How to manage this case??

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Along with other medical management following will be helpful. - Therapeutic massage - Exercises designed to ease stress or targeted to strengthen or relax pelvic floor muscles. - Aerobic exercise. - Meditation. - Yoga

Overweight female. Acne, hirsutism, oligomenorrhoea? Rule out PCOD. This has become a lifestyle disorder. Explain her important of clean eating, avoiding junk food and daily excercise/yoga/ brisk walking. Adv, USG pelvis and Sr insulin fasting, TFT, FSH, LH, Prolactin, CBC Further treatment according to reports.

Likely to be PCOS. Check to conclude authantically for prescribing medicines. Fasting Insuline../ S.LH / * S.FSH / S.Esrediol /S.AMH./ &S.Progesterone./ Thyroid profile / Anti TPO 3 / ** S.Testesterone. These studies will vlear the diognosis

Rule out pcos n hypothyroidism If pcos she is unmarried nothing worry about her menses Advise life style modifications food , excersie Metformin for insulin resistance N if she need regular cycles give ocpills If thyroid treat regardingly

You have to r/o PCOD & Hypothyroidism. Do TFT as FT3, FT4 n TSH (ultra sensitive), PRL, LH, FSH and TESTO especially in the morning hours. Also FBS, Sr Insulin & Lipid Profile. USG Abd & Pelvis to r/o PCOD.

obesity &irregular periods 1. ayaskrithi with ashokarishta 2. sukumaramkashayam or kwatham 3. water boiled with ginger powder and methi powder can be used regularly.

Overweight female and irregular menstruation is related due to excess secretion of estrogen hormone. Experts opinion please

Overweight requires diet control low fat and green leafy vegetables to be taken Exercises to be started Check blood sugar

Thank you doctor
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Please ask for T3T4TSH, FSH ,LH ,PROLACTIN LEVEL, TESTOSTERONE AND USG OF WHOLE ABDOMEN THEN CONCLUDE THE DIAGNOSIS

I agree
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Abdominal ultrasound and thyroid profile and CBC are needed DD PCOD Hypothyroidism Anemia

Thank you,Doctor
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