How can one regulate irregular periods with PCOD?

Question

Hello doctor,

I have polycystic ovarian disease (PCOD), and my last period was due but has not started yet. I have had sore breasts for over two weeks. I need my period before an important event.

Can I take Medroxyprogesterone (Gestroserv-M) to induce it? If so, what dosage and duration should I follow? I am also concerned about acne as a side effect. Will this guarantee that my period arrives on time? I have been consuming Indian gooseberry (amla), warm water with fenugreek (methi), turmeric, cumin seeds (jeera), and papaya in the evening. I was regular with the gym but discontinued it for the last five days.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

Since you have Polycystic Ovarian Disease (PCOD) and irregular cycles, it is understandable that you want to induce your period before an important event. Medroxyprogesterone (Gestroserv-M) is commonly prescribed for this purpose, but before taking it, let’s consider the best approach. Medroxyprogesterone (MPA) five to ten mg daily for five to ten days is commonly used to induce a withdrawal bleed (period). However, there are a few things to consider. Periods usually start three to seven days after stopping the medication, but timing can vary. If you start today, you might get your period within a week or two, but there is no guarantee. Sore breasts could be due to hormonal fluctuations, so taking MPA may help regulate them.

Medroxyprogesterone 10 mg once daily for five to seven days (or as prescribed by a doctor). Stop the medication after five to seven days; your period should come within a few days. Hormonal changes from MPA can trigger acne in some people. To reduce the risk of acne, drink plenty of water and avoid dairy and sugar. Continue consuming fenugreek (methi) and turmeric, which help with hormonal balance. Use zinc supplements or topical treatments if you are prone to breakouts.

If you prefer to wait a few more days before using medication, you can try natural remedies. Eating papaya and pineapple may help stimulate uterine contractions. Consuming sesame seeds and jaggery, which are warm foods, can also help induce a period. Drinking ginger tea, a natural emmenagogue, may help start periods. Continuing regular exercise and using warm compresses can further help regulate your flow. If there is any chance of pregnancy, take a test before starting Medroxyprogesterone to rule it out.

I hope this helps.

Thank you.