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Pre Menstrual Syndrome: Treatment, Procedure, Cost And Side Effects

What is Pre Menstrual Syndrome?

Pre Menstrual Syndrome is a condition affects women just before her menstrual cycle. It affects women emotionally, physically and behaviorally as well. It is a common condition which affects almost 90 percent of menstrual women. Cause of Pre Menstrual Syndrome is unknown, but ts symptoms start five to eleven days before periods.

Pre Menstrual Syndrome has some risk factors such as -

Bipolar disorder - it is a form of mental illness, in which patients have episodes of depression. These depressive episodes lead to deep sadness, suicidal thoughts, loss of energy, hopelessness, and duration of little or too much sleep. Bipolar disorder is also known as manic depression. It is of three types include bipolar 1, bipolar 2 and cyclothymia.

Dysmenorrhea - it is a condition in which girls started feeling menstrual cramps in lower abdominal, which could range from mild to severe. This kind of condition occurs after one or two years when a girl reached puberty. These menstrual cramps stop entirely when a girl had her first baby. Due to this condition, a girl may feel pain in lower back, loose stools, upset stomach, vomiting, and pressure in the belly as well.

Major depressive disorder - an intense feeling of sadness for a long period of time can be called as major depressive disorder. It can also be referred to as clinical depression. In this condition, the patient feel irritated all most all day. Along with these experiences like restlessness, unusual tiredness, lack of energy, less interested in activities, insomnia, difficulty in decision making, thinking and concentrating are some major symptoms of it.

Seasonal affective disorder - it is a kind of disorder, which relates to changes in depression along with the season. It is a kind of disorder which causes depression in spring or early summer. Patients having it may experience, changes in weight or appetite, low energy, worthless or guilty feeling, agitated are some symptoms of this disorder. Its causes are unknown, but some factors like melatonin levels, serotonin levels, and genes are the key reason for it.

Schizophrenia - it is a kind of condition which strikes slowly over the years or in some cases, it strikes suddenly. Its symptoms depend upon the individual, include delusions, hallucinations, social withdrawal, cognitive difficulties, avolition etc. it could be caused by genes, the chemical imbalance in the brain, environmental factors, may be due to drug consumption.

Is it normal to get tired before your period?

Due to Pre Menstrual Syndrome mood swings, increased thirst, hunger, craving for certain foods, and tiredness. If you have these symptoms before a week of period then you might have this condition. In general, womens doesn’t feel any such tiredness and above mentioned symptoms.

What is the cause of Pre Menstrual Syndrome?

Pre Menstrual Syndrome has some common causes which can worsen the conditions include -

  1. Stress - it is problem to many diseases, Nowadays due to a hectic lifestyle, people get too stressful, which leads to many health problems.
  2. Smoking - as we all know and read it almost at all the cigarettes packets that, use of tobacco and its product could lead to cancer, but it could also lead many diseases which include pre menstrual syndrome also.
  3. Sleeplessness - people who are more stressed often get sleep on time, in severe cases, they won’t even sleep. Due to which the human body doesn’t get sleep and these problems lead to many health conditions including PMS.
  4. Too much salt intake - balance is the key for everything so do in eating things, having healthy eating habits can keep you healthy for a long time. Keep a note and check what you are eating and how much intake you have done.
  5. Alcohol intake - excessive alcohol intake affects over the body through many ways by imbalance the hormones, it leads to pre menstrual syndrome.
  6. Migraine - migraine headaches are also one of the reason for the condition such as pre menstrual syndrome. Having any such condition should not be ignored.
  7. Allergies - there are many kinds of allergic condition which are related to menstrual hormones such as eczema, urticaria, autoimmune progesterone dermatitis, angioedema, and erythema multiforme can worsen during pre menstrual time period.

In such condition you can -

  1. Stop smoking - stopping unhealthy lifestyle regime is a must. Patients required to switch to a healthy lifestyle and routine as soon as possible.
  2. Sleep enough - you can take proper medications, prescribed by the doctor on the basis of the clinical condition. It can help you to get better sleep.
  3. Avoid alcohol, salt, and caffeine - patients having a problem like pre menstrual syndrome, it is required to avoid the consumption of alcohol, salt, and caffeine.
  4. Eat green veggies - in problems like pre menstrual syndrome, it is best to eat green vegetables as much as possible. It can help in balancing the hormone.
  5. Intake vitamins and minerals - keep a check on it and take an adequate amount of minerals and vitamins in your diet.
  6. Work to low the stress. - in such condition, you can take help of yoga or medication. Its exercises help the patient to lower down the stress as much as possible.

What are the symptoms of Pre Menstrual Syndrome?

Pre Menstrual Syndrome symptoms include -

  1. Constipation
  2. Headaches
  3. Fatigue
  4. Anxiety
  5. Depression
  6. Sadness
  7. Acne
  8. Food craving
  9. Sore breasts
  10. Abdominal pain
  11. Bloating
  12. Diarrhea
  13. Irritability

What are the treatment of Pre Menstrual Syndrome?

For the treatment of Pre Menstrual Syndrome doctor may prescribe you following medications such as -

  1. NSAIDs- at the onset of your periods, doctor may prescribe you ibuprofen or naproxen, which gives relieves from menstrual cramps and breast discomfort.
  2. Diuretics - it is also known as water pills, which eases the body shed excess fluid through kidneys.
  3. Hormonal contraceptives - these medicines stop ovulation and gives relief in Pre Menstrual Syndrome symptoms.
  4. Antidepressants - use doctors prescribed medications before two weeks of menstruation begins.

How can you tell if your period is coming soon?

More than 90 percent of women have Pre Menstrual Syndrome in their life. Its symptoms arrives just a week before periods and get away with periods begin. There are few signs to know -

  1. Acne - adult women suffers from more acne than men do. This is due to rising hormone level which activates sebum production.
  2. Change in breast - tenderness and swelling of breast is also a factor. It could be linked with high levels of prolactin.
  3. Cramps - abdominal cramps are the most common condition in such situation.
  4. Constipation - some women got constipation while others got diarrhea.
  5. Headache - change in estrogen levels lead to this condition.
  6. Mood swings - emotional signs are the crucial one as physical signs of Pre Menstrual Syndrome.
  7. Bloating - it is a major complaint, in such condition eat green veggies and exercise regularly is important.

Popular Health Tips

Premenstrual Syndrome - 5 Ways To Deal With It!

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Premenstrual Syndrome - 5 Ways To Deal With It!

Over 85 percent of the women experience the trauma of Premenstrual syndrome which haunts them for those few days of every month. Women undergo physical as well as mental or emotional disturbances like mood swings, anxiety, bloating of the belly as well as cramps in the abdomen.

There are certain lifestyles changes along with natural remedies which can ensure betterment of the PMS –

  1. Avoid the smoke: If you are smoking, you are not only increasing the PMS issue but also the chances of getting ovarian cancer. Most of the women who smoke regularly (at least twice daily), have been found to have significant PMS than the others who don’t smoke. Though the exact reason behind this cannot be discovered yet if you have PMS and stop smoking, you can see changes and improvement of your PMS.
  2. Healthy diet is the key to success: Whether you have PMS any other menstrual problem, one of the primary reasons behind them is unhealthy eating, and it has been proved many a time by the eminent scientists and the researchers of medical science. If you are a caffeine addict, you must know that it increases the irritation during PMS, making you more anxious. Salty food increases the symptoms like bloating and alcohol causes severe depression while having PMS. Having control over this item can save you from PMS to quite a lot extent.
  3. Physical activity: Exercises, yoga, and other physical activities do wonder in the treatment of PMS. If you are into regular yoga sessions, most of your problems related to menstruation can solve quickly. It can also help you to have regular periods without much pain or cramps. Aerobics and muscle-strengthening sessions can also help in reducing the PMS to a great extent.
  4. Vitamins are your savior: Most of the gynecologists prescribe vitamins for treating the PMS. Vitamins are very beneficial for the women who have PMS, especially, the vitamin B6 and vitamin E. Besides vitamins, calcium, and magnesium are also necessary for the better menstrual flow and cycles. You may have 50-100 mg of Vitamin B6 on a regular basis along with 400 IU of Vitamin E. For calcium, you can have either supplements or a warm glass of milk twice a day.
  5. Manage the StressStress acts as the catalyst for any reproductive health issues as they are connected with the hormonal changes. To treat PMS effectively, the most important thing you need to do is to manage your level of stress. In this fast-paced world, where every woman is busy with her professional work or household work, stress is inevitable. But for having a healthy life, you need to relax with meditation and therapies.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2925 people found this helpful

Best Ways To Deal With Premenstrual Syndrome!

MBBS, MS -Gynaecologist, from WALL, From WALLS
IVF Specialist, Varanasi
Best Ways To Deal With Premenstrual Syndrome!

Oh, it is that time of the month again! There are a lot of women (and men who deal with the women) who would have repeatedly said this when they are experiencing the premenstrual syndrome. Most women (and men!) get used to it and know how to deal with it. As the adage goes, this too shall pass!

The female body and mind are controlled by a whole lot of female hormones which affect her health. During the premenstrual phase, when there is a surge in the hormone levels, there are a set of symptoms which any woman dreads. These include increased mood swings, irritability, abdominal cramps, migraines, breast tenderness, food binging, and back pain to name a few. About 80% of the woman experience these, so it is common, yet easily manageable. Some of the best ways to deal with the PMS are listed below.

  1. Stay active: Moving in any way to keep the body in motion and energy flowing is the key to managing PMS. Whether aerobic exercise, dancing, jogging, swimming, or walking, whatever works for you, go ahead and take your pick. Getting at least 30 minutes of physical activity can help get rid of the anxiety and manage stress.
  2. Deep breathing: This is not just a way to give your body more oxygen and therefore energy, it also helps manage the abdominal bloating that is commonly seen during PMS. Deep breaths help in releasing the held up air, which causes the belly to soften.
  3. Quit smoking: Smoking women are twice as likely to experience PMS symptoms as nonsmokers. Period. Reason enough to quit smoking??!!
  4. Soak in the sun: The sun not just gives vitamin D, it also relieves PMS by soothing the effect of the hormones.
  5. Get creative: The reproductive organs are the ‘creators’ in you, so when the hormone levels are higher, your creative energies are higher too. Check out for yourself and you will find that you will be extra-good at drawing, singing, writing and painting during these days. They also take your mind off the stress and symptoms of PMS and make you feel good.
  6. Yoga: Yoga does wonders for PMS symptoms, and staying upside down works wonders for the woman’s body.
  7. Healthy diet: Eat clean, green foods during your cycles. Whole grains, leafy vegetables, fresh fruits, legumes and nuts should find their way into your plates. Reduce the whites – sugar, salt, white rice, and even dairy if possible. Drink loads of water and keep above-average hydration levels.
  8. Limit alcohol and caffeine: They may boost your feeling temporarily, but do a lot of harm, so avoid them.

So, while PMS is not rare, there are simple effective ways to manage it too. In case you have a concern or query you can always consult an expert & get answers to your questions!

3148 people found this helpful

7 Old Fashioned Yet Effective PMS Cures!

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gorakhpur
7 Old Fashioned Yet Effective PMS Cures!

Technology and science have advanced to a great level and there are now several cures for so many diseases and illnesses. However, when it comes to curing menstrual or premenstrual cramps, there are certain old-fashioned cures that have proven to be the most effective.

These are as follows:

  1. Apply a castor oil pack: To make a castor oil pack, soak three layers of cotton wool or a cloth in castor oil till the material is totally wet, but not trickling. Put it over your lower belly and cover it with plastic and place a container with boiling hot water or a warm cushion on top. Relax with your pack for 30 to 45 minutes.
  2. Chasteberry: A herb that can treat PMS is Chasteberry (otherwise known as Chaste-Tree Berry or Vitex). The herb works by directing the pituitary gland, which adjusts the levels of the hormones produced by the ovaries: estrogen and progesterone.
  3. Have an orgasm: An orgasm can mitigate strain in the pelvic muscles and help in relaxing the muscles.
  4. Stick cold cabbage in your bra: Cabbage has calming properties. It functions as a mitigation agent and helps the delicate breasts. Chilled cabbage leaves can also treat and bring down stomach pain when placed on the stomach.
  5. Relax and detoxify: When you have cramps, try to relax. De-stressing and detoxifying are the most ignored systems for relieving excruciating pain. However, they are the easiest and most efficient of all solutions. Going for a walk or listening to music can also help.
  6. Brew and drink some herbal teaHome-brewed teas and edibles have been a go-to solution for hundreds of years. Herbal tea, as its name proposes, has for quite some time been a solid treatment for issues as its oils help in resolving muscle fits or cramps. Red raspberry leaf is a sweet tasting and an exceedingly effective spasm cure when taken as a tea. You can make your own tea from the dried leaves; there are many other tea options possible.
  7. Make a homegrown tincture to limit the bleedingWomen with troublesome periods, particularly those who have issues like fibroids, blisters, endometriosis, and different conditions that can influence bleeding, may want to regulate their stream. You can take a mitigating herb and mix it in a very little amount of alcohol to keep the blood flow warm and avoid clots.

In case the bleeding goes on for more than seven days, or in case you bleed more than you are supposed to in one day, the bleeding could be an indication that something is not exactly right. Take care of your body and see a specialist if your period is reliably strange.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4441 people found this helpful

Premenstrual Syndrome - How It Can Be Treated?

Gynaecologist, Gurgaon
Premenstrual Syndrome - How It Can Be Treated?

Premenstrual syndrome is a common condition that affects women who are menstruating. A multitude of psychological and physical symptoms might show up before the onset of a menstrual period. What causes PMS is unknown, but fluctuating hormonal levels (progesterone and oestrogen) seem to be linked to it.

PMS has many symptoms. These vary in severity and frequency and aren’t the same in every woman. These are the common symptoms of PMS:
1. Tenderness of breasts
2. Bloating
3. Increase in weight
4. Agitation
5. Impaired concentration
6. Backaches or headaches
7. Fatigue
8. Anxiety
9. Irritability
10. Depression or mood swings
11. Overeating or food cravings

A doctor might recommend a few tests to understand and rule out related symptoms:

  1. Diary: Keeping track of the PMS symptoms in a diary for a few months to check the duration will help you understand the condition better. You might be able to see recurring patterns in your behaviour and moods after keeping track of them for few consecutive months.
  2. Thyroid test: Thyroid disease is fairly common in women and a lot of its symptoms match those of PMS. To rule out any thyroid problem, a test can be done to check the efficiency of the thyroid.

Relief can be found by treating the symptoms as there is no prevention of the condition. A nutritious diet, sufficient rest and exercise can help deal with the symptoms better.


  1. Nutrition: Proper nourishment leads to overall mental and physical well-being. Dietary changes like consuming less caffeine, sugar and salt might reduce the PMS symptoms. Supplements prescribed by your doctor such as vitamin E, calcium, magnesium and vitamin B6 help as well.
  2. Medications: Painkillers such as naproxen, ibuprofen and aspirin may provide relief from cramps, backache, breast tenderness and headache. If the PMS causes severe depression, your doctor may prescribe certain antidepressants.
  3. Being Informed: Tracking your periods by maintaining a monthly diary can help you understand and in turn prevent the severity of the PMS symptoms. Learning about coping mechanisms can help you as well. If you wish to discuss about any specific problem, you can consult a gynaecologist.
4170 people found this helpful

Dealing With Premenstrual Syndrome (PMS)

Gynaecologist, Delhi
Dealing With Premenstrual Syndrome (PMS)

PMS or premenstrual syndrome affects women exactly prior to their menstrual cycle. This syndrome may have affects manifold, impacting a woman’s physical health, behavior and emotions. The condition is very common and affects more than 80% of the women before their monthly cycles begin.


The exact cause of PMS is not yet ascertained. It is believed that changes in hormones in the body can lead to PMS. Before the menses start, progesterone and estrogen levels tend to dip in the body. This hormonal dip results in anxiety, anger and irritability issues. Levels of serotonin, a chemical in the brain which affects your moods and thoughts, in the body also decrease at this time. Here are certain factors which make you prone to PMS –

  1. Family history of PMS
  2. Being subject to domestic violence
  3. Emotional and physical trauma
  4. Substance abuse
  5. Past history of mood disorders


The menstrual cycle lasts for 28 days. On the 14th day, egg is released from the ovaries; this is known as ovulation. The bleeding or menstruation occurs on the 28th day of the cycle. Symptoms of PMS start to show up from around the 14th day of the cycle.

PMS includes signs such as abdominal cramps, bloating, acne and sudden craving for sweet foods. Stomach disorders such as constipation and diarrhea are also common. mental disorders such as anxiety and mild depression have also been observed.

Managing PMS Symptoms-

With PMS, one can take these steps to deal with the various signs of discomfort. Here are some remedies to deal with PMS symptoms:

  1. Eat a balanced diet consisting of fruits and vegetables to get Vitamins and minerals in the required amounts.
  2. Keep yourself hydrated to ease symptoms of bloating.
  3. Consuming supplements of folic acid, Vitamin D and calcium can help easing the symptoms.
  4. Sleep for 6-8 hours on a regular basis.
  5. Exercise regularly to beat stress and avoid bloating.
  6. Try relaxation techniques to get rid of stress or at least limit stress levels.
  7. Some pain killers can help combat the pain resulting from muscle aches. If you wish to discuss any specific problem, you can consult a gynaecologist.
2838 people found this helpful

Popular Questions & Answers

Hello doctor, I am having pelvic pain before starting of Periods and during Periods. Plus burning sensation urine vaginal discharge, bloating and loose stools. Please advice.

MD - Homeopathy, BHMS
Homeopath, Vadodara
It is called dysmenorrhoea. It can be cured by homoeopathic treatment.. You can consult me at lybrate..

I have lower backache since 1 week delayed menstruation 4 days breast itching and little constipation. Please suggest me.

Homeopath, Noida
Is there any chance of pregnancy. If so then do UPT. Urine Pregnancy test should be done 10 days after missing your period. For example if your date was 10th, then do the test on 20th. Before that it can give false negative or false positive test. So wait for 5 more fats n do the test.

My wife gets stomach pain in periods (two days) and its like very painful to her every time when she got periods. So what is the better solution or resolving for this. Requesting you to kindly give me the tip to avoid.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Exercise. This might sound a little crazy and you might be thinking to yourself, I can barely move, let alone exercise. ... Apply heat. ... Drink chamomile tea. ... Make sure you're getting enough vitamin D. ... Have an orgasm.

Table of Content

What is Pre Menstrual Syndrome?

Is it normal to get tired before your period?

What is the cause of Pre Menstrual Syndrome?

What are the symptoms of Pre Menstrual Syndrome?

What are the treatment of Pre Menstrual Syndrome?

How can you tell if your period is coming soon?

Play video
Premenstrual Syndrome
PMS or premenstrual syndrome affects women exactly prior to their menstrual cycle. This syndrome may have affects manifold, impacting a woman s physical health, behavior and emotions. The condition is very common and affects more than 80% of the women before their monthly cycles begin.
Play video
Polycystic Ovary Syndrome (PCOS)
Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels.
Play video
PCOS (Polycystic Ovarian Syndrome)
Hi, I m Dr Meera Gupta, practising at Tirupati Centre, Shivalik, Malviya Nagar, New Delhi. I am a gynaecologist and I have been practising for 34 years almost now. My centre provides complete and holistic care for women and young girls at a very affordable cost. We provide free marital counselling, free conception counselling, infertility treatment, adolescent counselling, post-menopausal treatment, deliveries, abortions, cosmetic gynaecology and ultrasound.

Today, I will be telling you about a very common condition which the girls are facing, that is Polycystic Ovarian Disease in which the girls could have menstrual problems, or they could have hair growth, unnecessary hair growth on the face or any part of the body, alopecia, that is decreasing hairline and weight problems. And this PCOD comprises of a hormonal part and a metabolic part. So it has to be treated very holistically whereby you address the hormones as well as the metabolism of the body. It could result in apart from menstrual problem and infertility; it could result in heart disease, hypertension, and diabetes.

We have to look into the family history of the girl also, and if she has a family history of diabetes and hypertension, she is more prone to these disorders. But it is completely treatable and of course, they have to have a drastic lifestyle change, and it is coming these days because of the lifestyle followed by the youngsters. They have very sedentary lifestyles, they are very addicted to their laptops and their mobiles and they hardly have any activity. And also food they are having, that is all junk food, so these all add to the problems.

So once we get rid of this, we give them an active lifestyle, they start eating properly and along with the proper medications, they can recover from these.

Whenever you wish to contact me, you could do so by coming to my centre at Tirupati Medical Centre, Shivalik, or you could visit my website www. Tirupatimedicalcentre. com or you could approach me through Lybrate.

Thank you.
Play video
Polycystic Ovarian Syndrome (PCOS)
Hi friends!

I am Dr. Shakuntla Kumar. I am practicing obstetrician and gynecologist at new life hospital Delhi, and fortress hospital Shalimar bagh.

Today we will be discussing a very commonly encountered problem named Polycystic ovarian syndrome. Are you suffering from problems like hair fall, excess facial and body hair, very very oily skin along with acne, frequently encountered menstrual abnormalities or problems in periods or difficulty in becoming pregnant. Chances are you may be suffering from Polycystic ovarian syndrome. Polycystic ovarian syndrome is because of a hormonal imbalance. Mainly the female hormones like estrogen and progestogen imbalanced between the excess of male hormone happening in these women. These women also has insulin resistance in their body leading on to several other disorders like high blood pressure, diabetes and high cholesterol levels in their body. Friends, the cause of Polycystic ovarian syndrome is at interplay of hormonal disbalance compounded with environmental factors like lifestyle of the person. Because of this there is development of multiple eggs in the ovary rather than formation of one single egg. These small small eggs coming up in the ovary do not allow a dominant egg to form because of which there is an ovulation or non-development of eggs. This is the main reason why these women face difficulty in conceiving and are facing several hormonal imbalances. Now let us talk about the diagnosis of polycystic ovarian syndrome. So friends, just an ultrasound finding of multiple cists in the ovary of these women is not the sole criteria. We have certain criteria because of which we diagnose polycystic ovarian syndrome. A women may be having normal ovaries but suffering from PCOS, on the other hand she may be having Polycystic ovaries but she is a normal lady. So the diagnosis depends on certain clinical and investigational and certain ultrasound findings of the women. It is not one single criteria of polycystic ovarian coming from the ultrasound. Coming to the treatment part of these women. The treatment depends on the problems that these women s are facing but in the root cause of these problems like the obesity part of these women. So the most important part of the treatment is weight loss and lifestyle management. So please listen to your doctor when she is saying and requesting you to lose weight, that is possible through a healthy lifestyle, a healthy diet and workout plans. Secondly, if this woman is suffering from menstrual irregularities we will correct that by improving her lifestyle and by giving her certain drugs. If she is suffering from acne or excess body hair we will be giving certain drugs to tackle that. If she is suffering from anovulation or, by that I mean difficulty in conceiving or becoming pregnant, we will be giving certain drugs to induce ovulation. This may require intake of tablets or sometimes intake of certain injections. So friends Polycystic ovarian syndrome is no longer an enigma. It can be very much cured. The only thing that is required is you, helping your doctor curing it by managing a very healthy lifestyle and through the drugs that we prescribe you taking them diligently.

Thank you very much.
Play video
Polycystic Ovarian Syndrome
Causes, diagnosis and treatment of Polycystic Ovaries

Hello. I'm Dr. Rakhi Gupta. I'm practicing as a Senior Consultant Gynecologist in Savita Bihar, New Delhi. So today we are here to discuss one of the most important problem such as Polycystic Ovaries.

Polycystic Ovaries as you would have heard is very common these days, especially in the reproducive age groups. The girls between the age of 15-45 often are having this problem and they present as menstrual irregularities, lots of acne on the face, then increase in weight, hair loss from the scalp, excess hair gain from the body. These kind of problems are usually a manifestation of abnormal lifestyle. We must say that it is not a disease but it is a lifestyle pattern. And improper diet, improper exercise and so many other environmental factors that are effective such as radiation, pesticides etc maybe affecting them.

So basically the investigations done in such cases are in the form of ultrasonography and blood test related to hormones such as prolactin, testosterone, insulin and blood sugar levels. The treatment is in the form of weight reduction, exercise, increased physical activities and certain medications that contain the insulin level, the testosterone levels. At times because of infertility, they may be requiring ovulation induction medicines. So the treatment varies as per the symptons and most of the things are under control.

Since this is a problem that is involved in more than 20% of the girls in India it needs an urgent attention and immediate treatment. In case of any query you can contact me through the Lybrate or directly at my clinic. Thank you so much.
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