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Prolonged bleeding with PCOD on DUPHASTON.

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Hi. Am 32 yrs old. Have pcod. I had prolonged bleeding and my doctor has prescribed duphaston 10 mg for 5 days (twice a day). All tests were done before prescription. Bleeding stopped. But again restarted after 6 days. Am traveling and unable to reach my doctor on phone. Am really worried. Pls help!

Category: OBGYN

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Category: Infertility Specialist
 28 Doctors Online

Hello,
Thanks for your query at DoctorSpring.com
Yes, weight loss is a must with PCOD, as it will impact your cycles positively.
Right now, please restart Duphaston.
IF 10 mg twice a day does not stop the bleeding in a couple of days, make it 10 mg three times a day, until you are back from the travel, and can see your doctor again.
Such bleeding is not normal, even for PCOD.
You might need to take 3 - 6 cycles of cyclical progesterone therapy to regulate periods.
A diagnostic D and C may be done to obtain a sample of the lining of the uterus, to check if you are having abnormal thickening of the lining ( endometrial hyperplasia ).
Also, make sure that you get an OGTT ( oral glucose tolerance test ) done, and other relevant tests.
I am listing them out - OGTT, TSH, FSH, LH, Prolactin, DHEAS, Free testosterone, Lipid Profile and transvaginal ultrasound scan on day 2 of your cycle.
Also, a Pap smear.
Let me know if these tests are done, and when you can, upload the results.
Hope the Duphaston works in controlling the bleeding right now.
All the best
Please feel free to discuss further.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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