Can I skip Dienogest?
I've been diagnosed with PCOS since September 2024.
I didn't get my period for 3 months and then by May 28, I got it and it hasn't stopped since. The blood flow is light, but there's a lot of big, blood clots. Yesterday, there's CBC and ultrasound done to me. The doctor assured me that it's preferable for me to shed blood clots rather than blood flowing like a dam.
During the consultation, I've mentioned that my periods have been painful and it disables my daily routine for a day or two. She prescribed me Dienogest that will treat endometriosis. Here's the catch, her only diagnosis is PCOS/PMOS but endo? Not official. Although I get that it is due to my thickened uterine lining, she wants me to take this.
However, my experience with hormonal pills is really bad. My PCOS/PMOS symptoms worsened because of pills. Now I have to take them again but a different kind. She also prescribed me Calcium Carbonate because apparently it can mess up with bone density too.
I wanted to proceed with stopping the bleeding with Tranexamic Acid 500mg, then take inositol + metformin together. That is along with diet changes and increase in physical activities like walking.
Can I ask for your insight regarding my situation? Or if you can recommend me some supplements, I'd really appreciate that. Thanks!