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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    Can one with irregular menstruation conceive?

Hi doctor I have irregular periods.they don t come if I don t take a tablet and even the the 3 month pill therapy also gets me period for next month and that s it and when I induce period it bleeds heavily. I have prod and I want to know whether I have a chance of conceiving Thank you
Mon, 20 Mar 2017
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OBGYN 's  Response
Hi ,
How are you doing ?
You definitely have chance to conceive to conceive. When you say the periods are irregular, it means ovulation is not occurring on time. So all you need to do correct the cause for the anovulation. Normal periods & ovulation depends on a fine balance of hormones, so also the health of the pregnancy that ensues. If left uncorrected, it can cause early pregnancy bleeding & abortions.
Possible causes are
1. PCOD ( Polycystic ovaries),
This is a congenital condition, I mean it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone ( if I may simulate- haven't you seen obese men developing breast & in young obese girls, who develop periods at younger age - they all have high levels of Estrogen hormone / female hormone) In your body too when fat, which is a store for tomorrow,is more than normal, this is converted to hormone which tips the balance between FSH (from brain ) & the ovarian hormone. FSH( Follicle Stimulating Hormone ) as name suggests stimulates follicle from ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from ovary. But when the same estrogen hormone is coming from fat, brain is confused & follicle growth stops early at a smaller follicle size & will not rupture, next scan you will see all these follicles as POLY CYSTIC OVARIES.!!!
this is usually associated with Obesity, irregular cycles, no periods for few months & later heavy periods with clots & fleshy masses, or spotting on & off , Thyroid abnormality & prolactin problem indirectly.
You develop that extra-pad of fat around the mid-segment of body, especially waist, thighs & breast, no fat beyond elbow & knees. Excessive body hair growth, hair fall , dark shade over lower half of face, acne , oily face skin, black skin over back of neck, inner thighs & under surface of breast. May have a family history of Diabetes, especially father or his family.
This will not allow ovulation to occur at time & so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution.
Your weight has to be
Weight(in Kgs)= Height (in cms)-100
Your expected weight eg- If height is 156 cms height is 56 kgs+/-5 kgs
Once you reduce weight to normal range, you won't need any medicine to get periods or to get pregnant & pregnancy will be healthy.
To reduce weight -
NO FASTING, No junk food/ fast foods/ red meat, reduce snacks in between meals
Have low calories food, high proteins
Regular exercise ( especially for the waist & hip area), aerobics , yoga, brisk walking( swing your hands well) ,try to reduce 2-4 kgs / month. Don't hurry on weight reduction, it will be difficult to maintain.
As soon as you reduce at least 5 kgs , you will see changes.
Even if you are in normal weight range , try this schedule, it will help.

2. Check Thyroid profile , serum Prolactin - both in empty stomach , at 6-9 am. These can alter the balance & prevent ovulation from occurring on time.

3. Too much of stress or anxiety can also alter periods, try to relieve stress by doing some mind relation exercises, yoga etc

Hope I have clarified your queries, do write back if any more queries
All the best
Dr.Balakrishnan
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