Oligomenorrhea in 30 y/o female

Chief Complaint 30-year-old female complaints of Oligomenorrhea. She is missing her periods for sometimes 1 month and somethings 2 months. History She got her periods in April 2020 and missed in may then she got on June 29th and missed in July Got on August 23rd and then Got on September 24th missed in October and November Her periods continue for 5 days with normal blood flow. She is also complaining of increased hair fall from scalp. No h/o any increased hair growth on any part of body. No h/o any other disease in the past. She visited gynecologist as she again missed her periods in October and November. The doctor prescribed Medroxyprogesterone, Vit B & Vit D and asked for an Ultrasound on day 2 of periods. She got her period on 3rd December and had an ultrasound on 5th December. Examination The patient is healthy and not obese. Weight: 61 Kg, Height: 5.3 Feet. Now she is reducing some weight intentionally with exercises. Investigations The Ultrasound film and report is posted below. Diagnosis Report shows polycystic ovary. Treatment What should be the treatment plan? She is getting married soon and is also concerned about the pregnancy in future.

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She should lose some weight and maintain healthy fiber rich diet and exercise. Get TSH and PRL also done. PCOS can cause anovulation, which she probably has as suspected from her irregular cycles. But they respond well to infertility treatment generally. Tell her not to worry much. Best treatment for PCOS is lifestyle modification. It's better if they don't delay pregnancy too much since she is already 30 yrs with hormonal issues. Tell her to consume folic acid after marriage. If cycles are not getting regular after diet and exercise then we can think of further management depending on whether she wants conception soon or later.

C/O .. OLIGOMENORRHEA .. USG STUDY.. PCOD .. NEED'S.. ANEMIA PROFILE.. HORMONAL STUDY.. GYNECOLOGICAL EXAMINATION.. EXPERTS OPINION..

Tnx Dr Vipin Bihari Jain sir
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She is a c/o PCOD WITH DUB Adv to assess female harmones FSH LH AND PROLACTIN For pcod adv to consult gynaecologist Or start tab metformin 850mg 9d For dub needs HRT

Thanx dr Dinesh Gupta
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oligomenorrhea ashokarishta has sthambhaka action,,,better change it to Tilaadi kwatham saptasara kashaya varunadi kashaya kumaryasava Arogya vardhini vati...

ADVISABLE MANAGEMENT. OF P C .O. D

Ashokarisht, dashmoolRisht, rajpravartani vati,syp M2TONE Helpful..

Pulsatilla 1m

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Pcos
Anovulation
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