Managing PCOS: Questions on Progyluton and Hormone Regulation - Obstetrics and Gynecology

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Continuous use of Progyluton (menstrual regulation medication)?


I would like to ask about my situation.
I had blood tests and an ultrasound at the hospital, and my androgen levels are twice that of a typical female.
I was diagnosed with polycystic ovary syndrome (PCOS) and was prescribed Progyluton (a menstrual regulation medication) by my doctor.
I took it continuously for three months, and my menstrual cycle was normal.
However, after three months, I stopped taking the medication, and I am currently using traditional Chinese medicine to adjust my body constitution.
It has been almost three months, and my period has not returned.
1.
Should I return to the clinic for a menstrual induction injection or take Progyluton again, or should I continue with the traditional Chinese medicine and wait for my period to come? (I currently have no plans for pregnancy; I just want to normalize my menstrual cycle.)

2.
How can I lower my androgen levels? Besides medication, are there any dietary recommendations?

Ms. Tseng, 30~39 year old female. Ask Date: 2016/06/02

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, I haven't had my period for almost three months.
I will return to the clinic for menstrual induction.
If I just want to regulate my menstrual cycle, I can take Progyluton.
If I want to conceive, I can take ovulation medications.
To lower androgen levels, I might consider weight loss.
Wishing you good health.

Reply Date: 2016/06/02

More Info


Managing Polycystic Ovary Syndrome (PCOS) can be a complex process, especially when it comes to hormone regulation and menstrual cycle management. Based on your situation, where you have been diagnosed with PCOS and have experienced elevated androgen levels, it is essential to approach your treatment thoughtfully.

1. Returning to Medical Care: Given that you have not had a menstrual period for three months after stopping Progyluton, it would be advisable to return to your healthcare provider for further evaluation. Progyluton, which contains estrogen and progestin, is often prescribed to help regulate menstrual cycles in women with PCOS. If your menstrual cycle does not resume with lifestyle changes or herbal treatments, your doctor may recommend resuming Progyluton or another form of hormonal therapy to induce menstruation. Hormonal treatments can help restore the balance of hormones in your body, which is crucial for regulating your menstrual cycle.

If you choose to continue with traditional Chinese medicine (TCM) or herbal remedies, it is essential to communicate this with your healthcare provider. They can help ensure that any herbal treatments you are taking do not interfere with other medications or treatments you may need.

2. Lowering Androgen Levels: To address elevated androgen levels, there are several strategies you can consider beyond medication. Here are some lifestyle and dietary recommendations that may help:
- Dietary Changes: A balanced diet that focuses on whole foods can be beneficial. Consider incorporating more fruits, vegetables, whole grains, and lean proteins while reducing processed foods, sugars, and refined carbohydrates. Some studies suggest that a low-glycemic index diet may help improve insulin sensitivity and lower androgen levels.

- Weight Management: If you are overweight, even a modest weight loss of 5-10% can significantly improve insulin sensitivity and lower androgen levels. Regular physical activity, including both aerobic and resistance training, can help with weight management and hormonal balance.

- Supplements: Some supplements, such as inositol (particularly myo-inositol), have been shown to improve insulin sensitivity and may help regulate menstrual cycles in women with PCOS. Omega-3 fatty acids and vitamin D may also have beneficial effects on hormonal balance.

- Stress Management: High stress levels can exacerbate hormonal imbalances. Techniques such as yoga, meditation, and mindfulness can help manage stress and improve overall well-being.

- Regular Monitoring: Regular follow-ups with your healthcare provider are essential to monitor your hormone levels and overall health. This will help you and your doctor make informed decisions about your treatment plan.

In conclusion, while hormonal medications like Progyluton can be effective in managing PCOS symptoms, lifestyle modifications play a crucial role in long-term management. It is essential to work closely with your healthcare provider to determine the best course of action for your specific situation, especially if you are considering alternative therapies. Regular monitoring and open communication with your healthcare team will help ensure that you achieve a healthy balance and manage your PCOS effectively.

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