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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Absence Of Period For Months. HPT Negative. Trigestel Recommended, Paralyzed Temporarily. How To Regularize?

Good day, I am a 22yr old female. I recently or rather in the past year 2012 experienced irregular periods/ menstrual cycles. It would go missing for 4~5 months. At first I thought I was pregnant so did my dr because my cervix is soft but the sonar confirmed I m not:( the dr recommended Trigestel but it didn t work to well as it paralyzed me temporarily. Its been 3months now since my last period and I m too scared to take a home pregnancy test because a negative result will hurt my fiance. What should I do? I m at a loss
Thu, 1 Aug 2013
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General & Family Physician 's  Response
Hello Good Evening,

As you have issue of missed period frequently, which is due to some common reason like:

-Pregnancy
-Menopause
-Stress and anxiety
-Excessive weight loss, or weight gain
-Hormonal imbalance
-Hypothyroidism
-PCOS

Menopause is not applicable in this case and pregnancy should be rule out but any of rest of the others can be a cause for her missing period, so please go through proper evaluation to get other causes like hypothyroidism or PCOS.

PCOS (Polycystic ovary syndrome) produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of female sub-fertility and the most frequent endocrine problem in women of reproductive age.

The principal features are anovulation, resulting in irregular menstruation, amenorrhoea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity, Type 2 diabetes, and high cholesterol levels.

The symptoms and severity of the syndrome vary greatly among affected women.

So go for a USG, TSH and other investigation to find out the cause of frequent amenorrhoea.

Regards,

Dr. Naresh Jain.
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Absence Of Period For Months. HPT Negative. Trigestel Recommended, Paralyzed Temporarily. How To Regularize?

Hello Good Evening, As you have issue of missed period frequently, which is due to some common reason like: -Pregnancy -Menopause -Stress and anxiety -Excessive weight loss, or weight gain -Hormonal imbalance -Hypothyroidism -PCOS Menopause is not applicable in this case and pregnancy should be rule out but any of rest of the others can be a cause for her missing period, so please go through proper evaluation to get other causes like hypothyroidism or PCOS. PCOS (Polycystic ovary syndrome) produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of female sub-fertility and the most frequent endocrine problem in women of reproductive age. The principal features are anovulation, resulting in irregular menstruation, amenorrhoea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity, Type 2 diabetes, and high cholesterol levels. The symptoms and severity of the syndrome vary greatly among affected women. So go for a USG, TSH and other investigation to find out the cause of frequent amenorrhoea. Regards, Dr. Naresh Jain.