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PCOD, Anemia with excessive menstrual bleeding
Discussion in 'All Categories' started by Zihana - Dec 23rd, 2012 4:25 am.
severe prolonged menstrual bleeding and anemia. I am suffering from PCOD.
re: PCOD, Anemia with excessive menstrual bleeding by Dr M K Gupta - Dec 24th, 2012 10:10 am
Dr M K Gupta
Dr M K Gupta
Dear Zihana

You should get advice of a good gynecologists and a thoeough invesigation is required.

1. Medications to manage the Menstrual period

The most frequent way of PCOS treatment solutions are the contraceptive pill or contraception pill; Even if you are not promiscuous person, oral contraceptives could possibly be prescribed from your gynecologist doctor because they retain the hormones that the body requires to deal with your PCOS. These oral contraceptives help in:

Correct the hormonal imbalance
Regulate your menstrual periods
Lower the chance of endometrial cancer
Prevent an unplanned pregnancy

They could also enhance your androgen-related acne problems, male-type hair growth, and male-pattern thinning hair.

2. Medications to lessen Insulin Resistance

Metformin originally a drug used for treatment of diabetese is just FDA-approved answer to insulin resistance and diabetes. Metformin is often a useful medication in PCOS patients since it helps to improve fertility, reduce miscarriages and gestational diabetes, minimizing long-term health problems. The application of metformin while being pregnant remains controversial although risk definitely seems to be small. Hence the utilization of this medicine for the PCOS symptoms must be discussed with your doctor.

3. Infertility Medications is also useful

In PCOD patients suffering from Infertility, the principle purpose of using medications is always to make certain there exists ovulation happening. Clomid or Letroze are the first distinctive line of medication employed in management of infertility in PCOD patients that help in ovulation. Patients are educated about fertile period (time when egg makes the fallopian tubes from your ovary) current assistance of ovulation prediction kits these are advised to get intercourse. This can stop helpful in PCOD patients with persistent high LH levels.

As a result of link between PCOS and insulin resistance, medications which can be normally used to treat diabetes, namely Metformin, may be used to increase insulin sensitivity. By enhancing the body's reaction to insulin, it really is belief that the ovary might not exactly make as much androgens, which increases the likelihood that ovulation will occur. Metformin could also lessen the numbers of circulating androgens, even if you are not trying to get pregnant. This helps regulate your menstrual period reducing the distressing symptoms that you could be experiencing. Some women ought to take both Clomid and Metformin so that you can ovulate.

In situations where oral medicine is a failure, hormonal injections like Gonadotrophins are widely-used. Every month, Gonadotrophins namely Follicle Stimulating Hormone (FSH) is secreted with the pituitary that makes an follicle grow. Hence, Gonadotrophin injections directly improve the amount of FSH circulating by the body processes, promoting the development and growth and development of a more mature egg. There is a chance of ovarian hyperstimulation when PCOD patients receive gonadotrophin injections; therefore it's mandatory to evaluate progress through ultrasound and blood tests. Once the doctor feels that you will be near to ovulation, your are either advised to have intercourse (Ovulation induction with timed intercourse) or doctor plans for Intra uterine insemination (IUI).


Surgery has got a minimal role in PCOD patients. However, therapeutic ovarian drilling can be carried out whereby the cysts in the ovary are punctures under laparoscopic guidance. Botox injections produces a dramatic lowering of male hormones within days. Research indicates that around 80% will manage to benefit from such treatment. Females who did not ovulate with letrozole or metformin therapy will respond when rechallenged using these medications after ovarian drilling. Interestingly, women of these studies who're smokers rarely answered the drilling procedure. Pelvic adhesions or ovarian failure are couple of the side effects that can be rarely anticipated after laparoscopic ovarian drilling.

Your Anemia will also cure once the bleeding stops. However, you should take Iron and Vitamin B12 to correct anemia.

Eating a structured diet which contains all these nutrients is the easiest method to ensure that you have the nutrients to create healthy blood minimizing the chances of mild anemia. However, diet alone may well not provide every one of the vital nutrients.

Having a regular dose of natural supplements containing each of the essential hemopoietic elements could possibly be appropriate to satisfy the daily dependence on these nutrients. An excellent supplement is but one made up of all of the hemopoietic nutrients and also other nutrients needed for the daily functions from the body.

With regards

M.K. Gupta
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