instruction: hello doctor I have been diagnosed with pod and endometriosis suffering from irregular bleeding which does not seem to stop I saw a gynecologist last month she happens to be my regular doctor I am also planning to conceive so she gave me certain medications that would help me to plan but the main problem arising is my period does not seem to stop and now it is really disturbing I am confused with my medications also when I am planning to take contraceptives to regularize my period it would not be good for me I guess kindly suggest something which will regularize my period and also help me continue with baby planning medications I am currently on folic acid with metformin tablets
output: hello the pod polycystic ovary disease is confirmed by ultrasound transvaginal and there is a presence of a small fibroid as well in the posterior wall of the uterus along with a left ovarian endometriotic cyst this simply confirms that there is an estrogen depletion and testosterone excess in your body which needs to be rebalance and that can be done with the help of oral contraceptive pills and myo inositol and chiroinositol supplementation for at least three cycles you have to understand that pod is alike diabetes and cannot be completely treated but can be controlled and prevented with lifestyle and dietary modifications post medical treatment you need to be placed on medications before you start ovulating naturally which you are not due to pod the presence of a hemorrhagic cyst unlikely endometriotic too can be addressed with the pod regimen the insulin resistance in your body would too have to be controlled and you need to avoid oily spicy and fried foods to an extent along with brisk walking daily with adequate daily water intake please do not opt for an ovulation induction cycle as that would be an attempt in vain