Question 1

I have acne issues since 2013 and recently I was diagnosed with PCOS. My report says right ovary 33.6x15.5x30.0 mm volume 8.18 cc and left ovary 30.6x24.1x30.9 mm volume 11.9 cc. Ovaries are mildly enlarged and show an increase in stromal echogenicity and thickness. Multiple small similar sized follicles are seen in both. How serious is this issue and should I go for medication or can it be managed by lifestyle changes?

Question 2

Since my first menstrual cycle I had irregular periods. During the last three years the problems have increased, including lower abdomen pain during the delayed period as premenstrual cramps. The cramps are less painful during the periods but due to bloating the flow has not been good. I sneeze a lot when the blockage happens and then the flow is released with lumps. My stamina, resistance to infections, immunity, memory, and other health aspects have decreased over time with an increase in headache resulting in migraine, nausea, restlessness, bad mood, anxiety, and back pain. Digestion has also been an issue during the last three years as I traveled to a few cities which led to stomach infections that took more than a year to improve. Still the problem exists. This time I got the results of the tests and I am attaching them here. Vitamin D25 hydroxy is 41.26 nmol per L. Looking at all my problems, please let me know natural solutions and vitamin supplements?

Question 3

I am currently managing PCOD and have completed a two month course, now starting my third month. Recently, I have been experiencing frequent and severe headaches. My doctor advised me to get my prolactin levels tested, and my blood report shows a prolactin level of 44.45 ng per ml. Could you please advise what steps I should take next?

My last period was on 10th September and since then I have not had my period. My ultrasound of lower abdomen report shows mild free fluid in cul de sac and polycystic pattern of my right ovary with multiple small peripheral follicles and central echogenic stroma in my right ovary. What does it mean?

Mild free fluid can be normal around ovulation. Polycystic ovary pattern suggests possible PCOS but does not confirm it alone. If periods are absent since Sept, follow up is needed for hormonal evaluation.

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