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What Causes Irregular Periods With Light Vaginal Spotting?
A girl 21 yr old having irregular periods since 2 months. Her Flow of blood is very low like spotting and her cycle lasts for 2 days maximally from months. She had suffered from UTI for many times and have taken cure of it as well. She is married and sexually active. Her husband doesnt dischagerd inside her but on the sign of delayed periods they went through a oregnancy test. Her pregnancy report was-ve as well.
Tue, 17 Jul 2018
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The girl needs to consult a gynecologist and ultrasound scanning and some blood tests have to be done. One condition that has to be ruled out is polycystic ovarian disease. Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. The exact cause of PCOS is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications such as type 2 diabetes and heart disease. There's no test to definitively diagnose PCOS. Your doctor is likely to start with a discussion of your medical history, including your menstrual periods and weight changes. A physical exam will include checking for signs of excess hair growth, insulin resistance and acne. Your doctor might then recommend: A pelvic exam, Blood tests, An ultrasound. Treatment: PCOS treatment focuses on managing your individual concerns, such as infertility, hirsutism, acne or obesity. Specific treatment might involve lifestyle changes or medication. 1. Lifestyle changes: Your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities. Even a modest reduction in your weight — for example, losing 5 percent of your body weight — might improve your condition. Losing weight may also increase the effectiveness of medications your doctor recommends for PCOS, and can help with infertility. 2. Medications: To regulate your menstrual cycle, your doctor might recommend: Combination birth control pills or Progestin therapy. To help decrease the effects of PCOS, try to: 1. Maintain a healthy weight. Weight loss can reduce insulin and androgen levels and may restore ovulation. Ask your doctor about a weight-control program, and meet regularly with a dietitian for help in reaching weight-loss goals. 2. Limit carbohydrates. Low-fat, high-carbohydrate diets might increase insulin levels. Ask your doctor about a low-carbohydrate diet if you have PCOS. Choose complex carbohydrates, which raise your blood sugar levels more slowly. 3. Be active. Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and participating in a regular exercise program may treat or even prevent insulin resistance and help you keep your weight under control and avoid developing diabetes.Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr Sanjay Kini
The girl needs to consult a gynecologist and ultrasound scanning and some blood tests have to be done. One condition that has to be ruled out is polycystic ovarian disease. Polycystic ovary syndrome (PCOS) is a hormonal disorder common among women of reproductive age. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. The ovaries may develop numerous small collections of fluid (follicles) and fail to regularly release eggs. The exact cause of PCOS is unknown. Early diagnosis and treatment along with weight loss may reduce the risk of long-term complications such as type 2 diabetes and heart disease. There's no test to definitively diagnose PCOS. Your doctor is likely to start with a discussion of your medical history, including your menstrual periods and weight changes. A physical exam will include checking for signs of excess hair growth, insulin resistance and acne. Your doctor might then recommend: A pelvic exam, Blood tests, An ultrasound. Treatment: PCOS treatment focuses on managing your individual concerns, such as infertility, hirsutism, acne or obesity. Specific treatment might involve lifestyle changes or medication. 1. Lifestyle changes: Your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities. Even a modest reduction in your weight — for example, losing 5 percent of your body weight — might improve your condition. Losing weight may also increase the effectiveness of medications your doctor recommends for PCOS, and can help with infertility. 2. Medications: To regulate your menstrual cycle, your doctor might recommend: Combination birth control pills or Progestin therapy. To help decrease the effects of PCOS, try to: 1. Maintain a healthy weight. Weight loss can reduce insulin and androgen levels and may restore ovulation. Ask your doctor about a weight-control program, and meet regularly with a dietitian for help in reaching weight-loss goals. 2. Limit carbohydrates. Low-fat, high-carbohydrate diets might increase insulin levels. Ask your doctor about a low-carbohydrate diet if you have PCOS. Choose complex carbohydrates, which raise your blood sugar levels more slowly. 3. Be active. Exercise helps lower blood sugar levels. If you have PCOS, increasing your daily activity and participating in a regular exercise program may treat or even prevent insulin resistance and help you keep your weight under control and avoid developing diabetes.Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr Sanjay Kini
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