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Suffering from irregular period after delivery. Tubal ligation done. Is there any complication?

Mar 2016
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Answered by

Practicing since : 2011
Answered : 4047 Questions
Hello Doctor,
I have been having abnormal periods since my last child who was born XXXXXXX 2012. I had my tubes tied in April 2012, since then my periods sometimes do not come, seems like every other month I will get my period. I do get all the symptoms as if I am getting it but then nothing. I had my yearly exam on Thursday of last week, I am still waiting for the results. Also I started my period two weeks ago and and it stopped after day five, then I started to spot until this morning I woke to heavy bleeding again. I am 31 years old, never had a abnormal pap smear or issues with my periods always been very normal, and am very healthy. Also I have lost 12 pounds in the past five weeks-I am not dieting, I am a petite woman who can not afford to loose weight. I do have a ultra sound set up in a week due to the doctor feeling some sort of fiberostic?(sp) cyst during her palpitation exam. I am worried something serious in going on and am becoming inpatient.
Posted Sat, 9 Mar 2013 in Menstruation and Miscarriage
Answered by Dr. S Patra 3 hours later

Thanks for writing to us. I am trying to solve your problem.

According to your history, you are suffering from irregular menstrual cycle for near about 1 yr following last child birth.

Possible reasons for irregular period/ spotting are ovarian cyst or PCOD (most common), uterine pathology, stress/ anxiety/ emotional upset, hormonal imbalance, irregular eating habit, thyroid problem (hypothyroid state), psychological factors, overweight or extreme weight loss (you lost 12 pounds) etc.

The possibilities can be narrowed by means of several tests such as Ultrasound (USG) lower abdomen, complete hormone assay (estrogen/ progesterone & LH/FSH etc ), blood sugar & prolactin level, thyroid profile, endometrial biopsy etc.

Proper treatment depends upon underlying causative factor. Therefore, you need to consult with your gynecologist for proper guidance through investigations & medication after a complete physical examination.

The following measures can be helpful:

1) Take healthy diet with vitamin & iron supplements.
2) Try to avoid stress/ tension by yoga/deep breathing regularly (20-30 times).
3) Control body weight by regular light exercise (that you are doing).
4) Drink more water & eat more vegetables. Avoid salty/ spicy/ fatty food stuffs.
5) Maintain personal hygiene & need proper sleeping with complete relaxation.
6) May need one psychological counseling to elevate mood/ relieve stress.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your good health and take care yourself.

Dr Soumen.
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