Q: I am a 26 years old female suffering with polycystic ovary syndrome (PCOS). I have undergone treatment for six months and used to take Diane 35 and Glyciphage 500 mg twice a day. In fifth month of this treatment, I had bleeding for nearly a month and had to undergo transvaginal scan that showed that my condition hasn't improved. Then my gynaecologist asked me to continue the treatment for another three months. If there is no improvement, should I consider ovarian drilling or look for a second opinion? I am completely lost as I have been married for four years and need to conceive now. Is Diane 35 an effective drug?

A:You need to have an ultrasound on the third or fourth day of your menses followed by a hysteroscopy, D & C and histopathology. You can combine laparoscopy with hysteroscopy to evaluate the tubes as well. Looking at your history you may have some type of hyperplasia of the endometrium and may require progestrogens for two to three months before starting any medicines of ovulation induction. Diane 35 may not be enough for you.