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Suggest Treatment For Irregular Menstrual Cycle

Posted on Tue, 17 Feb 2015

Question: Hi sir am 19 yrs old and I have my periods problem sometime my period cycle is not proper one month my periods will be correctly but next month after 40 days my cycle goes on....I had sex with my boyfriend 6 time but I have taken unwanted 72 several times so please tell me what's the problem

Answered by Dr. Gursimran Kaur (37 minutes later)

Brief Answer:
Emergency contraceptive pills disturb the balance

Detailed Answer:
Hi,

I am here to help you.

Periods are considered irregular only if the cycle length varies each month more than 7 days not if they vary by 2-3 days. Irregular periods can be due to hormonal imbalance which in your case can be due to repeated consumption of emergency contraceptive pill. If it is persistent then in my opinion you need certain investigations like thyroid profile, ultrasound to rule out pcos and serum prolactin levels.Depending upon the basis of these report can advise you how to regularize your cycles.

If you further queries you can ask me.Take care.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Gursimran Kaur (23 minutes later)

How I can I go through all this tests and what are they procedure they do and can we alone do this tests....is it harmfull....

Answered by Dr. Gursimran Kaur (5 minutes later)

Brief Answer:
At a path lab or after consultation with a gynaec

Detailed Answer:
Hi,these are blood tests to be done on day 2 of your periods and an ultrasound again to be done on day 2 of periods. These tests are absolutely safe and have no side effects. These can be done at any pathology lab or after consultation with a gynaec.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Gursimran Kaur (6 hours later)

But my periods are late by 2 days those month still my periods are not yet started....incase my periods are missed this month ..what can I do

Answered by Dr. Gursimran Kaur (2 hours later)

Brief Answer:
Urine pregnancy test

Detailed Answer:
Hi, first do a urine pregnancy test and if negative I usually prescribe my patients tab medroxy progestrone ie devry 10 mg twice a day for 5 days and within a week of stopping the drug you will get withdrawal bleeding. It is a prescription drug.

take care

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Gursimran Kaur (7 days later)

The tablets which you recommend I couldn't get it becoz as it was prescription drugs and now my periods are late by 9days...so can u recommend me some test so that I will know what's the problem my pregnancy tests are negative.....

Answered by Dr. Gursimran Kaur (4 hours later)

Brief Answer:
Tsh,serum prolactin and USg pelvis

Detailed Answer:
Hi,
If your pregnancy test is negative then I would like to recommend you tsh (thyroid stimulating hormone) serum prolactin and ultrasound of the pelvis to rule out polycystic ovaries. In case all reports normal then you need a progestrone challenge test i.e tab devry Or regestrone 10 mg twice a day for 5 days after a doctors prescription.Do let me know in case you have further queries.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Gursimran Kaur (24 hours later)

Today I got my periods so on Saturday can I do this tests....and can all tests be done by telling orally or will they ask doctors prescription....how much will it cost for all tests...should blood withdrawn twice fasting after fasting or oly once......

Answered by Dr. Gursimran Kaur (4 hours later)

Brief Answer:
no need for prescription

Detailed Answer:
Hi, you will not need a prescription for the above tests.Ideally should be done on day 2-3 of your periods.Ideally to be done fasting and blood will be withdrawn once.Cost will vary from place to place.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj