Does PCOS/PMOS cause a scanty menstrual cycle, severe menstrual cramps, and vomiting?

Question

Hi doctor,

I am a 20-year-old and have been diagnosed with PCOS/PMOS and anemia with anisopoikilocytosis. I have a regular but scanty menstrual cycle. I also suffer from pica disorder. I feel very drowsy and have severe menstrual cramps along with vomiting.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Have a complete checkup and take proper treatment for all existing health issues. Follow an iron-rich diet including apples, carrots, spinach, and iron supplements to help avoid anemia. A psychologist consultation may also help if you have symptoms of pica disorder. Daily walking, exercise, yoga, and maintaining a normal BMI and healthy weight are important, especially if there is a possibility of PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome) or hormonal imbalance.

During menses, you can take Postan 500 mg (Mefenamic acid) every eight hours for cramps for three to five days. For vomiting, Cyclizine 50 mg (Cyclizine hydrochloride) every eight hours may help. Combined oral contraceptive pills are often prescribed cyclically for three months to regulate irregular periods, which are commonly seen in PCOS/PMOS.

I also suggest a transvaginal scan and day two menstrual blood tests, including:

Progesterone.
Prolactin.
Testosterone.
Insulin.
FSH.
LH.
Thyroid function test.
Complete blood count.

These investigations can help evaluate anemia, hormonal imbalance, and conditions such as PCOS/PMOS.

Please collect all the reports and discuss them here. Anemia should be corrected properly and reviewed regularly by a physician.

Thank you.