I want to discuss here about patients who are suffering from mennorhagia and PCOS. Who are not satisfied by the tx as long as they take medication they are fine and as soon as they stop it they have problems. I am talking about giving OCPs like norethistrone, medroxyprogesteron, use of orlistate, metformin, ormeloxifen, cyproterone, or myo inositol. For PCOS lifestyle changes and diet control ,exercise are preferred. IUDs  can only be used in married and expensive.

Some patients are cured within 6 month cycle but still i got many pt. who are not relieved . Please guide if I am missing things. And also correct other things also like thyroid, hb, infection, etc. And does drugs brand have to do something with good result?