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Missing Periods. Taken Progynova And Estrogen. Why There Is No Periods After HRT?

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Posted on Fri, 29 Jun 2012
Question: For last three months I have missed my periods. I was put on Progynova and estrogen and Dr. Told me that on 13 it should start but till today no signs. My endrometrinium as 6 in Dec and last month it was 5 and yesterday it came 4.

I confused as even after the HRT no periods.
doctor
Answered by Dr. Dr. Rakhi Tayal (40 minutes later)
Hello,
Thanks for posting your query.
Since you are not having any periods for last three months and there was no withdrawal bleeding even after taking hormonal therapy, a complete hormonal profile needs to be done.
The hypoplastic endometrium of 4mm might be suggestive of an early menopause. Hypothyroidism may be a contributing factor.
The other reasons of delayed periods may be hormonal imbalance, emotional stress, anxiety, stress, or other medical conditions that affect the ovaries, uterus, hypothalamus, or pituitary gland.
The following investigations need to be done:
a.     Serum luteinizing hormone
b.     Serum follicle stimulating hormone levels
c.     Serum prolactin levels

Please consult a gynaecologist for the same so that a complete evaluation can be done and further treatment can be instituted.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
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. Aparna Kohli
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14039 Questions

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Missing Periods. Taken Progynova And Estrogen. Why There Is No Periods After HRT?

Hello,
Thanks for posting your query.
Since you are not having any periods for last three months and there was no withdrawal bleeding even after taking hormonal therapy, a complete hormonal profile needs to be done.
The hypoplastic endometrium of 4mm might be suggestive of an early menopause. Hypothyroidism may be a contributing factor.
The other reasons of delayed periods may be hormonal imbalance, emotional stress, anxiety, stress, or other medical conditions that affect the ovaries, uterus, hypothalamus, or pituitary gland.
The following investigations need to be done:
a.     Serum luteinizing hormone
b.     Serum follicle stimulating hormone levels
c.     Serum prolactin levels

Please consult a gynaecologist for the same so that a complete evaluation can be done and further treatment can be instituted.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.