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Suggest Treatment For Irregular Menstruation

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Posted on Tue, 18 Aug 2015
Question: hi im 37 years old and my periods are irregular, i,ve been trying for a baby for 3 years. but my problem is that i can't predict when i ovulate anymore. i weight only 52.4kg i have been put on sustagen to boost my weight up but no sucess. is their anything i can take to put my cycle back on track and also balance up my hormones. plz
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
You need an evaluation in the first place for irregular periods.
Please have an internal exam by a gynecologist, a Pap smear, pelvic ultrasound scan and hormonal levels ( FSH, LH, TSH, AMH,Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile )
That should tell you the reason.
There is no need to put on weight to have regular periods.
Have you always had irregular cycles, or is this recent ?
Frankly at 37, if you want to have a baby, you need something more intensive.
With irregular periods, the only reliable method to predict ovulation is to have FM ( follicular monitoring ).
This involves serial tracking of the egg with ultrasound scanning, and observing ovulation directly.
Please get that done.
It will help you with your fertility issues.
Also get a semen analysis of your husband / partner done .
Take regular folic acid supplements.
All the best
Please feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Suggest Treatment For Irregular Menstruation

Brief Answer: As below Detailed Answer: Hello Thanks for writing to us with your health concern. You need an evaluation in the first place for irregular periods. Please have an internal exam by a gynecologist, a Pap smear, pelvic ultrasound scan and hormonal levels ( FSH, LH, TSH, AMH,Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile ) That should tell you the reason. There is no need to put on weight to have regular periods. Have you always had irregular cycles, or is this recent ? Frankly at 37, if you want to have a baby, you need something more intensive. With irregular periods, the only reliable method to predict ovulation is to have FM ( follicular monitoring ). This involves serial tracking of the egg with ultrasound scanning, and observing ovulation directly. Please get that done. It will help you with your fertility issues. Also get a semen analysis of your husband / partner done . Take regular folic acid supplements. All the best Please feel free to discuss further.