A 20year old female patient came with c/o Amenorrhea for the past 3months.USG shows B/L Polycystic ovaries. How to manage this case. Kindly Guide me Doctors.

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for immediate result give progesterone 10 mg BD for 5 days for withdrawal bleeding For PCOS what is the weight of the pt get her Serum TSH , Serum prolactin , LH , FSH and testosterone

Thank u Mam.. Shall I do Hormonal investigation before or after the treatment with progesterone?? Mam
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Wedge resection / hormonal treatment Progesterone for 5 days wait for withdrawal bleeding, start progesterone on 5th day of bleeding for 20 days . Three cycles.

Thanks Dr. Kute Ankush, Dr. Grace B
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? BL.. PCOD.. NEED'S.. GYNECOLOGICAL EXAMINATION.. HORMONAL STUDY..

Thank you doctor
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PCOD Syndrome Tab Metformin 500 mg bd for 6 months then review

Thank you doctor
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Get fasting blood sugar to calculate HOM - Insulin resistance. Look for metabolic syndrome like dyslipidimia , hip waist ratio , BMI , blood pressure. Start on metformin to prevent diabetes. Do other harmonal level tested ) LH , FHS , Prolactin, Estrogen & progesterone )

Thank you Mam
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PCOD Adv : Gyanac ref

Thank you doctor
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As PCOS most commonly a/w HAIR IN Check for insulin resistance ( FBS / fasting serum insulin less than 4.5 ) Tab metformin 500 SR improves insulin resistance If she is not married or married and don’t want pregnancy recently then give Combined OC pills If either not above Then give Clomiophene citrate 50-100 mg on day 2-6

Rule out obesity,thyroid,hormonal level and try with progesterone to get withdrawal bleeding ,then try contraceptive pills for three cycles.In the meantime do FBS.

Thank you doctor
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Habbe mudire haiz two tab two times a day Syp niswani 10 ml twice a day Majun Dabidulward 1 tsf two times a day Avoid oily and spicy food,rice Do exercises Continue tt till withdrawal bleeding

Medoxy progesterone acitet, OCP, metformin

Thank you doctor
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