Me pcod ki medicine le rhi hu dronis r 20 iske side effects kya h kunki ye me last 3 months se le rhi hu or 2 months se bar bar mere gasetic problem ho rhi h jism pet dard hota h and acedity bn jati h.

PCOD KE TREATMENT SE ACIDITY HO JAATI HE. Acidity ke liye Rabeprazole 20 mg (by name of Cyra, not Cyra plus) din mein 2 baar khaali pet (savera 7-8 am & shaam 7-8 pm) lo on & off. 7 din lo bhir 2-3 din band kar do, phir lo 4-5 din phir band kar do aur phir. PCOD ki poori information neeche de raha hoo: Polycystic ovary syndrome (PCOS) or Poly-Cystic Ovarian DisEASE (PCOD) is a set of symptoms due to elevated androgens (male hormones) in women. Signs and symptoms of PCOS include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, velvety skin. Associated conditions include type 2 diabetes, obesity, obstructive sleep apnea, heart disease, mood disorders, and endometrial cancer. PCOS is due to a combination of genetic and environmental factors. Risk factors include obesity, not enough physical exercise, and a family history of someone with the condition. PCOS has no cure. Treatment may involve lifestyle changes such as weight loss and exercise. Birth control pills may help with improving the regularity of periods, excess hair growth, and acne. Metformin and anti-androgens may also help. Anti-androgen Cyproterone acetate has both androgenic as well as progeestogenic activities. It is available with Ehinyl estradiol: cyproterone acetate 2 mg + ehinyl esradiol 35 mcg and marketed as Dain-35, Cystpro and many others. 21 tabs or 28 tabs (7 being fake). Start from 1st day of menses under medical supervision. Other typical acne treatments and hair removal techniques may be used. Efforts to improve fertility include weight loss, clomiphene, or metformin. In vitro fertilization is used by some in whom other measures are not effective. If not already associated with endometrial carcinoma (which is rare at your age), it does not turn out into cancer. Common signs and symptoms of PCOS include the following: 1.Menstrual disorders: PCOS mostly produces oligomenorrhea (few menstrual periods) or amenorrhea (no menstrual periods) or pain during or before menstruation. 2.Infertility: This generally results directly from chronic anovulation (lack of ovulation). 3. High levels of masculinizing hormones: The most common signs are acne and hirsutism (male pattern of hair growth), but it may produce hypermenorrhea (heavy and prolonged menstrual periods), androgenic alopecia (increase hair thinning or diffuse hair loss), or other symptoms Approximately three-quarters of women with PCOS have evidence of hyperandrogenemia. 4. Metabolic syndrome: This appears as a tendency towards central obesity and other symptoms associated with insulin resistance. Serum insulin, insulin resistance, and homocysteine levels are higher in women with PCOS. Asians affected by PCOS are less likely to develop hirsutism than those of other ethnic backgrounds. Treatment or Management: The primary treatments for PCOS include: lifestyle changes, medications and surgery. Goals of treatment may be considered under four categories: Lowering of insulin resistance levels Restoration of fertility Treatment of hirsutism or acne Restoration of regular menstruation, and prevention of endometrial hyperplasia and endometrial cancer General interventions that help to reduce weight or insulin resistance can be beneficial for all these aims, because they address what is believed to be the underlying cause. As PCOS appears to cause significant emotional distress, appropriate support may be useful. Diet Where PCOS is associated with overweight or obesity, successful weight loss is the most effective method of restoring normal ovulation/menstruation, but many women find it very difficult to achieve and sustain significant weight loss. Vitamin D deficiency may play some role in the development of the metabolic syndrome, so treatment of any such deficiency is indicated. Vitamin D-3 (Cholecalciferol) 1 sachet every 3 months should be taken. Vitamin B-12 deficiency may be there and may be corrected by Vit B-12 tabs marketed as Neurokind OD 1/2 tab sublingual (under tongue) regularly or on and off. Medications Medications for PCOS include oral contraceptives and metformin. The oral contraceptives increase sex hormone binding globulin production, which increases binding of free testosterone. This reduces the symptoms of hirsutism caused by high testosterone and regulates return to normal menstrual periods. Oral contraceptives containing anti-androgen cyproterone acetate may be used. Metformin is a drug commonly used in type 2 diabetes to reduce insulin resistance, and is used to treat insulin resistance seen in PCOS. In many cases, metformin also supports ovarian function and return to normal ovulation. Spironolactone can be used for its antiandrogenic effects, and the topical cream eflornithine can be used to reduce facial hair. A newer insulin resistance drug class, the thiazolidinediones (glitazones), have shown equivalent efficacy to metformin, but metformin has a more favorable side effect profile. The use of statins in the management of underlying metabolic syndrome remains unclear. It can be difficult to become pregnant with PCOS because it causes irregular ovulation. Medications to induce fertility when trying to conceive include the ovulation inducer clomiphene or pulsatile leuprolide. Metformin improves the efficacy of fertility treatment when used in combination with clomiphene. Metformin is thought to be safe to use during pregnancy and the use of metformin does not increase the risk of major birth defects in women treated with metformin during the first trimester. Infertility Not all women with PCOS have difficulty becoming pregnant. For those that do, anovulation or infrequent ovulation is a common cause. Other factors include changed levels of gonadotropins, hyperandrogenemia and hyperinsulinemia. Like women without PCOS, women with PCOS that are ovulating may be infertile due to other causes, such as tubal blockages due to a history of sexually transmitted diseases. For overweight, anovulatory women with PCOS, weight loss and diet adjustments, especially to reduce the intake of simple carbohydrates, are associated with resumption of natural ovulation. For those women that after weight loss still are anovulatory or for anovulatory lean women, then the ovulation-inducing medications clomiphene citrate and FSH are the principal treatments used to promote ovulation. Previously, the anti-diabetes medication metformin was recommended treatment for anovulation but it appears less effective than clomiphene. For women not responsive to clomiphene and diet and lifestyle modification, there are options available including assisted reproductive technology procedures such as controlled ovarian hyperstimulation with follicle-stimulating hormone (FSH) injections followed by in vitro fertilisation (IVF). Though surgery is not commonly performed, the polycystic ovaries can be treated with a laparoscopic procedure called "ovarian drilling" (puncture of 4–10 small follicles with electrocautery, laser, or biopsy needles), which often results in either resumption of spontaneous ovulations or ovulations after adjuvant treatment with clomiphene or FSH. There are, however, concerns about the long-term effects of ovarian drilling on ovarian function. Hirsutism and acne When appropriate (e.g. In women of child-bearing age who require contraception), a standard contraceptive pill is frequently effective in reducing hirsutism. Progestogens such as norgestrel and levonorgestrel should be avoided due to their androgenic effects. Cyproterone acetate ha got both prostogenic as well as anti-androgenic activities and is preferred. Other drugs with anti-androgen effects include flutamide and spironolactone, which can give some improvement in hirsutism. Metformin can reduce hirsutism, perhaps by reducing insulin resistance, and is often used if there are other features such as insulin resistance, diabetes, or obesity that should also benefit from metformin. Eflornithine (Vaniqa) is a drug that is applied to the skin in cream form, and acts directly on the hair follicles to inhibit hair growth. It is usually applied to the face. 5-alpha reductase inhibitors (such as finasteride and dutasteride) may also be used they work by blocking the conversion of testosterone to dihydrotestosterone (the latter of which responsible for most hair growth alterations and androgenic acne). Although these agents have shown significant efficacy but the reduction in hair growth may not be enough to eliminate the social embarrassment of hirsutism, or the inconvenience of plucking or shaving. Individuals vary in their response to different therapies. It is usually worth trying other drug treatments if one does not work, but drug treatments do not work well for all individuals. Menstrual irregularity If fertility is not the primary aim, then menstruation can usually be regulated with a contraceptive pill. The purpose of regulating menstruation, in essence, is for the woman's convenience, and perhaps her sense of well-being; there is no medical requirement for regular periods, as long as they occur sufficiently often. If a regular menstrual cycle is not desired, then therapy for an irregular cycle is not necessarily required. Most experts say that, if a menstrual bleed occurs at least every three months, then the endometrium (womb lining) is being shed sufficiently often to prevent an increased risk of endometrial abnormalities or cancer. If menstruation occurs less often or not at all, some form of progestogen replacement is recommended.[ An alternative is oral progestogen taken at intervals (e.g. Every three months) to induce a predictable menstrual bleeding. Alternative medicine There is not enough evidence to conclude any beneficial effect from D-chiro-inositol. Based on a systematic review, myo-inositol supplementation, however, appears to be effective in improving several of the hormonal disturbances of PCOS. There is also not evidence to support the use of acupuncture or yoga for treatment of ovulation disorders in women with PCOS. Conversion into Cancer: Endometrial hyperplasia and endometrial cancer (cancer of the uterine lining) are possible, due to overaccumulation of uterine lining, and also lack of progesterone resulting in prolonged stimulation of uterine cells by estrogen. But if oral contraceptive are taken regularly or once in 3 months, so enough endometrial lining is shed off, the chances of getting conversion into cancer become much less. It is not clear whether this risk is directly due to the syndrome or from the associated obesity, hyperinsulinemia, and hyperandrogenism.type diabetes 

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Dr. Rita BakshiGynaecologist34yrs exp

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Hello, You may have gastric problem due to these pills. Try changing the time of taking your pill to preferably bedtime. 

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