Question: My wife (age-35) is having delayed periods before marriage, now she is mother of 2 and for past few weeks she is too weak and frustrated - may be due to weakness, moreover she also complains about pain in leg muscles very often mostly before sleep. Now it has been almost 10 days from the date of period (1st Feb last period date and next predicted date was 1st March) ..my doubt is ..is it some thing to worry and serious or is it something normal.

What should be done to make periods normal?
How to get relieved from the severe leg pain every night?

Please help.

Dear Mam,

Thank you doctor for your reply. Below are the details you had asked for.

1. Is she using contraceptives?

She is not taking any pills but yes she is using CopperT for past 1.5 years.

2. Is she obese?

Her weight is 59 kg and height 5.2 (approx).

3. Was her menstrual cycle regular before 1st feb?

No, her periods are always irregular.

4. Do she have any medical illness like thyroid problem?

No there is no such medical illness. But sometimes she said that she had a white discharge.

Awaiting reply.
Thanks,
XXXXXXX

Thanks again mam. We both read your suggestions and trust me we have never got such prompt answers before. Feeling relieved , just have need suggestions and confirmation from your end.

1. What should be done to make periods normal? Her periods are abnormal because of hormonal imbalance. She needs to take oral contraceptive pills for 3 months to regularize her cycles. I suggest to get an ultrasound to rule out other causes like fibroids before starting oral contraceptive pills.

> I will definitely get her Ultra scanned , i presume ** Vaginal Ultra sound ** is what you had suggested.

Please confirm. I will send you the details of scanned report once done.

Also, can you prescribe best available oral contraceptive pills which she needs to take for 3 months in order to make her periods normal.

2. How to get relieved from the severe leg pain every night? Severe leg pain at night is due to calcium deficiency. Vitamin D3 deficiency also causes calcium deficiency. I strongly recommend you to get her Vitamin D3 levels in a nearby pathology lab and get back to me. I will suggest medications.

>I presume i need to take her to a pathology lab and just ask them to check ** Vitamin D3 level **, once i have report with me i will send it to you. Please confirm.

3. She also needs to start vitamin tablets for her weakness.

>Sure i will get Vitamin tablets from medical shop, is there any particular vitamin tablet suggestions from your side. I mean company , brand etc.

She will be perfectly fine once her symptoms are treated. So you need not worry.
Understand her and be sympathetic towards her. Husbands support is very important.
> Thank you mam, thanks a lot for your words of assurance.

Sorry if my doubts sounds idiotic. Just waiting for your suggestions and confirmation.

Thanks Again,
XXXXXXX

1. Transvaginal ultrasound needs to be done. If its normal, then ask your wife to take Loette oral contraceptive pills for 3 months.

> I thought of getting her breast scanned too with Transvaginal ultrasound, someone told me to get scanned after periods. Is it true? Should i wait?

2. Yes, ask pathologist to do Vitamin D3 levels. Its a blood test.

>As per your advise we did Vitamin D3 Level Test, according to the test report following are the details.


Parameter: Serum Vitamin D3 - Vitamin D3 Hydroxy Vitamin D
Observed Value: 29.10 ng/ml


Also,did a routine Sugar and Cholesterol test too, below are details for kind information.

Fasting Blood Sugar : 60mg/dl
Serum Cholesterol: 104mg/dl

Please review the result above suggest name of medicines to get rid off leg pain and live a normal life.

3. Take A to Z vitamin tablets. Its good.

> I asked for Vitamin A to Z but medical shop guy could not understand, is it possible to provide exact names of some medicines.

Finally, she is worried if she will gain weight by taking any medicines. Please advise.