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Measures to detect causes of amenhorrea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2009
Answered : 550 Questions
User :   I am 21 years old and I have never had regular periods. When I was 16 I went to an OBGYN after I had a ruptured ovarian cyst. As far as I know, I haven't had an ovarian cyst since. I only get my period 2 or 3 times a year. What's the problem?
Doctor :   HI,
Doctor :   Dr XXX here
User :   Hello
Doctor :   may i know your height and weight ?
User :   5 foot and about 90 lbs
Doctor :   ok, have you ever got a follicular study of the ovaries ?
User :   Nope
Doctor :   Have you got your hormonal profile done ?
User :   No
User :   every time I've been the to Dr. they've suggested putting me on birth control to help regulate it but i feel like there's something else wrong, at 21 i should be having a regular cycle
Doctor :   Well there are numerous causes for amenhorrea, need detailed physical examination and some tests like hormonal profile to rule out Pitutary hypothalamo gonadal axis functioning
Doctor :   which is the commonest cause
Doctor :   also a follicular study to rule out anovulatory cycles which is more likely cause in you
Doctor :   and your built is also not in congruence with your age
Doctor :   which pushes into the hormonal issue into consideration
User :   small frames run in my family, i've always been very small. i think i've lost weight recently but that doesn't explain why i haven't had a regular cycle in the past
Doctor :   yes, you may be right
Doctor :   but its not uncommon to see amenhorrea associated with physical growth hinderence
Doctor :   i still do consider the hormonal cause as one of the probable cause
User :   and the hormonal cause is because of my weight?
User :   what is amenhorrea exactly?
Doctor :   no, may be due to abnormally functioning glands
Doctor :   amenhorrea means lack of mensuration
Doctor :   and your low weight may be a result of hormonal imbalance
User :   i don't eat any less than i always have but i feel like i'm losing weight
Doctor :   hormones to control metabolism
Doctor :   the incorporation of the nutrients we eat are hormone guided
User :   i see
Doctor :   hence get a complete hormone assay and a follicular scan done , these will give an idea how to proceed towards diagnosis
Doctor :   take care that the hormonal profile include Thyroid tests also
Doctor :   one amongst the hormonal cause would be Thyroid hormone imbalance
Doctor :   is there anything i can help you with ?
User :   nope, thats it
Doctor :   Thanks for consulting me , kindly provide your feedback
Doctor :   Bye for now
Doctor :   take care
User :   bye, thank you
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