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What Causes Absence Of Periods?
Question: Hi,
My wife 35yrs was have irregular periods last year and diagnosed with PCOD based on scan report. Then she underwent Ayurveda treatment and then the periods became regular (28-30days) for few months. Now this time its more than 60days but still she did not get periods. Pregnancy negative. Also we did pelvis scan last week and there is no indication of PCOD. Can you suggest whats the next action?
Weight: 68kg
Height: 5.2
Thyroid test: normal.
Child: 1. Normal delivery 10years back.
Attaching last weeks Pelvis scan report for your reference. Thanks.
My wife 35yrs was have irregular periods last year and diagnosed with PCOD based on scan report. Then she underwent Ayurveda treatment and then the periods became regular (28-30days) for few months. Now this time its more than 60days but still she did not get periods. Pregnancy negative. Also we did pelvis scan last week and there is no indication of PCOD. Can you suggest whats the next action?
Weight: 68kg
Height: 5.2
Thyroid test: normal.
Child: 1. Normal delivery 10years back.
Attaching last weeks Pelvis scan report for your reference. Thanks.
Brief Answer:
You should go for progesterone withdrawal bleeding
Detailed Answer:
Hi,
Thanks for writing to us about it.
I can see your concern here.
As her pelvic scan is normal and thyroid test result is normal and her pregnancy test is negative, some possibilities of absence menses are ruled out.
She should first confer with a gynecologist and take progesterone for 10 days and see for withdrawal bleeding (it is also called progesterone challenge test).
If she gets withdrawal bleeding that means her estrogen is normal, and may be her cycles are anovulatory, so we can feed her drugs to induce ovulation.
If she will not get withdrawal bleeding that means her estrogen level are down.
Simultaneously, she should run for a hormone test (LH, FSH, prolactin, androgen level) and hysteroscopy to rule out any other uterine pathology.
-She should take healthy and balanced diet rich in fruits and veggies and low in carbohydrate to maintain her weight.
-Do some yoga and physical exertion.
-Drinking a lot of water
- Do not carry stress.
Hope it is useful, kindly revert back to me with her results.
Good luck.
Regards
D. .Richa
You should go for progesterone withdrawal bleeding
Detailed Answer:
Hi,
Thanks for writing to us about it.
I can see your concern here.
As her pelvic scan is normal and thyroid test result is normal and her pregnancy test is negative, some possibilities of absence menses are ruled out.
She should first confer with a gynecologist and take progesterone for 10 days and see for withdrawal bleeding (it is also called progesterone challenge test).
If she gets withdrawal bleeding that means her estrogen is normal, and may be her cycles are anovulatory, so we can feed her drugs to induce ovulation.
If she will not get withdrawal bleeding that means her estrogen level are down.
Simultaneously, she should run for a hormone test (LH, FSH, prolactin, androgen level) and hysteroscopy to rule out any other uterine pathology.
-She should take healthy and balanced diet rich in fruits and veggies and low in carbohydrate to maintain her weight.
-Do some yoga and physical exertion.
-Drinking a lot of water
- Do not carry stress.
Hope it is useful, kindly revert back to me with her results.
Good luck.
Regards
D. .Richa
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. Bhagyalaxmi Nalaparaju
Answered by
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