18 years
My period is irregular.2yrs ago the hormone test showed a high level of prolactine.the ultrasound showed PCO.I took glucophage and progesterone for 6mnths.What should I do?can this affect my fertility
Apr 6, 2015
Polycystic Ovary Syndrome (PCOS) itself, not the medications, may indeed pose an increased risk of compromised fertility if the menstrual cycles are anovulatory, i.e., no ovulation occurs during the menstrual cycle. But this is not the case in all women with PCOS. A detailed history of the menstrual cycle remains a pillar in assessing whether or not there is regular ovulation, so this should be discussed with your treating physician.
The mainstay of treatment of PCOS is hormonal contraception by using oral contraceptive pills (OCPs), and this is the first-line management for the menstrual abnormalities and hirsutism (excess hair; hair growth in unusual areas of the body)/acne of PCOS.
Glucophage (metformin) is recommended in women who have who have type 2 diabetes mellitus, or who show evidence of impaired glucose tolerance (when given glucose orally, the blood sugar rises to a high level after 1 or 2 hours; this test is know as oral glucose tolerance test or OGTT). Metformin is resorted to when you fail to reduce your weight with lifestyle modifications (diet and exercise).
Now since you have ovarian cysts, you need to re-consult your treating physician regarding the next step of your treatment; he/she may decide to do a follow-up ultrasound to check on the size of the ovarian cysts (they should shrink). A discussion of the duration of treatment is also necessary and should be based on the extent of response and risk factors for heart and blood vessel disease in your particular case.
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