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What Causes Irregular Menstrual Cycle?

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Posted on Wed, 24 Sep 2014
Question: Hello doctor....my wife is having an irregular menstrual cycle...every month it gets delayed by 10 to 15 days and also doesn't last for 48 hrs...she is also suffering from hypothyroid symptoms...her last TSH count was 4.05...she also had a failed pregnancy...pls advise

Following are the line of treatment:

10/04/14: tsh level-7.37
medicine prescribed: 1. m2 tone syrup (2 tsf daily)
2. tab thyronorm 50 mg (1 tab daily)
3. cap thyrowell (1 cap daily)

17/05/14 : tab gestofit sr 200 (1 tab daily) for 10 days

12/06/14 : 1. tab thyronorm 50
2. cap thyrowell

10/07/14 : after testing positive for pregnancy
med prescribed- 1. gestofit sr 200 (1 tab twice)
2. thyronorm 50 (1 tab daily)
3. cap. all 9 (1 cap daily)

23/7/14: 1. tab thyronorm 62.5 (1 tab daily in empty stomach)
2. tab gestofit 200 (1 tab twice daily)
3. cap All 9 (1 cap daily)

02/08/14: for missed pregnancy - 1. tab zitotec 200 ( 2 tab to insert & then 1 tab
every 8 hours.
2. tab orizin (1 tab twice daily)
3. cheri syrup (2 tsf daily)
4. tab thyronorm 62.5 to continue

23/08/14: tab ovacet (1 tab twice daily)
doctor
Answered by Dr. Dr. Soumen Patra (1 hour later)
Brief Answer:
FOLLOW THE ADVICE AS BELOW.

Detailed Answer:
Hello,

Thanks for writing to us.

Delayed and irregular period may be due to hormonal imbalance, mental stress, emotional upset, pelvic infection, irregular diet pattern, over weight, Poly Cystic Ovary, thyroid disturbance (Hypothyroid), high prolactin level etc.

Desired NORMAL value for serum TSH is 0.3 to 3 mIU/ L. But, her last TSH level is slightly higher than normal value. Thyroxine dose should be adjusted after consultation with her treating doctor.

Here, I suggest to undergo one pelvic ultrasound scan and complete hormone tests under the guidance of local GYNECOLOGIST. It will help to narrow down underlying causes and confirm the diagnosis. Take treatment according to that.

For successful pregnancy, period should be regularized with proper treatment. Both of you would take Vitamin and Folic acid supplements for 3 months. She would take Iodized salt with daily diet, do regular physical exercise to control body weight, avoid stress through regular meditation.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish her good health and take care yourself.

Regards,
Dr Soumen

For future query, you can write me in following address:

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
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. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4058 Questions

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What Causes Irregular Menstrual Cycle?

Brief Answer: FOLLOW THE ADVICE AS BELOW. Detailed Answer: Hello, Thanks for writing to us. Delayed and irregular period may be due to hormonal imbalance, mental stress, emotional upset, pelvic infection, irregular diet pattern, over weight, Poly Cystic Ovary, thyroid disturbance (Hypothyroid), high prolactin level etc. Desired NORMAL value for serum TSH is 0.3 to 3 mIU/ L. But, her last TSH level is slightly higher than normal value. Thyroxine dose should be adjusted after consultation with her treating doctor. Here, I suggest to undergo one pelvic ultrasound scan and complete hormone tests under the guidance of local GYNECOLOGIST. It will help to narrow down underlying causes and confirm the diagnosis. Take treatment according to that. For successful pregnancy, period should be regularized with proper treatment. Both of you would take Vitamin and Folic acid supplements for 3 months. She would take Iodized salt with daily diet, do regular physical exercise to control body weight, avoid stress through regular meditation. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish her good health and take care yourself. Regards, Dr Soumen For future query, you can write me in following address: http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326