Gynecology Q&A: Q&A with expert Gynecologist Dr. Heena Chawla

In this video SimpliHealth expert Gynecologist Dr. Heena Chawla is talking about very common questions that people ask in the OPD.

Why are contraceptives used for PCOS/PCOD?

The most commonly asked is the pills, i.e Contraceptive pills that our experts have prescribed for 21 -24 days for any reason like PCOD/PCOS. As a  contraceptive or for  fibroids. So they are given for a reason. So they come and tell us that they didn’t have proper bleeding at that time or had significantly less bleeding. 

When Should contraceptive pills be taken?

When the ovulation is stopped, the concentration of progesterone is reduced, due to which the innermost layer of the uterus that is endometrium doesn’t get that thick. So obviously, if the endometrium doesn’t get thick, it’s thin, then the bleeding will be less. 

So this is the after effect of the medicine.It is the mechanism of action of these pills due to which the bleeding is less. As soon as the pills are stopped, the body regains its process, and in the very next cycle, the bleeding pattern is set again—those females who are taking injections for  contraception after every three months. the bleeding may stop for a longer duration of time. So, in this case, either we have to wait and watch, or administer some medicines to set the menstrual pattern again. Another thing females often feel during periods is nervousness or anxiety. 

Premenstrual syndrome

There are different features, some may have headaches or some may have cramps, or some may feel pain in their legs. Due to this, one may develop fear, anxiety, and panic situations. They think it’s only with them, but it is a very common condition, more commonly called premenstrual syndrome. So this PMS is commonly found mainly in the young age group. It is prevalent in them. So in this, first of all, we don’t have to panic, start doing some exercise because the anxiety level and stress level is reduced.