Brief Answer:
EXPLAINED BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
You should get yourself thoroughly evaluated for the cause of
irregular periods.
I think you must be having PCOS -
polycystic ovarian syndrome.
This is a condition of baseline hormonal imbalance, in which the ovaries get studded with multiple small follicles.
None of them get matured to form a dominant egg follicle, so ovulation is erratic and cycles are irregular as a result.
Other than that, uncontrolled
hypothyroidism can cause your symptoms.
Also,
endometrial hyperplasia ( thickening of the lining of the uterus due to hormonal imbalance ) could be responsible.
Since you are keen to conceive, please consult an
Infertility Specialist, and get the following workup done -
1. Thorough internal check up - per vaginum and per speculum.
2. Pelvic ultrasound scan done transvaginally.
3. Hormonal levels - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free
testosterone,
Lipid Profile.
This will reveal a diagnosis.
Generally, for PCOS , weight loss helps a lot.
Your BMI is 26.6 , which is overweight , so please aim at weight reduction via exercise and dietary modification.
Drugs like Metformin will help in weight loss and regulating cycles.
Please undergo a cycle of follicular monitoring ( tracking of the growth of the egg follicle by serial ultrasound scans ).
If a problem in ovulation is observed, then drugs like clomiphene citrate are given to stimulate ovarian development and maturation of the eggs.
Please undergo the workup as outlined.
If you have any reports, please upload them so that I can go through them.
All the best.
Please feel free to discuss further.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist.
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