Missed periods. Pcos, what should i do?

Lifestyle modification Exercise regularly Avoid spicy and oily food Avoid stress and anxiiety Avoid alcohol smoking excess caffeine consumption if taking Plenty of fluids throughout the day Preferred green leafy vegetables and fruits Safe coital practices Use barrier contraception

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