When do I need to see an Endocrinologist for PCOS in Singapore?

Doctor's Answers 1

I’ll be frank, it’s been some time since I had to manage PCOS for anyone, but as I recall the common issues with it are:

  1. Acne
  2. Weight gain
  3. Hirsutism (hair growth)
  4. Difficulty conceiving

If your main issue is acne, Dianette is a reasonable option - although it is not recommended as a contraceptive.

I would advise you to seek the advice of a gynaecologist if conceiving is an issue or perhaps a dermatologist if acne is the main overriding concern.

This is what I would advise if seeing someone for the first time. I would presume that you have had an ultrasound scan done.

Bw

Dr Dinesh

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Are there any alternatives to Diane-35 for PCOS, acne, and heavy periods?

You should visit your gynaecologist for check up, blood tests and ultrasound scan of your pelvis to confirm the diagnosis of PCOS and to exclude other causes of irregular, painful, and heavy menses. Your gynaecologist can give you advice and treatment plan based on your test results and ultrasound scan report. Studies have shown there is slight increased risk of breast cancer in women who are taking oral contraceptive pills. The risk is higher in those women who have strong family history of breast cancer or abnormal breast cancer gene.

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What could be the cause of a brown band on my nail? (photo)

Thank you for getting in touch with us. These brown lines are usually the result of pigments being deposited right below where the nail is growing. The medical term is melanonychia. There can be quite a long list of possible causes for this. But most of the time it is not something dangerous. You should check it out with your GP or skin specialist. What we would do is to take a close look at the nail and the skin around it with a "dermascope", or a good magnifying glass to advice you further. Take Care.

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