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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delay In Periods Despite Taking Duphaston And Yasmin For Ovarian Cyst?

Hello i am a 23 year old virgin i havent had my period since 3 mobths or a bit less 5 years agi same issue happened and ecography showed one big cysts which was treated by primolut nor then after 3 years also my period stopped for few months but i had no cysts at all and my homones were all normal. now i visited a gyn. The ecography showed few small cysts and blood tests came all normal including normal thyroid hormones and normal prolactin except for a high LH (11) compared to a normal FSH (3) my doc prescribed duphaston for 4 days and then stop to get my period she also said i should take yasmin for 6 months, i took duphaston my last dose was 4 days ago and still my period isnt here moreover i am worried of taking yasmin i am afraid of its side effects and 6 months isnt a short duration, note that in the last few months i lost weight(about 2 kilos) now my weight is 48-49 kg and my height is 163 cm, and i dont take any sort of medication im afraid i dont understand my case and i am worried about the doctor s prescription please help
Thu, 16 Jan 2020
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General Surgeon 's  Response
Hi,

There can be various causes for an irregularity in your menstrual cycle, and I shall start by listing some of the most common causes for this:
- Stress
- Infections anywhere in the body (a raised white cell count suggest an infection, and in your case this could be the cause for the irregularity in periods)
- Medications
-Conditions like polycystic ovaries
- Chronic conditions (e.g. diabetes, hypertension, etc.)
- Birth control pills and various other causes

As your white cell count is high, it is important to first find the cause for the raised white cell count (i.e. find the infection). Once the infection is found, we can initiate antibiotics which can help treat the infection. Once the infection has been treated, we shall observe your menstrual cycle to see if it is regular or not. If it is regular, the cause for your irregular periods was the infection. But if it is still irregular, then we will have to further investigate. But for now the aim should be to diagnose the infection, so we can accordingly initiate antibiotic coverage. I would thus urge you to discuss all this with your doctor, as a diagnosis can be made only after a physical examination.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Delay In Periods Despite Taking Duphaston And Yasmin For Ovarian Cyst?

Hi, There can be various causes for an irregularity in your menstrual cycle, and I shall start by listing some of the most common causes for this: - Stress - Infections anywhere in the body (a raised white cell count suggest an infection, and in your case this could be the cause for the irregularity in periods) - Medications -Conditions like polycystic ovaries - Chronic conditions (e.g. diabetes, hypertension, etc.) - Birth control pills and various other causes As your white cell count is high, it is important to first find the cause for the raised white cell count (i.e. find the infection). Once the infection is found, we can initiate antibiotics which can help treat the infection. Once the infection has been treated, we shall observe your menstrual cycle to see if it is regular or not. If it is regular, the cause for your irregular periods was the infection. But if it is still irregular, then we will have to further investigate. But for now the aim should be to diagnose the infection, so we can accordingly initiate antibiotic coverage. I would thus urge you to discuss all this with your doctor, as a diagnosis can be made only after a physical examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon