What is the remedy for PCOS/PMOS and fibroadenoma?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Firstly, I would like to give you some information on PCOS/PMOS. PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome) is a congenital condition, meaning it is a genetically inherited condition that you get from your parents. When you suddenly put on weight, the cholesterol is converted into estrogen hormone (for example, obese men developing breasts and young obese girls having periods at a younger age due to their high levels of Estrogen hormone, which is a female hormone).

Just like that, in your body, when fat is converted to a hormone that hampers the balance between FSH (follicle-stimulating hormone) from the brain and the ovarian hormone. FSH stimulates the follicle from an ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture, and hence you will see all these follicles as PCOS/PMOS in your ultrasonography scan.

Additionally, PCOS/PMOS is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods containing clots, fleshy masses, on-and-off spotting, thyroid abnormality, and prolactin problem indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast.

Many women have a family history of diabetes. PCOS/PMOS will not allow ovulation to occur at any time, so you cannot get pregnant till treated. It also increases your chances of miscarriage. However, there are some measures that you can take to control your condition. The first is weight management. Your expected weight is around 134 to 141 pounds, and your current weight is near this range. But whenever your weight suddenly increases, the symptoms will reappear. Once you reduce your weight to the normal range, you will not need any medicine to get periods or to get pregnant, and the pregnancy will be healthy.

To reduce weight, I suggest you follow the instructions mentioned below:

1. Do not fast, but avoid junk food, fast food, and red meat.
2. Reduce snacks in between meals.
3. Consume food with low calories and high protein.
4. Perform regular exercise, especially for the waist and hip area, aerobics, yoga, and brisk walking with swinging your hands well.

I suggest you try to reduce 4 to 8 pounds per month. As soon as you reduce by at least 11 pounds, you may notice positive changes. Even if you are in the normal weight range, try this schedule; it will help. Along with weight reduction, you can regularise the body's hormones with cyclical oral combined pills within three to four months. I suggest you take a tablet containing any of the following combinations:

1. Desogestrel 0.15 mg + Ethinylestradiol 0.03 mg.
2. Ethinyl Estradiol 0.05 mg + Norgestrel 0.5 mg.
3. Ethinyl Estradiol 0.05 mg + Levonorgestrel 0.25 mg.
4. Ethinyl Estradiol 0.02 mg + Desogestrel 0.15 mg.

All these are 21-day pill packs. I suggest you take one tablet of any one of the pills two times a day for ten days and throw away the 21st pill. You will get your period within seven to ten days. From the first day of the period, take the same tablet one time for 21 days; for the remaining seven days, do not take any pills; then, from the eighth day, start taking the tablet once daily the same way.

Do not wait for the periods. Repeat the same cycle till you want contraception. Do not skip or forget to take a tablet on any day in between, as it may cause bleeding and hamper its effectiveness. So the method is to take one tablet for the first 21 days, skip seven days, and start a new pack on the eighth day. I suggest you consult a specialist, talk with them, and take the medications with their consent.

Regarding fibroadenoma, if it is not causing any symptoms, you do not require any intervention.

I hope this has helped you.

Please follow up if you have more doubts.

Thank you.