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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Menstruation And Negative Pregnancy Test?

I am a 21 year old female who hasnt had a menstral cycle for 9 going on 10 months, I have had ongoing tests to find the explanation but all blood and urine tests have come back fine and all pregnancy tests negative. I am booked to see a gynecologist in October but I have just had my first CT scan which revealed multiple small cysts in both overies, is this PCOS?
Mon, 19 Sep 2016
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General & Family Physician 's  Response
Hello dear
I understand your concern
If cyst is associated with reproductive hormone imbalance (high androgen) and insulin resistance then it is called PCOS.
I advise you to alosp go for reproductive hormone analysis, lipid profile and insulin, USG scan and ovarian follicle study for better management.
Doctor will give following advises:
Progesterone shot to induce the period.
After the period has been come main aim is to regularize the period.
Birth control pill and or progesterone pill help to regularize the period
Clomiphene citrate and spironolactone can be used.
Metformin will help in regularize the glucose hoemostasis.
Loose 10-12 % weight if you are obese.
Avoid excessive sweet and salt in the diet.
Take healthy diet: green leafy vegetables, fresh fruits, drink plenty of fluids, mutivitamin and mineral supplements, almonds
Do regular exercise.
If not respond to above advises then surgery like ovarian dreelings can be useful
Hope this may help you

Contact HCM for further health query
Best regards
Dr. Sagar


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What Causes Delayed Menstruation And Negative Pregnancy Test?

Hello dear I understand your concern If cyst is associated with reproductive hormone imbalance (high androgen) and insulin resistance then it is called PCOS. I advise you to alosp go for reproductive hormone analysis, lipid profile and insulin, USG scan and ovarian follicle study for better management. Doctor will give following advises: Progesterone shot to induce the period. After the period has been come main aim is to regularize the period. Birth control pill and or progesterone pill help to regularize the period Clomiphene citrate and spironolactone can be used. Metformin will help in regularize the glucose hoemostasis. Loose 10-12 % weight if you are obese. Avoid excessive sweet and salt in the diet. Take healthy diet: green leafy vegetables, fresh fruits, drink plenty of fluids, mutivitamin and mineral supplements, almonds Do regular exercise. If not respond to above advises then surgery like ovarian dreelings can be useful Hope this may help you Contact HCM for further health query Best regards Dr. Sagar