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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular Periods. Was Undergoing Stress In Career. Get Light Periods. Hair On Stomach, Breasts. PCOS?

Hi, I am 24 years old, will be 25 in April. I ve been having irregular periods for a couple months now. Prior to that - went 5 months straight with no period - I was under a lot of stress and making a major career changing decision. Prior to the 5 months without period, period was normal. Then after the 5 months were up when my period came back, it did not come out normal. It lasted about 5 days, but was kind of watery and almost a light red/maybe pink color. Usually my periods are a bright red color - but not a lighter red. I just had it last week and now it came back 6 days later - very light, but present. :/ I am a virgin , so it cannot be an STI . I also had a tiny bit of hair growing on my stomach and upper boob/almost chest area - that has been there for at least 5 years and didn t think much of it and it is only a little bit, but my mom didn t think it was normal to have that. I feel I have some kind of hormone imbalance with either progestorone, estrogen or androgen or a combination, but not sure. Could I have PCOS? Until that 5 month time where I didn t have my period - which only happened once, I would mostly get my period every month ( since I was 11, I will be 25 in April), and occasionally would skip one month due to what I thought was stress with school, so those periods would be slightly irregular.
Thu, 21 Mar 2013
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General & Family Physician 's  Response
Hi,

The stress is definitely a huge factor for menstrual changes but it will not completely refrain from the menses for 5 continuous months,

Now let me put some light on "PCOS"

POLY-CYSTIC-OVARIAN-SYNDROME = " multiple , fluid filled cavities in ovary"

NOW FOR simple understanding is not medically accurate just for understanding purpose ONLY.
Main function of ovary is to produce the female sex hormone like estrogen / progesterone which comes out in a cyclic fashion like 25 days comes estrogen while for 5 days comes progesterone which cause bleeding. This is maintained by brain but the days varies for all females. now due to the PCOS the production of estrogen and progesterone gets disturbed/ may not have enough production on one or the other leading to imbalances and hence makes irregular bleeds as well as problems with pregnancies are seen.

Following are SIGNS AND SYMPTOMS OF PCOS
1) Acne.
2) Weight gain and trouble losing weight.
3) Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back.
4) Thinning hair on the scalp.
5) Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.
6) Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility).
7) Depression.
----------------------------------------------------------------------------------------------------------------------------------

ADVICE:
1) PLEASE SEE endocrinologist as already consulted gynac
2) Get an PELVIC ULTRASOUND and check on ovary again
3) Get hormonal profile to have a check on "PCOS" and the hormones in brain that commands the cyclic pattern of the menstrual cycle
4) mostly they will prescribe the ORAL CONTRACEPTIVE PILL to make the normal cycle go through if things in the brain hormonal balance is stable.
5) Please follow up regularly and take medication as they prescribe to get back on track.
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1 Doctor agrees with this answer

General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,
Welcome to HCM,
From your long history it seems that your case requires evaluation.
Consult Gynaec and examined and go for few investigations to come on conclusion.
Your problem might be due to,
1, Hormonal imbalance,
2, PCOD,
3. Hypothyroid.
After examination and with ultra sound and various investigations, your gynaec will go for treatment accordingly.
Ok and bye.
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Irregular Periods. Was Undergoing Stress In Career. Get Light Periods. Hair On Stomach, Breasts. PCOS?

Hi, The stress is definitely a huge factor for menstrual changes but it will not completely refrain from the menses for 5 continuous months, Now let me put some light on PCOS POLY-CYSTIC-OVARIAN-SYNDROME = multiple , fluid filled cavities in ovary NOW FOR simple understanding is not medically accurate just for understanding purpose ONLY. Main function of ovary is to produce the female sex hormone like estrogen / progesterone which comes out in a cyclic fashion like 25 days comes estrogen while for 5 days comes progesterone which cause bleeding. This is maintained by brain but the days varies for all females. now due to the PCOS the production of estrogen and progesterone gets disturbed/ may not have enough production on one or the other leading to imbalances and hence makes irregular bleeds as well as problems with pregnancies are seen. Following are SIGNS AND SYMPTOMS OF PCOS 1) Acne. 2) Weight gain and trouble losing weight. 3) Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back. 4) Thinning hair on the scalp. 5) Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding. 6) Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility). 7) Depression. ---------------------------------------------------------------------------------------------------------------------------------- ADVICE: 1) PLEASE SEE endocrinologist as already consulted gynac 2) Get an PELVIC ULTRASOUND and check on ovary again 3) Get hormonal profile to have a check on PCOS and the hormones in brain that commands the cyclic pattern of the menstrual cycle 4) mostly they will prescribe the ORAL CONTRACEPTIVE PILL to make the normal cycle go through if things in the brain hormonal balance is stable. 5) Please follow up regularly and take medication as they prescribe to get back on track.