instruction: hello doctor I am a 24 year old female my weight is 57 keg height is 163 am my complaint is face chubbiness and I gained about keg for the past months and the main problem is that I am missing my menses this month my lap was on 15th april as per gynecologist advise I did abc fasting sugar ash prolactin hug total testosterone dheas fish oh us pelvis for pod doctor advised to take primolut but I have not yet started the tablet do I need to start that and what is the line of treatment all reports were normal except the two ash 13 740 dheas 53 19 please help
output: hello yes you can take the primolut tablet as advised by your gynecologist as your periods have gotten delayed by almost more than 45 days it is unlikely that they would come naturally even if it does it may not be similar to your natural menstrual pattern this is because this is an anovulatory cycle meaning no ovulation must have occurred in this cycle usually when periods come after such a delay it could range from spotting to scanty flow to excess flow or sometimes prolonged bleeding which may need hormonal medications to stop the bleeding I would like to know if you face any acne or unwanted facial hair growth problems if so then you must be having cos even if the us is normal and yes you definitely need to start treatment for your hypothyearoidism as your ash thyearoid stimulating hormone level is high thyearoid hormonal disturbance are quite common with cos polycystic ovary syndrome and also it can disturb the menstrual pattern too so definitely you need to start your thyearoxine replacement medications dheas dehydroepiandrosterone is low so there is nothing to worry about that as you complained about weight gain over the recent few months it would be advisable to reduce your weight do regular exercises and eat a proper healthy diet I hope this helps