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Irregular periods, from 1 year, had miscarriage - 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 : 2005
Answered : 2568 Questions
User :   hi i am having my periods irregularly...please help
Doctor :   Hi
User :   hi
Doctor :   May I know your age?
User :   28
Doctor :   Since when are you having the irregular periods?
User :   since last one yeare
Doctor :   Ok
Doctor :   Do you have abdominal pain?
User :   no
Doctor :   How irrelevant are your periods?
Doctor :   * I mean irregular?
User :   i had a miscarraige in august...abt 6 weeks preganancy
User :   its happening in 2 months
Doctor :   Ok
User :   i feel feverish...very exhausted these days
Doctor :   Is the flow normal or is it irregular also?
User :   flow is normal
Doctor :   Do you have any other medical problem such as diabetes/hypertension/thyroid problems?
User :   no
User :   all the tests came normal when did in august
Doctor :   Ok
Doctor :   Have you been seen a doctor for these symptoms in the past?
User :   nope
Doctor :   Ok
Doctor :   Does any one in your family have irregular periods?
Doctor :   May I know your weight and height?
User :   i am considering to go tommorrow..however i was lil upset...abt the fact that my preganncy test came negative.....just now
Doctor :   Ok
User :   my hieght is abt 5 feet and wieght is 60
Doctor :   Ok.
Doctor :   Let me explain it to you.
Doctor :   Since I have not examined you, I would not be able to tell the exact cause for irregular periods.
Doctor :   However, I shall provide you the information of the causes that can be causing it.
User :   at this point should i be consulting a gynac or a fertilty specialist
Doctor :   Are you married?
User :   i am lil desperate to conceive..but only since i have planned to conceive this issue is occuring
User :   yes of course...
Doctor :   Since when are you married? Do you have kids?
User :   4 yrs
User :   no kids as we dint plan
Doctor :   Were you on contraceptive pills?
User :   no
Doctor :   I mean, you mentioned that you did not plan? Were you on any other family planing methods?
User :   my husband was taking precautions
Doctor :   Ok.
Doctor :   I shall give you the required information.
Doctor :   As I had mentioned irregular periods causes are broadly of two categories.
Doctor :   1. Were there is ovulation assoicated with it.
Doctor :   2. Were there is no ovulation.
Doctor :   Since your periods were regular in the past, it is probably the first category that may be responsible for the irregular periods.
Doctor :   A few conditions which come under this category are
Doctor :   systemic conditions such as anaemia, hypothyroidism.
Doctor :   gynaecological conditions such as Poly cystic ovarian disease, infection, fibroids, endometrosis and so on.
Doctor :   These are the commonest causes which come under this category.
Doctor :   Now to know which among them is causing, it can be determined only by evaluation.
Doctor :   Hence you would have to see a doctor for investigations.
Doctor :   These conditions are treatable.
Doctor :   So you need not worry.
Doctor :   I would suggest you to consult a gynaecologist,
Doctor :   A gynaecologist would be a better person to evaluate you.
User :   what kind of diagnosis would be needed to evaluate
Doctor :   However, since you also report problem of infertility, genetic counselling of both you and your husband, semen analysis of your husband would also be required.
Doctor :   Evaluation is for diagnosing the condition.
Doctor :   Evaluation includes physical examination and investigations.
User :   as i said ealrlier...i conceived in the month of u think there is an infertility issue here
Doctor :   Investigations that would be needed would be suggested by the doctor after the physical examination.
User :   since last one month i am having slight ..white vaginal discharge...does this mean anything
Doctor :   If the cause for abortion has been determined and those cause does not include that of infertily, then it is not infertility.
Doctor :   White discharge can be a normal condition or an abnormal condition too.
Doctor :   So I cannot comment if that was normal or part of the condition that you may be having.
User :   My Dr was not sure however..progestrone levels were too low
Doctor :   It would be best answered after the evaluation.
Doctor :   Ok
User :   and said try for another 6 months
Doctor :   You would need evaluation, if the gynaecologist feels necessary then the other test for infertility test too.\
User :   ok
Doctor :   I wish there would not be an infertility problem.
Doctor :   But only a gynaecologist would be able to confirm this.
User :   i am new to this place...can u suggest a dr
Doctor :   Have you followed what I have suggested?
Doctor :   May I know your location?
User :   yes
User :   bangalore
User :   do u suggest me to go the dr immediately or shud wait for my next periods..which wud be in abt a week
Doctor :   It is not an emergency.
Doctor :   WWW.WWWW.WW Doctor :   This is a link from our website.
Doctor :   It has the list of names of the gynaecologist available.
User :   i mean when be best time for the doc to evaluate..before or after periods
Doctor :   You can consult them at any time.
User :   ok
Doctor :   but preferably not when you are having the periods.
Doctor :   Have you followed?
User :   yes
Doctor :   Do you have any other query?
Doctor :   Are you there?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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