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What Causes Irregular Periods Along With Breast Tenderness?

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Posted on Tue, 14 Apr 2015
Question: I have hypothyroid and on medication 100 MCG eltroxin and aged 26yrs. I have irregular periods and have seen doctor many times regarding this. My doctor asked me to have meprate if periods don't come in 45 days. Now its around 49 days. But from 4-5 days I am experiencing breast tenderness and getting a feeling of periods approaching. So should I wait now or take the tablet Meprate? And just to add I want to conceive .
doctor
Answered by Dr. Manisha Jain (12 minutes later)
Brief Answer:
take meparate

Detailed Answer:
Hello mam, thanks for trusting health care magic.
Irregular periods is most probably due to PCOD(polycystic ovary disease), if your thyroid hormone levels are normal and you are taking eltroxin regularly.
Take tablet separate as advised and get an ultrasound done on day 2 of periods to see for condition of ovaries and thus presence of PCOD.
Now if you want to conceive you need to opt for follicular study by ultrasound to see for follicular growth and release of egg from your ovary.
This way you will be sure about the fertile says and thus time your intercourse according to that.
Otherwise only cause of not conceiving in your case is bad coordination between intercourse and rupture of egg as because of irregular cycles, timing of ovulation will vary in every cycle.
In case you have any question related to this, I will be glad to answer.
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (15 minutes later)
Is ovulation predictor kit effective or I should go for the ultrasound immediately?
doctor
Answered by Dr. Manisha Jain (6 minutes later)
Brief Answer:
one cycle is must

Detailed Answer:
Day 2 ultrasound is a must which is going to document PCOD if present.
Ovulation prediction kit is a good method but as your periods are very irregular, at least one cycle of ultrasound to see the growth of follicle and release of egg is must to gauze if ovulation is actually occurring or not.
Moreover ovulation prediction kit will be needed in a quantity of at least 10-12 kits (each costing 100-120 rupees) in each cycle and in case ovulation is not occurring only then this whole fiasco goes useless.
So follicular study for at least one cycle is a must and you can take ovulation induction drugs to increase the chances of conception.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (5 minutes later)
When should this ultrasound be done? After I get my periods or I can get it even now.
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
on day 2 or 3

Detailed Answer:
No dear, it will be best to get the ultrasound at day 2 or 3 if periods (taking the day if start of periods as day 1).
That is the best time to get it evaluated.
All the best.
I basically practice in infertility so in case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (25 hours later)
Hello mam.. Sorry to disturb you. Actually I am in a great dilemma. I am experiencing pain in my breasts and sometimes it seems periods are approaching. Should I wait for periods to come naturally or take meprate tablets? Will the tablets disturb my natural ovulatiin cycle and all? Also please advise how it should be taken
doctor
Answered by Dr. Manisha Jain (5 hours later)
Brief Answer:
take the tablet

Detailed Answer:
You are welcome anytime dear.
I understand your confusion and it is very common to have these symptoms when periods are delayed but waiting for more will only increase the anxiety.
It will have no relation with ovulation in upcoming cycles.
Take tablet meparate 5 mg twice a day for 5 days and on stopping the drug you will get your period in 3-5 days.
Don't hesitate in taking it.
All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (19 hours later)
Hello mam.. I got my periods today without taking any medicine. Now should I get the ultrasound done tomorrow as I want to conceive asap. Please guide. Also what is the complete name of the test that I need to take and apprpx. how much does it cost?
doctor
Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
follicular study

Detailed Answer:
Good to hear that you have got your periods and thus we can start with fertility treatment.
Get follicular study (via transvaginal ultrasound) tomorrow for antral follicle count which will give us information regarding PCOD existence.
It costs anyway between 1000-1500 rupees per cycle which involves day 2 ultrasound and 2-4 more ultrasounds subsequently depending on the rate of growth of your follicle (egg).
Some doctors charge for every ultrasound and thus rate varies according to that, costing 300-500 per ultrasound.
Visit a good infertility specialist who will also advice you ovulation induction drugs so as to increase the chances of conception.
All the best.
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. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Causes Irregular Periods Along With Breast Tenderness?

Brief Answer: take meparate Detailed Answer: Hello mam, thanks for trusting health care magic. Irregular periods is most probably due to PCOD(polycystic ovary disease), if your thyroid hormone levels are normal and you are taking eltroxin regularly. Take tablet separate as advised and get an ultrasound done on day 2 of periods to see for condition of ovaries and thus presence of PCOD. Now if you want to conceive you need to opt for follicular study by ultrasound to see for follicular growth and release of egg from your ovary. This way you will be sure about the fertile says and thus time your intercourse according to that. Otherwise only cause of not conceiving in your case is bad coordination between intercourse and rupture of egg as because of irregular cycles, timing of ovulation will vary in every cycle. In case you have any question related to this, I will be glad to answer. Regards Dr Manisha