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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Bloating With Weight Gain After Missing Period For 6 Months?

Hi my wife 41 year old had no period for 6 months which stopped abruptly ending with an extended irregular bleading of 8 days compared to usual 5 days. No other symptoms apart from bloating and slight weight gains and there is slight pulse like twitching at lower abdomen for last few days. what could all this be?
Thu, 27 Feb 2014
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OBGYN,  's  Response
Hello
Thanks for writing to us with your health concern.
First of all, repeat a pregnancy test, sometimes there might be delayed conception.
Next, there are various other reasons for a missed period - stress, anxiety, emotional turbulence, weight loss or gain that is rapid and massive, ingestion of medications that affect your hormonal axis, travelling, late nights, erratic eating habits, smoking, drinking etc.
ALso, at 41, she could be experiencing premature menopause or peri menopause, although it is slightly early for that.
Peri menopause is characterized by irregular periods, decreased bleeding, absent bleeding, until you ease off into total menopause.
Please consult a gynecologist
Have a thorough internal evaluation - per vaginum and per speculum.
Also, hormonal tests - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile.
And a pelvic ultrasound scan done transvaginally.
This will rule out conditions such as hypothyroidism, Polycystic Ovarian syndrome , endometrial hyperplasia etc.
Estimation of FSH,LH,AMH and serum estradiol levels will diagnose menopause.
All the best.
Please feel free to discuss further.
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What Is The Cause For Bloating With Weight Gain After Missing Period For 6 Months?

Hello Thanks for writing to us with your health concern. First of all, repeat a pregnancy test, sometimes there might be delayed conception. Next, there are various other reasons for a missed period - stress, anxiety, emotional turbulence, weight loss or gain that is rapid and massive, ingestion of medications that affect your hormonal axis, travelling, late nights, erratic eating habits, smoking, drinking etc. ALso, at 41, she could be experiencing premature menopause or peri menopause, although it is slightly early for that. Peri menopause is characterized by irregular periods, decreased bleeding, absent bleeding, until you ease off into total menopause. Please consult a gynecologist Have a thorough internal evaluation - per vaginum and per speculum. Also, hormonal tests - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile. And a pelvic ultrasound scan done transvaginally. This will rule out conditions such as hypothyroidism, Polycystic Ovarian syndrome , endometrial hyperplasia etc. Estimation of FSH,LH,AMH and serum estradiol levels will diagnose menopause. All the best. Please feel free to discuss further.