Reason for no periods despite taking Deviry?
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Posted Sun, 16 Mar 2014 in Women's Health
Answered by Dr. Aarti Abraham 39 minutes later
Brief Answer: WAIT FOR A WEEK AFTER STOPPING DEVIRY. Detailed Answer: Hello Thanks for writing to us with your health concern. First of all, repeat a pregnancy test, sometimes there might be delayed conception. Next, there are various other reasons for a missed period - stress, anxiety, emotional turbulence, weight loss or gain that is rapid and massive, ingestion of medications that affect your hormonal axis, travelling, late nights, erratic eating habits, smoking, drinking etc. These mild hormonal imbalances respond to progesterone withdrawal ( Deviry ). First complete the course for 5 days, and then wait for a week. You would bleed by then. If you do not have a period within a week after stopping drugs ( totally 12 days, 5 days of medication plus one week of waiting ), then consult a gynecologist Have a thorough internal evaluation - per vaginum and per speculum. Also, hormonal tests - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile. And a pelvic ultrasound scan done transvaginally. This will rule out conditions such as hypothyroidism, Polycystic Ovarian syndrome , endometrial hyperplasia etc. All the best. Please feel free to discuss further.
Follow-up: Reason for no periods despite taking Deviry? 4 hours later
Hello Dr. XXXXXXX Thank you for your answer. I have already hypothyroid. My mensus are very irregular. But I am trying to conceive. Can you suggest me regarding this. I mean i wanted to know when ovulation occurs and when can i conceive. My periods are very irregular and am very much worried.
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer: AS BELOW Detailed Answer: Hello again. If you have a history of irregular cycles, then please go for the workup I suggested. Consult a reputed Gynecologist, and have a thorough internal evaluation ( per vaginum and per speculum ). Also a pelvic ultrasound scan should be done. Go for blood work as suggested - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid Profile. With irregular cycles, it is very difficult to pinpoint the days of ovulation, and when periods are irregular, ovulation also is irregular and often absent, so evaluation is a must. The best way to track ovulation with irregular cycles, is to go for follicular monitoring. This is serial evaluation of the egg follicle by regular ultrasound, which will document ovulation. If a problem in ovulation is observed, then ovulation inducing agents like clomiphene citrate can be taken. All the best. Take care.
Follow-up: Reason for no periods despite taking Deviry? 15 hours later
Thank you Dr. XXXXXXX . Have a nice day..
Answered by Dr. Aarti Abraham 33 minutes later
Brief Answer: THANK YOU Detailed Answer: Thank you for the appreciation. Please feel free to contact me directly anytime on - WWW.WWWW.WW