Q: I have not being seeing my monthly period for months now, and even it comes once after three months it will not even flow very well. I went to see the doctor and he said I have polycystic ovaries (PCOS). He gave me some drugs which I have to take for 28 days before my period can be able to come out. But once I stop the drugs it won’t come out again. Doc: I really need your help on this because I can’t continue taking drugs every month before I will see my monthly period and I want to also be a mother someday. Thank
A: Ovaries are small bean-shaped organs on either side of your womb. Every month, your ovaries develop sacs called follicles from where eggs are released monthly and female sex hormones produced. After the egg is released every month, the sac disintegrates. But sometimes, the egg is not released and the sac remains or the egg is released and the sac does not disintegrate. This follicle becomes the fluid-filled cyst sac. Usually this is not a problem as it could form during every menstrual cycle and usually resolves on its own. These cysts are called the functional cysts. However, these cysts could get very big and in some instances become twisted or they could rupture causing problems. This latter type is called pathological cyst.
Examples of pathological cysts occur in PolyCystic Ovarian Syndrome and endometriosis. In the former, small cysts appear all over the surface of the ovary and is also associated with irregular menstruation and high hormonal levels. In endometriosis, the tissues of the uterus (womb) are found outside of the uterus. These two pathological cysts are associated with fertility problems. Functional cysts are hardly associated with fertility issues except they become extremely large.
Treatment depends on your particular situation. Your doctor could order serial scans to continually observe the size of the cysts and see if they reduce in size. Another treatment option is the use of birth control pills (which it appears you are on) to prevent the development of more cysts in future menstrual cycles. The final option is surgery. Have a chat with your doctor and let him know your concerns about taking medications all the time.
All the best!
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