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Suggest treatment for delayed menstruation

Answered by
Dr.
Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5068 Questions

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Posted on Wed, 31 May 2017 in Women's Health
Question: hi im 27 years female, having thyroid problem from 2011 ,my height is 5.4 and weight 65... i dont have pcos....i am not getting my periods at all please help me. i used allopathy but i gained weight i was 80 but i dint get my periods, homeo too but no use. Now im on ayurvedic medicine from november 2016 i got periods consecutively till feb 3....later on i dint get my period till date please suggest me medicinne to get periods immediately. All other tests are norma; even thyroid tests are normal as im taking everyday thyroxin 25 mcg. from 2005 i got my first period it was regular. from 2007 it started irregular.from 2011 no periods at all.
doctor
Answered by Dr. Deepti Verma 50 minutes later
Brief Answer:
Other hormonal investigations should be done

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
Delayed or no periods at all can be due to hormonal disturbances like hyperprolactinemia, hypothyroidism, polycystic ovarian syndrome,Cushing syndrome, or due to premature ovarian failure.
Since your thyroid hormones are normal and you are not having polycystic ovarian syndrome, then you should get the following tests done to rule out other causes:
1. Serum prolactin levels
2. 24 hour urinary cortisol levels
3. Serum FSH levels.
You can get back to me with reports. Further treatment should be done accordingly
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Deepti Verma 2 days later
Hi doctor i got tested what you said
1.Serum prolactin levels
2. 24 hour urinary cortisol levels
3. Serum FSH levels.

Prolactin ,FSH and LH levels are normal. Urinary cortisol levels reports i will get after two days.Please suggest me what can i do. Please help me regularize my periods without side effects. As the chat get expires so i replied you now. Please respond me. Thank you.
doctor
Answered by Dr. Deepti Verma 1 hour later
Brief Answer:
Estrogen and progestrone combination

Detailed Answer:
Hi dear,
As all the investigations are normal, then you should take estrogen and progesterone combination to induce periods.Firstly, you should take estrogen for 14 days followed by estrogen and progesterone for next 7 days.
This will stimulate periods.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Nagamani Ng
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