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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Amenorrhea Despite Taking Primolut N?

Hi I am 29 years old, married since 2 months.menstrual h/o: very irregular past 6 yrs ,3/ 2-3 mths. Thyroid assay and hemoglobin normal.Usg showed pcos. All tests done 4 yrs back and also one month back.my weight is 50 kg height 151 cm.advised to have metformin for 1yr and norethisterone to get withdrawal bleeding when the amenorrhea persists more than 2 months.Have had metformin regularly and completed the course 3 yrs back.Advised that ,while planning for pregnancy further tests and treatment can be done.Am having amenorrhea past 3 months preg card negative , done three times and consulted a doctor.Again usg and blood tests done except for pcos all other normal.To get menstruation primolut n tablet 5mg once daily given for 3 days.But i havent got periods yet after 10 days of tablets .Earlier i had t same dosage to get withdrawal bleediongcal i repeat t dosage again..please give me a suggestion wat to do next. can i go with the tablets again.endometrial thickness 15 mm done on 15.01.2016.
Tue, 29 Mar 2016
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General & Family Physician 's  Response
Hello dear,
Understand your concern
Following are the reasons for amenorrhoea:
1. High level of stress
2. Change in life style
3. Late ovulation
4. Excessive exercise
5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine
6. Thyroid problem
7. Hormonal imbalance
8. High prolactin level
9. Endometriosis

You should take primolut N further 4-5 days to induce bleeding.

But my advice is to
Consult gynecologist.
Test a
full hormone profile and ovarian follicle study, prolactin, thyroid profile
Endometrial biopsy.

Hope this may help you.
Best regards
Dr. Sagar
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What Causes Amenorrhea Despite Taking Primolut N?

Hello dear, Understand your concern Following are the reasons for amenorrhoea: 1. High level of stress 2. Change in life style 3. Late ovulation 4. Excessive exercise 5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine 6. Thyroid problem 7. Hormonal imbalance 8. High prolactin level 9. Endometriosis You should take primolut N further 4-5 days to induce bleeding. But my advice is to Consult gynecologist. Test a full hormone profile and ovarian follicle study, prolactin, thyroid profile Endometrial biopsy. Hope this may help you. Best regards Dr. Sagar