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Suggest Treatment For Irregular Menstruation

Posted on Mon, 6 Jun 2016

Question: Hi my periods range from 26 days to 34 days. On one occasion it was 58 days. I dont have PCOS or anything like that. I am on day 27 and still no sign of period. Pregnancy test is negative. Can I conceive naturally with a varied pattern of periods. Like I say i usual bleed for 5 days from 26 days to 34 days of cycle? All I want is a baby but I am worried with my periods be different each month I wont avhieve this. I have beeb told to take inofolic because this can regulate your periods but why do I never know when I go to come on? Any advice how to.regulate them naturally as I am a believer let your body take natures course but now I am worried

Answered by Dr. Deepti Verma (32 minutes later)

Brief Answer:
Cause of irregular periods should be sought

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Irregular periods can be due to hypothyroidism , hyperprolactemia or polycystic ovarian disease.
If polycystic ovarian disease has been ruled out, then you should get your thyroid hormone and prolactin levels done.
Irregular periods are generally caused by irregular ovulation, and in this scenario, the conception is difficult.
Folic acid tablet do not regulates the period, rather these are given as taking them in preconceptional period reduces the risk of congenital anomalies in the fetus.
I will suggest you to consult an OBGYN specialist to get properly examined, investigated and treated accordingly for irregular periods.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (12 minutes later)

All evaluation has come back normal

Answered by Dr. Deepti Verma (45 minutes later)

Brief Answer:
Follicular monitoring

Detailed Answer:
Hi dear, if all the test are normal, then you should get follicular monitoring done by ultrasound to assess whether ovulation is occurring or not, and on which day, so that further treatment can be planned accordingly.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (2 minutes later)

Please find attached reports I have. I have had a follow up scan since and it shows cyst has resolved

Answered by Dr. Deepti Verma (13 hours later)

Brief Answer:
OGTT and serum prolactin advised

Detailed Answer:
Hi dear, I have reviewed the reports.
It shows raised HbA1C indicative of deranged blood sugar and low vitamin D3 levels.
Moreover, Serum prolactin levels are not done.
Ultrasound indicates a hemorrhagic cyst, which is resolved in subsequent scan, according to you.
So, I suggest you to get your blood sugar levels tested by oral glucose tolerance test and get serum prolactin levels done and further management should be done accordingly.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar