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Answer ( 1 )
With the presence of polycystic ovaries on ultrasound , it fulfils the ultrasonological criteria for PCOS and clinical hyperandrogegism like acne, hirsutism and acanthosis nigricans should be examined for. Even if irregularity is not present still with these features and weight gain indicating insulin resistance account for PCOD. Discharge from nipples is mostly due to hyperprolactinemia and if levels are normal then a swab culture should be done to rule out duct ectasia or bacterial infection. I still feel its due to raised prolactin.
Vit D3 deficiency can be taken care of with supplementation but a hormonal profile with serum testosterone, DHEAS, 17OHP levels should also be done to rule out PCOD conclusively. You may be given a course of dopamine agonists for 2 weeks to control the breast discharge in discussion with your gynecologist.
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