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What Causes Delayed Menstruation And Painful Cramps In A PCOS Patient?

Posted on Tue, 21 Jun 2016

Question: Hello. Ive been having period pain for the past week. like im about to come on my period or already am but i still have not. I was diagnosed with polycystic ovaries a few tears ago and have alwats had issues with my period but never a week of quite painful cramps but no period. i have drastically changed my diet and lost 5 stone but after this it doesnt feel like my PCOS is getting better. What shall I do?

Answered by Dr. Manisha Jain (27 minutes later)

Brief Answer:
Certain details needed

Detailed Answer:
Hello Mam, thanks for trusting health care magic.
I would like to know the duration of your menstrual cycle and amount of flow in each cycle.
Also I would like to know if you desire fertility in near future.
What is your height and weight so as to gauze the effect of weight on your fertility.
Waiting for your response.
Regards
Dr Manisha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (11 minutes later)

Well, i have never had a consistent cycle. My last period was 1st april and ended around the 5th april. The one before that started in late august and didnt finish until the middle of january (5 months bleeding) i am not thinking about fertility yet im single so its not my concern. I am 5ft 7 and weigh 16stone. ivam still losing weight however my weightloss has slowed this past week and my stomach is really bloated.

Answered by Dr. Manisha Jain (17 hours later)

Brief Answer:
Precautions advised

Detailed Answer:
Sorry for the delay in response dear, I was struck in some emergency last day.
Seeing all the symptoms and knowing your single status in my opinion you need to take oral contraceptive pills for 6 months regularly and then see the pattern of periods.
Keep working on weight loss and indulge in some good exercise like jogging, gym or just a brisk walk daily.
It is not for weight reduction and rather an important lifestyle modification which will lead to high basal metabolic rate.
Take care.
Regards
Dr Manisha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (7 hours later)

But why XXXXXXX having cramps but no period. Its been over a week now. What shall i do about this?

Answered by Dr. Manisha Jain (9 hours later)

Brief Answer:
A welcome sign

Detailed Answer:
It is just the effect of weight loss. In my opinion you will notice a pleasant change in your period pattern soon.
Thus pre-menstrual cramping is an indirect action of upsurge of progesterone and thus regular cycles in future.
But in case cramps increase without periods or are unbearable then get an ultrasound done.
You can take tablet Meftal spas for relief in case feel incapacitated
All the best

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