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Irregular periods. Sonography done. What does the report indicate? - Online Doctor Chats

Date : 31-May-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Good afternoon
Doctor:Please proceed with your query
Doctor:Are you there?
User:hi doctor
User:I am currently getting ireggular menses
Doctor:May I know your age?
Doctor:Since how long are you having this problem?
User:I am facing this problem from last 2 years
User:I have discussed with my gynac abt same
Doctor: XXXXXXX do you know your BMI?
User:she told me to do sonography
Doctor:Have you done it?
Doctor:Are you there?
Doctor:Are you there?
Doctor:It seems like you are not responding
Doctor:I am sorry
Doctor:I have to close the chat window
Doctor:Please log in again to chat with our doctors
Doctor:Bye for now
User:but I got some n\w problem
User:are you there doctor
User:sorry got disconnected due to n\w issue
User:my BMi is 21
Doctor:no problem
Doctor:That is a normal BMI
User:I have done sonography
Doctor:Can you mail it to me?
User:right now I cant do it as i am at office
User:i can wrtie you
User:about what is given in report
Doctor:Please write the report here
User:is it ok
Doctor:it is fine with me
Doctor:Please type it
User:its sonography of the pelvis
Doctor:Yes, please type the report
User:bladder : physiologically well distended
User:normal wall thickness
Doctor:This is normal
User:no e/o intraluminal mass or calculus no e/o dilated ureters or calculs
User:at the versico-uterteric junction
Doctor:This is normal again
User:about uterus
User:its antiverted
User:measures 75 by 40 by25 mm in long
User:trans and ap dimension
User:normal in size shape and echopattern
User:no e/o focal or difuse lession
User:midline endometrial echo measure 7 mm
User:overies visualized and appear normal
User:adnexae and parametrium clear .no e/o mass lession
Doctor:It is normal
Doctor:It seems like a normal ultrasound report
User:cul de sac : clear .no e/o free fluid in pelvis
User:so after seeing this result
Doctor:I feel there is no problem in the uterus or the pelvis
User:sonologist gave feedback as normal sonography of the pelvis
Doctor:I feel the same too
Doctor:We need to go in depth for this
Doctor:How irregular is your cycle?
User:but still my gynac says that I am suffering from pcos
Doctor:PCOS is a clinical diagnosis
Doctor:However, we need to see follicles on the scan
User:WHAT is it exactly
Doctor:when was this scan done?
User:day before yesterday
User:ya she said follicle appear to be less
Doctor: XXXXXXX it needs in depth evaluation
Doctor:How irregular are your cycles?
User:so what can be done
User:it takes some times
Doctor:Please tell me your height and weight
User:more than 1 month
User:5 ft 4 inches
User:wt 57 kg
Doctor:Upto 35 to 39 days is fine
User:yeah but sometimes menses come regularly
User:and sometimes it doesnt come for more than 1 month also
User:my worry is for treating this she had given me tab called krimson35
Doctor:Your BMI is normal
Doctor:You can take it
User:that shud be taken after 5th day of period
User:but it also act as contraceptive
User:I am married
User:and my husbund dont want me to take any contracentive pile
Doctor:Then you might as well stop it
Doctor:Wait for the menses to happen naturally
User:for me before marrige its ok to take
User:that pile
Doctor:Are you planning to conceive now?
User:but now my husbund dont want me to take contracenptive pile as treatment of ireggular menses there is any other way to cure this
User:sorry I didnt get you !
Doctor: XXXXXXX are you planning to have a baby now?
User:no .
User:but we wil paln after 1-1/2 year
User:not now
Doctor:If you are not planning to have baby now, then you can continue to take the pill
Doctor:It will regularize the cycle and also it will act as a contraceptive
User:but regularly taking contraceptive may lead to some problems know
Doctor:Not really
Doctor:It is used commonly in most women
User:ok lets frame me it in anothe rway
Doctor:I am sorry
Doctor:Can you come again?
Doctor:Can you please tell me again?
User:there will be any problem for getting pregancy if i take contraceptive like crimsons5 for more than 6 month
Doctor:Not at all
Doctor:You can stop the medicine as and when you wish to have a baby
User:that solves one of my query
User:one more query
Doctor:Please ask me
User:how exactly contaceptive piles works
User:what it contain
User:that works as contraception
Doctor:It contains both oestrogen and progesterone
Doctor:They act on the lining of the uterus and cause a cyclical bleed
Doctor:Both are sexual hormones
Doctor:The mechanisms may be too complex for you to understand
User:no DOC
User:its ok
User:I understand little
Doctor:Good then
User:I thought I should take second opinion
Doctor:See there are 2 phases in a menstrual cycle
Doctor:First phase is the oestrogen phase - where in oestrogen prepares the uterus and the follicles in the ovary grow
Doctor:Second phase is progesterone phase where the follicles are released
Doctor:the menstruation occurs
Doctor:If there is fertilization, then progesterone takes over and there is corpus luteum formation
Doctor:Which is maintained throughout the pregnancy
Doctor:So, in case of hormonal deficiencies, krimson 35 will help by supplementing the hormone and regulating the cycles
User:is there is any natural way to cure this
Doctor:Regular exercise and diet should take care of it
Doctor:I do not see that you are overweight
Doctor:But XXXXXXX let me tell you
Doctor:I am suspecting some neural or central cause in you
Doctor:I do not think there is a problem in your ovaries or uterus
Doctor:It is better to do insulin levels
User:ok then
Doctor:You need in depth evaluation for the same
Doctor:There are so many causes of irregular cycles
Doctor:Are you there?
Doctor:Is that all?
User:some stated to me are 1.taking tension 2. breaking overall cycle at time of marriage by taking pile to get delayed menses
User:if something more are there then do tell me
Doctor:I am sorry XXXXXXX I cannot simply give you possibilities
Doctor:It is better to get examined
Doctor:You should not worry about rarer causes
Doctor:My suggestion to you is to XXXXXXX a good specialist and get evaluated further
Doctor:I do not think PCOD is the cause in you
Doctor:Is that all?
Doctor:Thank you too
Doctor:All the best
Doctor:Take care
Doctor:Bye for now
User:this will surely help me
Doctor:Pleasure is mine
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