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Ultrasound Showing Left Ovarian Simple Cyst And Prescribed With Duphaston. What Causes Delay In Periods?

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Posted on Mon, 16 Dec 2013
Question: my daughter is 23 yrs old. She started menstruating from the age of 13 yrs. every month she used to have menstrual pain for the first two days. Her cycle is every 30 days and she has missed any cycle. one and a half month back she got a complete health check done and her ultra sound revealed a left ovarian simple cyst measuring 2.6X2.3 cms. Gynic advised that the cyst will dissolve by itself and only if she she misses her cycle she can consult a doctor. She had her next cycle as usual but now she has missed her cycle and it is 47 days. ( this is the first cycle she has missed) all her test like FBS, PP thyroid, hemoglobin (15.5) are normal. when she met a doctor she suggested her to tak duphaston for 5 days ( morning and night). She has been taking it for the past 4 days but she is yet to get her periods. Pl suggest what should be done.
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Answered by Dr. Aarti Abraham (19 minutes later)
Brief Answer: COMPLETE THE COURSE, THEN WAIT FOR A WEEK XXXXXXX Detailed Answer: Hello Thanks for trusting us with your health concern. Sometimes young women have mild hormonal imbalance, due to which there is a missed period. If other causes are ruled out ( pregnancy, thyroid imbalance, polycystic ovaries etc ) - then this simple imbalance can be corrected by giving progesterone withdrawal. Duphaston contains progesterone - when it is given continuously for 5 days, and then stopped, there is hormone withdrawal effect, which leads to bleeding. She should complete the 5 days course of Duphaston. After that, bleeding generally occurs within 3 - 5 days, maximum within a week. So please finish the course, and then wait for one week more. IF she fails to menstruate by then, further workup is essential - such as FSH, LH, TSH, pelvic ultrasound. The cyst described by you is small, and is mostly a functional cyst, not harmful. She should have repeat ultrasound 3 months after the first ultrasound, as most such cysts disappear on their own. Stress, anxiety, weight gain, personal or professional or academic tensions, change in sleep or eating habits - all these can also cause menstrual delay. Do not worry, as she will mostly respond to the Duphaston withdrawal - just complete the 5 days, and then wait for a few days more. All the best. Please feel free to ask for further clarifications.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (10 minutes later)
thanks a lot doctor. I will get in touch with you
doctor
Answered by Dr. Aarti Abraham (4 minutes later)
Brief Answer: DETAILED BELOW Detailed Answer: Thank you for your appreciation ! Please feel free to contact me anytime, using the following direct link - WWW.WWWW.WW I would be happy to provide assistance. Do not worry, as such menstrual irregularities occasionally are quite common in young girls, and she will definitely respond to Duphaston withdrawal. Take care.
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. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

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Ultrasound Showing Left Ovarian Simple Cyst And Prescribed With Duphaston. What Causes Delay In Periods?

Brief Answer: COMPLETE THE COURSE, THEN WAIT FOR A WEEK XXXXXXX Detailed Answer: Hello Thanks for trusting us with your health concern. Sometimes young women have mild hormonal imbalance, due to which there is a missed period. If other causes are ruled out ( pregnancy, thyroid imbalance, polycystic ovaries etc ) - then this simple imbalance can be corrected by giving progesterone withdrawal. Duphaston contains progesterone - when it is given continuously for 5 days, and then stopped, there is hormone withdrawal effect, which leads to bleeding. She should complete the 5 days course of Duphaston. After that, bleeding generally occurs within 3 - 5 days, maximum within a week. So please finish the course, and then wait for one week more. IF she fails to menstruate by then, further workup is essential - such as FSH, LH, TSH, pelvic ultrasound. The cyst described by you is small, and is mostly a functional cyst, not harmful. She should have repeat ultrasound 3 months after the first ultrasound, as most such cysts disappear on their own. Stress, anxiety, weight gain, personal or professional or academic tensions, change in sleep or eating habits - all these can also cause menstrual delay. Do not worry, as she will mostly respond to the Duphaston withdrawal - just complete the 5 days, and then wait for a few days more. All the best. Please feel free to ask for further clarifications.