Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. First of all please rule out a pregnancy by taking a test. Next, there could be various reasons for irregular cycles. You should have a thorough workup. Stress, tensions, anxiety, weight gain or weight loss , ingestion of hormonal medications or medications that affect cycles. travelling, late nights, erratic diet habits, smoking, alcohol, excessive tea or coffee - all these can cause this. Also, hypothyroidism, polycystic ovarian syndrome ( PCOS ) and perimenopausal changes can all lead to irregular periods. Mild hormonal imbalance can cause this. If pregnancy is reasonably excluded, you can take progesterone preparation ( like Meprate ) twice a day for 5 days. On stopping, withdrawal bleeding would result maximum in a week. If this fails, following workup should be done - 1. Internal check up - per speculum and per vaginum 2. Hormonal levels - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, AMH 3. Pelvic transvaginal ultrasound scan. All the best. Please feel free to discuss further.

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Brief Answer: EXPLAINED BELOW Detailed Answer: First step is to take a pregnancy test. IF it is positive, management depends on weeks of pregnancy. In early pregnancy, upto 7 weeks, medical management can be done, else surgical evacuation is required. Stress, antibiotics all can cause menstrual delay. If the test is negative, then please have the workup as suggested above, and take progesterone for withdrawal bleeding.

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Brief Answer: EXPLAINED BELOW Detailed Answer: See, as I said , you can take tablet Meprate twice a day for 5 days, this is what I prescribe to my patients if the above conditions are ruled out. You can wait for a couple of days before taking Meprate. Once you finish the course, bleeding would start within a week, it might be heavy. I have no idea of the dates when you wish to avoid bleeding, another option is to continue Meprate past that day, and then stop, and have bleeding later.

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