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Having Irregular Periods. On Metformin. How Critical Is My Situation? What Steps Must I Take?
Question: iam having irregular periods , from starting itself .....rightnow iam 29 yrs ,unmarried girl .doctor recommended me metformin , can u please tell me how critical my suitation is and necessary steps which i should take , bcoz now i used to skip 2 -3 mestural cycles ...
Hi XXXXXXX
According to your menstrual and treatment history the possibilities are,
1. PCOD (poly cystic ovarian disease) in which there will be hormonal imbalance leading to anouvlatory cycles, irregular periods, amenorrhea, insulin resistance with hyperinsulineamia.
In treating this condition your doctor might have kept you on insulin sensitizers like metformin, by using this by maintaining normal body mass index you can overcome this problem of delayed periods.
If not cured with metformin alone you can go for hormonal treatment or surgical methods.
2. After attaining menarche most of the people will have irregular periods and anovulatory cycles, after few cycles they will become regular.
If they are continuing the possibility of some underlying endocrine abnormality like thyroid disorder can be suspected.
If you not undergone thyroid hormonal test till now better get it done once to rule out that possibility.
3. Abnormal weight gain or loss, stress can also lead to menstrual abnormalities by affecting hypothalamo pituatary axis.
4. Conditions affecting general health like anaemia, deficiency of Vit D and calcium can also lead to menstrual abnormalities.
Don't worry there is treatment for every problem causing menstrual abnormality.
Now you have to,
- follow instructions and treatment of your doctor.
- get treated for any associated medical disorders if present.
- maintain weight according to height.
- take adequate nutrition and if needed iron, calcium and vitamin supplements.
- take support of your family members in facing the problem which will decrease the stress.
Hope I have answered your query. I will be available to answer your follow up queries. If you are satisfied with all my answer, please do not forget to accept it.
Take care
According to your menstrual and treatment history the possibilities are,
1. PCOD (poly cystic ovarian disease) in which there will be hormonal imbalance leading to anouvlatory cycles, irregular periods, amenorrhea, insulin resistance with hyperinsulineamia.
In treating this condition your doctor might have kept you on insulin sensitizers like metformin, by using this by maintaining normal body mass index you can overcome this problem of delayed periods.
If not cured with metformin alone you can go for hormonal treatment or surgical methods.
2. After attaining menarche most of the people will have irregular periods and anovulatory cycles, after few cycles they will become regular.
If they are continuing the possibility of some underlying endocrine abnormality like thyroid disorder can be suspected.
If you not undergone thyroid hormonal test till now better get it done once to rule out that possibility.
3. Abnormal weight gain or loss, stress can also lead to menstrual abnormalities by affecting hypothalamo pituatary axis.
4. Conditions affecting general health like anaemia, deficiency of Vit D and calcium can also lead to menstrual abnormalities.
Don't worry there is treatment for every problem causing menstrual abnormality.
Now you have to,
- follow instructions and treatment of your doctor.
- get treated for any associated medical disorders if present.
- maintain weight according to height.
- take adequate nutrition and if needed iron, calcium and vitamin supplements.
- take support of your family members in facing the problem which will decrease the stress.
Hope I have answered your query. I will be available to answer your follow up queries. If you are satisfied with all my answer, please do not forget to accept it.
Take care
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thks mam , for your quick reply , my height is 5-3' and my weight is 51 kg.few years back i had my all hormone profile checked . doctor said everything is alright . i fllowed precscription but no satisfactorily effects.
even ultrasound was also done ......
ya throid test was not yet done .......
one more thing i used to take balanced diet including seasonal vegies , friuts , juices and milk .srry to say i have improved my eyesight but not this problem ...............
also my family is planning for my marriage , will this problem will trouble me alot in my future .........
apart from this can u guide me what all things i should include in my diet ...bcoz along with metformin , iam traking M2tone tablets also daily .............
regards XXXXXXX XXXXXXX
IIT ROORKEE
even ultrasound was also done ......
ya throid test was not yet done .......
one more thing i used to take balanced diet including seasonal vegies , friuts , juices and milk .srry to say i have improved my eyesight but not this problem ...............
also my family is planning for my marriage , will this problem will trouble me alot in my future .........
apart from this can u guide me what all things i should include in my diet ...bcoz along with metformin , iam traking M2tone tablets also daily .............
regards XXXXXXX XXXXXXX
IIT ROORKEE
Hi XXXXXXX
You can continue with the marriage plans. You need not panic.
I have witnessed many patients conceiving with PCOS. You just need to keep the following things in mind:
1) Do not increase in weight
2) Take medication regularly and follow up with doctor.
3) As such there is no right diet that changes the course of the disease but we recommend replacing processed food with colorful vegetables and fruit in the diet.
4) The doctor should try to get regular periods with medication and predict ovulation. Once ovulation is happening then you can participate in successful intercourse and conceive.
Let me know if you have any further enquiries.
You can continue with the marriage plans. You need not panic.
I have witnessed many patients conceiving with PCOS. You just need to keep the following things in mind:
1) Do not increase in weight
2) Take medication regularly and follow up with doctor.
3) As such there is no right diet that changes the course of the disease but we recommend replacing processed food with colorful vegetables and fruit in the diet.
4) The doctor should try to get regular periods with medication and predict ovulation. Once ovulation is happening then you can participate in successful intercourse and conceive.
Let me know if you have any further enquiries.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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