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Irregular and lengthy periods, calculation of fertile period - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2244 Questions
Doctor :   hi]
Doctor :   how can i help you
User :   hi
User :   I would like to talk to gynecologist
Doctor :   I am a General Practitioner, I believe I can help you within my expertise and If required I shall recommend a specialist.
Doctor :   are you there?
User :   Sure
Doctor :   yes
Doctor :   please go ahead with ur medical query
User :   I have irregular menstrual cycles. Would like to take some advise to regularise it. I am currently inxxxx- getting very difficult to take a consulting appointment here
Doctor :   sure
Doctor :   i need this information before
Doctor :   For Administrative and health purposes, Please provide these details of the person-Age: Gender: Occupation: Location: Marital Status: Weight and Height.
User :   Age - 28, Gender - Female, Occupation -xxxx, Location- xxxx,Marital status - Married, Weight - 60, Height - 5.5
Doctor :   ok
Doctor :   was ur periods irregular from the begining
User :   yes
Doctor :   ok
User :   (i was taken to payment page hence the delay)
Doctor :   once in how many days u have this periods
Doctor :   thats fine
User :   35 to 50 days
Doctor :   ok
Doctor :   do u have facial hairs?
User :   no.
Doctor :   ok
Doctor :   i will calculate ur bmi or body mass index
Doctor :   ur bMi is withing normal limits
Doctor :   22
User :   ok
Doctor :   do you have irregular periods from the begining
User :   yes.
User :   ealier when started it was nearly 90 days...
Doctor :   ok
Doctor :   what age attained menarche
Doctor :   i mean ur first menses
Doctor :   periods
User :   13yrs
Doctor :   ok
Doctor :   r u on birth control pills?
User :   nope. never taken such pill
Doctor :   ok
Doctor :   As this is an online consultation, This would require a detailed history and it can extend beyond 5 minutes
User :   no problem. i understand
Doctor :   thanks
Doctor :   any other problems u have
Doctor :   medical problems u have
Doctor :   other than irregular periods
User :   nothing.
Doctor :   ok
Doctor :   Menstrual cycles vary in length from one woman to another
Doctor :   they may occur at the same time each month or be irregular
User :   i am planning for a kid but not able to make out the ovulation cycle
Doctor :   yes i will come to that
Doctor :   i will tell you how the menstraul cycle works
Doctor :   once ur periods are regular
Doctor :   ur chances of conceiving will increase
Doctor :   problem with irregular periods can be due to
Doctor :   stress
Doctor :   hormonal or ovarian
Doctor :   or combination of three
User :   oh
Doctor :   typically, a cycle occurs about once a month, but can be as short as 21 days or as long as 35 days and still be considered normal
Doctor :   Stress is the most common cause of irregular cause women(most commonly teens and working women). It may be emotional stress or depression. Or it may be physical stress, such as a severe illness, a sexually transmitted infection, rapid weight loss or gain, or strenuous exercise. Dieting or binging and purging may interrupt menstrual cycles. Changes in your usual routine, for example, going on a vacation may also cause your period to be irregular
Doctor :   Hormone imbalance is rarely the cause of irregular periods
Doctor :   are you able to follow
User :   ok
Doctor :   if u do have any doubts
Doctor :   please do ask me
User :   yes doctor
Doctor :   polycystic ovary syndrome is the most common type of hormone imbalance that affects the menstrual cycle
User :   i was wondering how to regularise my periods
User :   oh ... pls go on
Doctor :   yes surely i will tell how to regularise the periods
Doctor :   Polycystic ovaries may cause irregular cycles, increased body hair, acne, and weight gain
Doctor :   problems of the thyroid gland, pituitary gland, adrenal glands, or ovaries can be rare causes of irregular periods
Doctor :   treatment to regularise depends on the cause
Doctor :   u may need basic investigation like gynecological examination followed by ultrasound abd and pelvis
Doctor :   and few blood tests like
Doctor :   blood routine, thyroid profile,hormonal profile
Doctor :   these tests will help us arrive at possible diagnosis
Doctor :   based on this we will treat the cause
Doctor :   which inturn will make the periods regular
Doctor :   once the periods are regular , u can predict the time of ur ovulation
Doctor :   so chances of conception increase
Doctor :   there are medications like ovulation inducers, oral contraceptive pills which are used to induce ovulation ,
Doctor :   and regularise periods
Doctor :   some women with poly cystic ovary disease may need surgery or medicine or combination of both
User :   for taking the above test for finding cause.. is there any sepcifc time (before/after period, 21st day of period etc)
Doctor :   for blood tests, it can done anytime
Doctor :   it can done on routine visit with gynecologist
Doctor :   ultrasound scan
Doctor :   for some tests to know the exact date of follicular maturation there are certain days in which scan is done
Doctor :   these things ur gynecologist will discuss with you
Doctor :   r u able to follow
Doctor :   wat exactly is the cause or problem?
Doctor :   at this point of time
User :   i was bit worried
Doctor :   dont be worried
Doctor :   cheer up
Doctor :   many women around the world have this problem
Doctor :   due to increased stress
User :   i am trying to concieve for 6months now
Doctor :   u will surely
Doctor :   it is matter of time
Doctor :   sometimes it will take 1 year for some couples
User :   also last month, i brought a ovulation kit, which i need to do urine test every mornig to find out my ovulation day
Doctor :   anytime semen analysis of ur husband was done
User :   tested from 10th of my period till 38days but suprisingly ovulation day was never came
Doctor :   ok
Doctor :   dont worry
Doctor :   i will tell you
Doctor :   what days u need to have intercourse to conceive
User :   ok
Doctor :   in normal 28-30 day cycle
Doctor :   day 1 been the 1 first of bleeding
Doctor :   from 8 to 18 th is fertile period
Doctor :   u need to have intercourse these days
Doctor :   to conceive , everyday from day 8 to 18
Doctor :   in ur case if the periods are beyond 35 to 50
Doctor :   are you there
Doctor :   is ur periods 35-50 days cycle
User :   yes
Doctor :   when was ur last period
User :   sep1st
Doctor :   ok
User :   i am still waiting for my periods
Doctor :   in this cycle
User :   yes
Doctor :   2november 2008- Wednesday, 17 Nov, 2008
Doctor :   u will be fertile
Doctor :   this approx
Doctor :   since ur periods are irregular
User :   sorry
User :   my period was sep 30th
Doctor :   ok one sec in that case
Doctor :   if ur last period was on sep 30
Doctor :   then
User :   yes
Doctor :   ur fertile phase for this cycle is already over
Doctor :   it was from
User :   oh no..
Doctor :   21 oct to 5 november
User :   how do you calculate ?
Doctor :   u can use this link
Doctor :   www://www.wwwww
Doctor :   ur average fertile period is 42
Doctor :   35+50
Doctor :   ok
User :   ok
Doctor :   but rem one thing
Doctor :   u need to keep trying
Doctor :   most important thing is consult gynecologist
Doctor :   and get the know the exact cause
Doctor :   so that treatment can be started
Doctor :   and once ur period are normal
User :   ok Doctor
Doctor :   ur chances of having baby will increase
Doctor :   ur young
Doctor :   u can surely conceive
Doctor :   enroll for yoga
Doctor :   it is good stress buster
Doctor :   keep urself fit
Doctor :   and dont carry work back home
Doctor :   be cheerful
User :   i walk every day for 30mins
Doctor :   with these surely u can concieve
Doctor :   ok
Doctor :   ur weight is ideal
User :   thanks for your advice. it was helpfu;
Doctor :   ur welcome
Doctor :   Have you filled the feedback form which I have sent?
Doctor :   Is there any thing else that I could help you with?
User :   yes.
User :   nothing else doctor
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
Doctor :   keep smiling
Doctor :   good nite
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