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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Irregular Periods Despite Taking Yamini?

hi, my wife is suffering from irregular periods. she is taking yamani tablets . during the use of tablet, it,s not happen but after some time it,s start again.. our marriage time has become 6 month .. we are also planning for a child..please give me advice for this..
Tue, 1 Apr 2014
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern.
Yes, you should be investigated for the irregular cycles.
Firstly go for a thorough internal examination - per vaginum and per speculum. Then, please go for a pelvic ultrasound scan, this should be done transvaginally and not abdominally. If this was not done, please repeat the sonography.
Also, get hormonal levels measured - FSH, LH, TSH, Prolactin, OGTT, DHEAS, free testosterone, Fasting insulin, Lipid Profile.
Pregnancy should be reliably excluded by a pregnancy test.
Conditions like stress, anxiety, tensions, weight gain, changes in sleep or eating habits, travelling , change in climate or altitude, ingestion of hormonal medications - all these could be other potential reasons. Abnormalities of thyroid hormones and polycystic ovarian syndrome ( PCOS ) - these are two other probable reasons.
I think in your case, PCOD is likely to be the most probable diagnosis.
Before planning to conceive, it is best to have a workup.
When mild hormonal imbalance is present, progesterone drugs when taken for 5 days and then abruptly stopped , will generally succeed in inducing a withdrawal bleed.
Please have an evaluation as outlined .
All the best. Please feel free to discuss further.
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Treatment For Irregular Periods Despite Taking Yamini?

Hello Thanks for writing to us with your health concern. Yes, you should be investigated for the irregular cycles. Firstly go for a thorough internal examination - per vaginum and per speculum. Then, please go for a pelvic ultrasound scan, this should be done transvaginally and not abdominally. If this was not done, please repeat the sonography. Also, get hormonal levels measured - FSH, LH, TSH, Prolactin, OGTT, DHEAS, free testosterone, Fasting insulin, Lipid Profile. Pregnancy should be reliably excluded by a pregnancy test. Conditions like stress, anxiety, tensions, weight gain, changes in sleep or eating habits, travelling , change in climate or altitude, ingestion of hormonal medications - all these could be other potential reasons. Abnormalities of thyroid hormones and polycystic ovarian syndrome ( PCOS ) - these are two other probable reasons. I think in your case, PCOD is likely to be the most probable diagnosis. Before planning to conceive, it is best to have a workup. When mild hormonal imbalance is present, progesterone drugs when taken for 5 days and then abruptly stopped , will generally succeed in inducing a withdrawal bleed. Please have an evaluation as outlined . All the best. Please feel free to discuss further.