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What Does The Absence Of Periods When Suffering From PCOS Indicate?

Posted on Thu, 28 May 2015

Question: I have a long history of acute PCOS ever since I attained puberty and I am well aware of the pros and cons. I was taking Diane 35 since 2003, which used to bring in periods. however I wanted a long term cure from the problem. So started consultation with a local Ayurvedic doctor (senior and experienced physician) for the last six months. It worked well for the first cycle but never got my periods again in last 5 months. Though PMS is very strong, lower abdominal cramps, white discharge, mood swings every month and the bleeding seems probable. 2 days ago I got a blood test done for LH, FSH and prolactin. Additionally a pelvic scan and trans vaginal scan. The latter is attached. I think reveals and additional single large cyst alongwith PCOS. Please indicate the possible causes and remedies for this. Also want to know if this is related to PCOS

Answered by Dr. Richa Agarwal (23 minutes later)

Brief Answer:
Please upload your reports again.

Detailed Answer:
Hello dear,

Thanks for trusting us about your health care.
I can understand your concerns here.
I am very impressed that you had a good knowledge about your problem but one thing is very important about PCOS that it is never cured completely and lifestyle changes plays a very important role in its treatment.
I am not able to see your reportsand attached letter, kindly upload it again, so I could be able to give my opinion about it.
Sorry for the inconvenience.
Hope to hear from you soon.
Regards

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

Follow up: Dr. Richa Agarwal (6 hours later)

Sorry I missed to attach the file in the previous post. here it is now...

Answered by Dr. Richa Agarwal (7 hours later)

Brief Answer:
Yes it can be related to PCOS.

Detailed Answer:
Hello dear,

Sorry for the long delay in my response.
I have seen your ultrasound scan report and there is no hormonal test attached with this report.
In your ultrasound an exophytic hemorrhagic ovarian cyst is there along with PCOS but it is less than 5 cm in diameter.
It can be due to infection, inflammation, PCOS and sometimes malignant.
Usually ovarian cyst which are symptom less and less than 5 cm in diameter can be left untreated and they are resolved in 1-2 cycles but if persist after it than needs evaluation.
Exophytic growth needs CA- 125 ovarian markers to see its levels and blood test to rule out infection and inflammation.
In your case Are you having any symptoms like pain, discharge, bleeding etc?
Please let me know and if possible upload
your hormonal profile for better diagnosis and management.
Hope to hear from you soon.
Regards

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

Follow up: Dr. Richa Agarwal (5 hours later)

I am having a slight distended pain in my lower abdomen - similar to what we get while expecting periods. My hormone values are: FSH - 4.77, LH - 8.25, Serum prolactin - 12.01. All tests including the scan have been done on May 2. Please tell me if I should go for CA-125 test now itself. Is it a blood test or a scan or both? The radiologist told me it's a fluid filled cyst similar to the ones in PCOS but is bigger in size and is on one ovary only.

Answered by Dr. Richa Agarwal (10 hours later)

Brief Answer:
You should go for CA-125 levels.

Detailed Answer:
Hello dear,

Sorry for the long delay in my response.
I have seen your report and it is showing one exophytic hemorrhagic cyst( that is filled with blood and less than 5 cm in diameter).
As cyst is exophytic in nature, I would suggest you to go for CA- 125 marker to see for malignancy( because in exophytic growth chances are more).
It is a blood test only and not a scan.
Hope it is useful.
Good luck.
Regards

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

Follow up: Dr. Richa Agarwal (10 hours later)

Ok will get it done. What do my hormone values indicate? Are they fine? What are the causes of this cyst? Could Ayurvedic medication have caused it?

Answered by Dr. Richa Agarwal (3 hours later)

Brief Answer:
Yes, your hormonal levels within normal limits.

Detailed Answer:
Hello,

Yes, your hormonal levels within a normal limits.
Your LH and FSH levels indicate PCOS. ( otherwise within normal range).
These cyst can be due to hormonal imbalance, PCOS, infection and inflammation and sometimes due to malignancy.
Maybe auyurvedic medicine can cause cyst formation, I am not very sure about it.
Please let me know about your marker results.
Hope to hear from you soon.
Good luck.
Regards

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

Follow up: Dr. Richa Agarwal (3 hours later)

I will get my CA 125 report tomorrow, will send you then. I also want to understand a bit more on how do my LH and FSH levels indicate PCOS if they are within normal range. What should it have been if the ovaries were fine?

Answered by Dr. Richa Agarwal (9 hours later)

Brief Answer:
Explained below.

Detailed Answer:
Hello dear,

Sorry for the long delay in my response.
The PCOS is complicated endocrine disorder and in this hormonal level of LH, FSH, androgen, DHEA , ultrasound scan and symptoms are considered before making the diagnosis.
In your case your LH and FSH levels fall within normal range but ratio of LH/ FSH is 2:1 means level of lh is double than level of fsh, it is usually a sign of PCOS and patient ovulation suffer because of this.
Hope you will understand this.
Hope to hear from you soon.
Regards

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

Follow up: Dr. Richa Agarwal (16 hours later)

Dr. XXXXXXX attached is my report for CA 125 test. Please explain what the value means.

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
Kindly attach your report.

Detailed Answer:
Hello dear,

I am not able to see your report kindly attach your report again.
Sorry for the inconvenience.
Hope to hear from you soon.
Regards

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

Follow up: Dr. Richa Agarwal (1 hour later)

Sorry I am not able to delete the earlier report through the HCM app. But have attached my CA125 report now. Kindly check now and let me know.

Answered by Dr. Richa Agarwal (2 hours later)

Brief Answer:
Your report is normal.

Detailed Answer:
Hello dear,

Now I am able to see your report and I feel very happy to inform you that your marker test within normal limits.
Usually CA- 125 value should be less than 35 and in your case it is within normal limits.
So do not take any stress and wait and watch for the cyst to resolved spontaneously.
Hope it is usefu.
Regards

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Richa Agarwal (40 minutes later)

Thank you Dr Richa! But do you think this new cyst will go away on its own?

Answered by Dr. Richa Agarwal (6 hours later)

Brief Answer:
Yes, quite possible.

Detailed Answer:
Hello dear,

You are most welcome.
Sorry for the delay!
Hope for the best, quite possible that it will get resolve in 2-3 months by its
own.
Let's see.
Good luck.
Regards

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