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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods Along With Lower Back Pain?

Hi, after I had my son over 2years ago, my periods became irregular between 25 to 27 to 28/days. I am supposed to have seen my period today is the 32 day but no show. Im not pregnant and I started taking primolut n 3 days ago still no period but I have been having lower back pains. I am worried now. Please what can I do?
Tue, 23 Jul 2019
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General Surgeon 's  Response
Hi,

PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome.

To achieve ovulation, you will need to take Clomiphene citrate, maybe with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation. The period after that may be supported by Progesterone or hCG. If clomiphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation.

Along with the medicines, please have control of this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition. So have controlled intake of calories with high protein and low carbohydrate and fat diet. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Delayed Periods Along With Lower Back Pain?

Hi, PCOS is a condition in which along with non-ovulation and delayed menses, you get high male hormone levels and high insulin levels in the blood. This condition needs to be treated on all the three fronts for a successful outcome. To achieve ovulation, you will need to take Clomiphene citrate, maybe with Metformin. You should monitor ovulation with ultrasonography and have sexual relationship on and around the day of ovulation. The period after that may be supported by Progesterone or hCG. If clomiphene does not work, you may have to go for gonadotropin hormone injections for induction of ovulation. Along with the medicines, please have control of this condition by diet control and exercise. Obesity, particularly increased waist/hip ratio is a characteristic of this condition. So have controlled intake of calories with high protein and low carbohydrate and fat diet. Also, along with the Gymnasium exercises, you should walk for 40 minutes minimum in the morning and evening each with 90 steps per minute. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon