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Irregular and heavy menstruation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
User :   hello doctor
Doctor :   Please go ahead with your query
User :   this is for my wife
User :   problem regarding periods
User :   heavy pain, bleeding and irregular
User :   doctor can i have a gynecologst to chat
User :   that would be nice
Doctor :   I am General Physician I would be able to help you within my expertise else I can refer you
User :   no gynecologists there
Doctor :   We do not have Gynecologist on chat, but you can ask a question by an email
User :   or lady doctors
User :   so she can talk
User :   so my wife shall talk
User :   any lady doctors would help
Doctor :   I am sorry we currently do not have lady doctor online
User :   ok
User :   let me ask
User :   heavy bleeding
Doctor :   Ok what is your wife's age?
Doctor :   Since how long she has this problem?
User :   24
Doctor :   What were her last three period dates approx?
User :   from her menarche
Doctor :   Last three period dates?
User :   last 26
User :   before tht 15th
User :   before tht 10th
Doctor :   Month?
Doctor :   Do you mean Dec 10th and Dec 15th and Dec 26th
User :   no dec 26
User :   nov 15th
User :   oct 10th
Doctor :   How many days does it bleed?
Doctor :   each time
Doctor :   Does the pain start with bleeding or before the bleeding?
User :   5 days\
User :   before blleding
Doctor :   How many pads per day?
User :   3 to 4
Doctor :   Are you trying to get pregnant?
User :   yes
User :   pads are maxi ones
Doctor :   Does she have tiredness at the end of the day or during her normal activities or swelling of legs
User :   nope
Doctor :   Did you see a doctor or got some tests done?
User :   no
Doctor :   Ok, what is her weight and height?
Doctor :   Any family history of menstrual problems?
User :   weight 54, height 5'5
User :   nope
Doctor :   What is her occupation, any physical and mental stress ?
User :   no
User :   even pain is there if atleast a finger is being inserted at menses time
Doctor :   Do you mean during sex?
User :   yes
User :   at periods time also
Doctor :   It is not hygienic to involve in sexual intercourse during periods, it attracts some infection
Doctor :   Do you mean to say, she has pain during sexual intercourse even normally?
User :   no never
User :   she is relaxed at that time
Doctor :   ok during menses time, she has problems
Doctor :   Is it?
User :   yes
Doctor :   Ok do not practice intercourse during that time
Doctor :   Not a good idea
Doctor :   Ok, let me educate you on certain aspects here
User :   ok
Doctor :   Pregnancy can happen if a sperm of man meets with a egg that a woman releases
User :   ok
Doctor :   Egg of a woman is released by a process called Ovulation
User :   ok
Doctor :   Egg is released during the mid of cycle from each ovary ( two ovaries in each woman)
User :   ok
Doctor :   That means the exact half date between two menstrual periods
Doctor :   If it is 35 days cycle, the egg is released between 16 to 18 days from the first day of the previous menstrual period
Doctor :   Did you understand
User :   ok
Doctor :   This egg dies within 24 hours
Doctor :   normally
Doctor :   Hence the sperm should meet this egg within that 24 hours of its release
User :   ok
Doctor :   Hence it is ideal to have regular intercourse from day 12 to Day 18 of the cycle to have more chances of pregnancy
User :   dear doctor
Doctor :   Even the sperm can survive for not more than 24 to 36 hours after it is released in the woman
Doctor :   Now, coming to the ovulation, you will have to determine now
Doctor :   if the ovulation is happening or not
User :   how to determine when periods are iregular
Doctor :   and also to achieve regular periods
Doctor :   so that you can plan and count the Day 12 to Day 18
Doctor :   and plan better for pregnancy
User :   any other physical sign of ovulation
Doctor :   Yes there is but as a common man you may not be able to test it
Doctor :   There will be basic increase in temperature
Doctor :   by 1 degree
Doctor :   during that day
Doctor :   But since the temperature is modified by various factors you would not be able
Doctor :   Hence an Ultrasound or Vaginal secretions
Doctor :   by Gynecologist can only determine
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