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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Irregular Periods

Hello doctor, I was having irregular periods from years , have used so many medicines till now and it is regular only when I use tablets otherwise its irregular Recently I have used regestrone 5 mg tab for 3 months as suggested by doctor , after when I stop using these tabs there is an absent of period for 3 to 4 months and after 4 months I had a long period with heavy flow which lasts more than 20 days , and doctor again suggested the same regestrone for 3 months , after when I stop using this again the same case as the previous cycle , I m very much worried now , My age is 28 now and want to plan for kids I have a classical PCOD problem , doctors did scanning so many times and the end result is they say remaining everything is normal Now I m not getting periods from 2.5 months after stopping regestrone Kindly please anyone help me out Thank you
Thu, 4 Aug 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
I am very sad to listen about your problem. Consult the best gynecologist and go for following investigations like reproductive hormone analysis, USG scaan and ovarian follicle study.
You have to take all these medicine for continuously for at least 6 months to regulaise the period as course of disease is very predictive and very complex disease.
Doctor will give following advice:
Either regestrone should be taken on second half of the tablet or alos you can start the oral contraceptive pill to regularize the period.
Metformin: to regularise the glucose hoemostasis and induction of ovulation
Spironolactone and flutamide: have diuretic action and also induce ovulattion
Clomiphene citrate for 5-6 day in stsrting days every cycle that alos help on induce the abortion
FSH analogue can be given to maintain fertility.
If all these medicine will not work after taking for 6-8 months then last option is ovarian drelling surgery and IVF can be done for fertility problem.
Do regular exercise and yoga and reduce your weight by 10-12 percent.
Avoid excessive sweets and yogurts, avoid oily and spicy foods,
drink plenty of waters and take small frequent meal.
Hope this may help you
Best regards
Dr. Sagar
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Suggest Treatment For Irregular Periods

Hello dear Understand your concern I am very sad to listen about your problem. Consult the best gynecologist and go for following investigations like reproductive hormone analysis, USG scaan and ovarian follicle study. You have to take all these medicine for continuously for at least 6 months to regulaise the period as course of disease is very predictive and very complex disease. Doctor will give following advice: Either regestrone should be taken on second half of the tablet or alos you can start the oral contraceptive pill to regularize the period. Metformin: to regularise the glucose hoemostasis and induction of ovulation Spironolactone and flutamide: have diuretic action and also induce ovulattion Clomiphene citrate for 5-6 day in stsrting days every cycle that alos help on induce the abortion FSH analogue can be given to maintain fertility. If all these medicine will not work after taking for 6-8 months then last option is ovarian drelling surgery and IVF can be done for fertility problem. Do regular exercise and yoga and reduce your weight by 10-12 percent. Avoid excessive sweets and yogurts, avoid oily and spicy foods, drink plenty of waters and take small frequent meal. Hope this may help you Best regards Dr. Sagar