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    What causes irregular menstrual cycle?

Posted on Mon, 29 Dec 2014 in Women's Health
Question: Hi my girlfriend is experiencing some abnormal symptoms, she is 24 years old. She always used to have her period for 5 to 6 days but for past two to three months she is being somewhat late to her menstrual cycle. This month on her date she dint have her period instead she had severe cramps in her abdomen for one week, later she had her period (i.e 7 days late from her actual day) but the weird thing is she had her period for only one day which initially started with brown spotting and she had heavy bleeding normal like period ( bright red color) I think she changed around 5 to 6 pads. On second day she had her pain but very light discharge on third and fourth day she had very little discharge on fifth day she found some kind of brown mucus discharge which occurred only once. She often used to have white mucus discharge in her vagina but this time after her period the discharge was quite heavy with itching sensation, she even got some pimple kind of thing in her vagina. The discharge was thick white in color with itching and burning sensation along with this she is having constipation, indigestion problem. She says that her stomach looks bloating due to indigestion problem. We are not sexually active she is a virgin. This month she was put in to more stress and some restless night. She recently joined yoga class which altered her day to day activities. Normally her pain during the menstrual cycle will be more so she was having pain killers for past few years. She stopped using those pain killers for past 3 months. She even says that she gained some weight in her body and her breast has grown. For her yeast infection she visited OBGYN she had tablets and ointment within two days her infection was gone. But she was suffering from constipation so she visited the doctor who attended her during jaundice fever. The doctor suggested her for ultrasound scan and some blood tests. I am attaching the respective reports which she got it today. Please tell us what is her problem is everything normal, if there is any problem please let us know how it can be treated.
Answered by Dr. Sameer Kumar 29 minutes later
Brief Answer:
overall looks normal...its stress she has to control

Detailed Answer:
thanks for contacting healthcaremagic.

Going by the history by your girlfriend when she earlier had regular periods and moderate flow but after she has joined yoga classes and due to various stressors her periods have been found to be delayed by 5-7 days more or less.

firstly it is considered a normal cycle if the periods arrive within 23-35 days.A delayed period is defined if she has a menstrual cycle which is 36 day or more .
However the concern is that the regularity is not maintained as it was before, the likely reason is stress and her change in daily schedule due to yoga.

The pattern of bleeding is also acceptable, if it starts with light bleeding on the frst day and 2-4 th day there is moderate bleeding changing 4-6 pads and then in the following 3 days the bleeding diminishes and stops.

However the white curdy dicharge and itching indicated vaginal candidiasis for which she sought treatment and got treated with anti fungals.

thirdly, constipation can be treated with a change in diet and increased water intake , increasing it to atleast 12-15 glasses per day. Though progesterone per se during menses can cause constipation as well.

i dont see a attached report with this query, so i request you to send it across.

From the history, she appears fine and once she is able to cope up with the stress , then her menstrual cycle can return to her normal regularity.

awaiting reports,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sameer Kumar 1 minute later
Her uterus report says

Transabdominal sonography of the pelvis done.
Uterus measured 7.4 x 3.5 x 2.4 cms.
Uterus appeared anteverted with homogenous myometrial and endometrial echoes.
Endometrial thickness measured 5.0 mm.
Right ovary measured 2.5 x 1.7 cms.
Left ovary measured 3.3 x 1.6 cms.
Left ovary appeared normal.
No free fluid with POD.
Left renal microlith.
- Please correlate.

USG Whole Abdomen Scan Report
Liver filled with homogenous parenchymal echoes. No abscess or mass lesion in the liver.
Gall bladder appeared normal. No calculi seen in the gall bladder. Common duct appeared normal. No calculi seen in the common duct.
Pancreas appeared normal.
Spleen appeared normal.
Aorta appeared normal. No paraaortic nodes seen.
Peritoneal cavity appeared normal.
Right Kidney measured 9.8 x 4.6 cms.
Cortex and collecting system of right kidney appeared normal. No calculi seen.
Left Kidney measured 8.7 x 4.6 cms.
Cortex and collecting system of left kidney appeared normal.
Microlith in the mid calyx of size measuring 2.3 mm.
Bladder appeared normal.     

Could you please say me what does this report says. Is everything normal or is there any problem. Anteverted uterus is normal. Why Anteverted uterus occurs. Please give some detail answers.
Answered by Dr. Sameer Kumar 58 minutes later
Brief Answer:
left kidney stone , rest all normal

Detailed Answer:
the complete pelvic ultrasound report is normal and there is nothing wrong with uterus, tubes or ovary.

However she has a small kidney stone of size 2.3mm in the left kidney which can be treated with diuresis, as in increased water intake and can be passed in urine .
rest everything is normal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sameer Kumar 57 minutes later
Thanks for your response doctor. She remembered that she had same ultra sound scan two years before. She is saying at that time her uterus was normal but now it appears anteverted what would be the reason? Is that anything we should worry about?
Answered by Dr. Sameer Kumar 1 minute later
Brief Answer:
anteversion is normal uterus

Detailed Answer:
anteversion is the normal position of uterus .

retroversion is that uterus is turned downwards.

A normal uterus is anteverted and anteflexed. so don't worry.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sameer Kumar 19 hours later
Thanks for your answer Doctor. So the symptoms she faced during her menustration might be due to kidney stones. Does kidney stone can affect the menstrual cycle?
Answered by Dr. Sameer Kumar 19 minutes later
Brief Answer:
no kidney stone has no relation to menstrual pain

Detailed Answer:
The pain during menses is called dysmenorrhoea and due to uterine contractions and they are not related to kidney stone at all. Such pain is common in most women and oart of premenstrual syndrome. She has to take antispasmodics regularly during menses to relieve ftom pain...

And lastly kidney stones have no effect on menstrual cycle.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1656 Questions


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