Heavy bleeding like clots during period.

Altered Bleeding pattern is expected in PCOS from decereased Bleeding to heavy Bleeding For its treatment u can take pause/menospan/tranlok 500 1-1-1 Continue the krimson 35 dosage as advised by your GYNAECOLOGIST Also continue thyroid supplements Do recti the dosage after checking its latest levels

lifestyle modification EXCERCISE regularly

PCOS advice Lifestyle measures- This is advocated as initial management and as an adjuvant with any other modality: • Diet – Achievable goals such as 5% to 10% weight loss in those with excess weight yields signifi cant clinical improvement • Overweight and obese: Advocate an energy defi cit of 30% or 500 - 750 kcal/day (1,200 to 1,500 kcal/day) • Individualized approach for tailoring of dietary changes: consider food preferences, avoid unduly restrictive and nutritionally unbalanced diets • Reduce carbohydrate to only 40% of total calories (130gms/d) • 3 main meals / 3 snacks • Avoid refi ned carbohydrates and sugars in processed foods • Increase fi bre content in diet by increasing fruit and vegetables / oat bran / barley • Increase of intake of omega 3/6 fatty acids – fi sh / nut / olive oil • Never skip breakfast / meals. Eat breakfast within 2 hours of waking up. • Exercise – • For modest weight-loss, prevention of weight-regain and greater health benefi ts￾A minimum of 250 min/week of moderate intensity activities or 150 min/week of vigorous intensity or an equivalent combination of both, and muscle strengthening activities involving major muscle groups on 2 non-consecutive days/ week • For maintaining healthy lifestyle- At least 60 minutes of moderate to vigorous intensity physical activity/ day, including those that strengthen muscle and bone at least 3 times weekly