M
2 pills in half glass water????????????
pills in water????
or drops u mean?

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.

allah bless u
thhanks a lot
i'ill be back to u after some feed back soon.
in sha allah

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.

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)

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

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??????

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

*pulsatilla and SILICEA I meant