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What causes absence of periods? - Online Doctor Chats

Date : 10-Sep-2014
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2544 Questions
Doctor:Hi
User:dr XXXXXXX
Doctor:Please proceed with your query.
User:do u remember my case
Doctor:Sorry. Could you please repeat it again.
User:not having period last 2 months
Doctor:Ok
User:its non pregagancy
Doctor:Ok
User:also prescribed susten for period
Doctor:Ok
User:i had completed the course and received period on 19 jun
Doctor:Ok
User:after that my gyn told me for few tests
User:FSH and LH
Doctor:Ok
User:should i told u the amount
User:LH- 4.98
Doctor:Yes, if you have the reports please tell me.
User:FSH 5.79
Doctor:Ok
User:prolactin 16.32
Doctor:Ok
User:so is it normal or in balance
Doctor:FSH is in normal range
Doctor:and prolactin too is in normal range.
Doctor:Did you get LH test done.
User:yes
User:LH - 4.98
Doctor:May I know the report?
Doctor:And what day of the cycles did you get these tests?
User:3 rd day
Doctor:Ok
Doctor:Its normal in range.
User:they y my doctor told me that its in balance
Doctor:Ok
User:t. enclova
User:t folinine
Doctor:Ok
User:c.absolute woman
Doctor:Ok
Doctor:Ok
User:prescribed me thses many medicines
Doctor:OK
User:also told me under go follicular study
Doctor:OK
User:thr doctor
Doctor:yes mam
Doctor:please proceed
User:thts it
Doctor:The treatment provided by your doctor is in the right direction
User:but i dont want to take any maedicine
Doctor:Tab enclova is clomiphene citrate which is used for ovualation as your are planning for a child.
User:i also wanted to conceive baby
Doctor:I understand your concerns
User:wat is the right time to intercouse for baby
Doctor:The right time would be from 7 to 14 day of your cycle considering the 1st day of your cycle as day 1.
Doctor:Early morning intercourse would help in conception.
Doctor:and lying down or missionary position is considered to be better for conception.
Doctor:after intercourse the female needs to rest in the bed for 10 to 15 mins for the ejaculate to travel to cervix.
Doctor:that is the mouth of the uterus.
Doctor:And as your tests are in normal range I would suggest you to get serum LH repeated on 10th day.
User:serum LH repeated on 10th day what is this?
Doctor:This LH level should raise more than 70 which would suggest that ovulation has taken place.
User:my periods stars on 19 Jul at 7.00 PM
User:then wat is the correct timing
User:where we can done this test
Doctor:from 26th july to 1st of august
Doctor:early morning intercourse is the best time
Doctor:Avoid stress and relax while the intercourse as this improves the chances of conception.
Doctor:let there be a gap after 3 days of intercourse that is from 26th july to 30th july and after a day or two that is 1st you can try again.
Doctor:this will replenish the semen and sperm count for better chances of conception.
User:only 3 days
Doctor:3 days a gap of one day or two and repeat again.
Doctor:for 3 days.
Doctor:so total of 6 days.
User:i mean only 3 time ejacution may help
Doctor:nothing like that.
Doctor:you can try many times on the same day.
Doctor:but morning is the best chance for conception.
Doctor:follicular study as advised by your doctor is to check the number of follicles in the ovary.
Doctor:this will also help in knowing whether ovulation is going to take place or not.
Doctor:And the tablets she has given is for ovulation.
Doctor:so if you are not planning to take tablets, you can try naturally for this month and next.
Doctor:after that if not able to conceive you need to start on tablets.
Doctor:Hope you are able to understand my instructions.
Doctor:Are you there?
User:yes
User:reading
Doctor:Ok
User:ok thanks
User:but i dont want to have tablets
User:follocular study is necessity doctor
User:i want to try natutally
Doctor:I feel that you can try this and the next month without tablets and get the follicular study and serum LH done.
Doctor:Yes, to know the number of follicles which can form ovum later is important.
User:that the first time i have faced such kind of issues
Doctor:if follicular study and serum LH on the 10th day of the cycle is normal then you can conceive naturally.
User:wat is the cost of the follicular study
Doctor:It does happen in the present generation with work and stress there are very high chances of hormonal imbalances.
User:i am thing of side effect due to this
Doctor:the cost would be around 500rs depending on the center
User:ok
Doctor:Are there any more queries for me to help you with?
User:i dont know
User:what to do doctor
Doctor:Dont worry.
User:serum LH not prescribed for me
Doctor:try this month and next month naturally and get the tests done.
Doctor:You can discuss about this with your doctor.
User:in this month should i go through the test
User:she is not entertain us
User:she gets hyper when i asked any questions
Doctor:then go to a lab and ask for serum LH on the 10th day of the cycle
Doctor:if the tests results are more than 70 that means you are ovulating.
Doctor:and then you can try naturally this and the next month.
Doctor:if not able to conceive get your husbands semen analysis done.
User:it blood test doctor
User:ok
Doctor:Yes its a blood test.
Doctor:please understand stress is one of the major factors for infertility.
Doctor:practice meditation and also regular physical exercises.
Doctor:this will reduce your stress.
User:ok
Doctor:Once you are stress free and confident about conception, i feel that you should conceive naturally.
User:humm
User:thanks doctor
Doctor:Do you have any more queries for me?
User:no
Doctor:Thanks for visiting me here. Bye for now.
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