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Having pain during periods. is this normal? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How are you?
User:I am fine
Doctor:How can I help you?
User:i need some clarification regarding my sis
User:she is 23 year old
User:she is feeling pain during her period time and we consulted Dr. And Dr said not to worry as it depends on the person
Doctor:A lot of women will have pain during the periods
Doctor:Its normal
User:one more issue is bleeding ocurs once in 10 days or 15 days
Doctor:That is abnormal and it needs to be evaluated
User:once or twice
Doctor:even if its once, its abnormal
Doctor:Minimum cycle length should be around 26 days
User:she is facing this issue since from 10 years
User:sorry from last 10 years
Doctor:She needs to get an ultrasound of the pelvis XXXXXX
Doctor:she will need a hormonal evaluation also like FSH, LH, estrogen and progesterone
User:previously she under wend scanning and the report was normal
Doctor:Was she started on a hormonal pill?
User:The consulted dr also said the same
Doctor:she needs to be started
Doctor:In addition, was a complete blood count done?
User:She under went one more ultrasonography
User:the report says normal
Doctor:a complete blood count is a blood test XXXXXX
Doctor:If she is bleeding so often
Doctor:there is a high chance that she is anemic
Doctor:She needs to be treated for that as well
User:But there is statment in the report that "Both Ovarian show multiple small cysts ranging in size 2-3 mm"
Doctor:What is her weight?
Doctor:and height also?
Doctor:and height
User:5.3 inch
User:5feet 3.5 inches
Doctor:her weight is normal
Doctor:But she probably has polycystic ovarian disease
Doctor:for which she needs to be treated
Doctor:This could be leading to the frequent bleeding that she is experiencing
User:Also there is one statement under the Impression like "Bilateral polycystic ovaris with endometrial thichness of 12mm" what does it mean
Doctor:This means that she has a condition called polycystic ovarian disease
User:is "polycystic ovarian disease XXXXXXX is serios
Doctor:Its not serious but it needs to be treated
Doctor:There will be issues with having a child, weight gain and diabetes later on
User:does it requires any operation of can be treated without opearation
Doctor:It does not need a surgery at this point
Doctor:We first try with medication
Doctor:once the relevant tests have been done
Doctor:we will need a hormonal profile to start with
Doctor:Once we have the results
Doctor:we put her on hormones
Doctor:This will help regularize her cycles
Doctor:and will also take care of future issues
Doctor:I would suggest she see a gynaecologist
User:our worry is that we are searching guy for her it should not affect her after marr life
Doctor:The treatment will take about 3-6 months to take effect
Doctor:Its important she gets treated right now
User:My question why this is identified now eventhough she is facing this from 10 years
User:and why it is not idenified in the previous scanning
User:we did the scanning twice
Doctor:Sometimes the resolution may not be good enough
Doctor:It will vary depending on stage of disease, skill of radiologist etc
Doctor:The important thing now is that we get it treated
User:Does food habit will influance this
User:can we control this with proper diat
Doctor:A diet will not help her control this
Doctor:Please understand XXXXXXX
User:just asking what would be the treatment cost in bangalore.
Doctor:She needs to be treated with medication
Doctor:The medication is not expensive and is in fact very commonly prescribed
Doctor:So you just basically need to pay for the doctor's fees
Doctor:If you go St Johns , it can be cheaper
Doctor:Dr XXXXXXX who heads unit II at Obs gyn in St Johns is good
User:Do you have any opn about Dr XXXXXXX Bhat
Doctor:Dont know her personally
Doctor:Dr XXXXXXX is actually from AIIMS,New Delhi
User:you hear about her right ?
Doctor:I havent
User:OK. Thanks Dr providing valuable information. We will consult gynaecologist for the further treatment
User:It is nice talking to you.
Doctor:Thanks for consulting me
Doctor:Have a good day ahead
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