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irregular period
Discussion in 'All Categories' started by Kiran - May 31st, 2012 2:21 am.

My self Kiran Age 27yrs. I have not conceive yet. I have irregular mensus from 4 to 5 yrs. I am under treatment too. when i use to take medicine it regularise for 6-7 months then again an irregularity happen for 1 or 2 months. now what happen from 2-3 months, bleeding which comes for 5 days properly now it reduces for for the 1 day like as 4rd or 5th day. My all blood test are ok & normal except thyroid.
And i had my laprosocopy on 8th may 2012 due to the PCOD or ovarian cyst through drilling it was cleared but doctor advice me for IVF in DEC 2013. and now it will give me some medicine like folic acid tablets, roftem-500 and lophin-75.Kindly suggest the is these medicines are perfect. And their is not any other way to concive naturally.

thanks & regards

re: irregular period by Dr J S Chowhan - Jun 2nd, 2012 6:59 am
Dr J S Chowhan
Dr J S Chowhan
Dear Kiran

The menstrual cycle is the process that prepares the uterus for pregnancy. If fertilization of an egg does not occur, menses will begin. Females usually begin to have periods around age 12 and stop having periods around age 50. The typical length of the menstrual period is 28 days, however in reality the normal menstrual cycle can vary in length from 26-35 days. Menstruation (bleeding) usually lasts 3-5 days. Menstrual cycles have two phases. The very first, or proliferative phase, can vary from 13-20 days and ends when ovulation occurs. This phase varies from one woman to a different and may also differ from every month. The second, or secretory phase, begins after ovulation and ends when the period starts. This phase generally lasts Fourteen days for all women.

Menstruation is controlled by a complex number of hormonal interactions between your thyroid, adrenal and pituitary glands, hypothalmus and the ovaries. For simplicity we will use an average 28-day cycle to describe the succession of events that occur during the menstrual period. The first day of bleeding is counted as the first day. By day seven, pituitary hormones have begun to trigger the development of an egg in the ovary. Estrogen secreted through the developing egg starts to stimulate the introduction of the uterine lining. When the egg approaches maturity, the ovary releases a burst of estrogen and progesterone. Other pituitary hormones make the mature egg to be released in the ovary (ovulation) about day 14.

A woman is usually unable to tell that ovulation has occurred. Simultaneously, during ovulation, the estrogen levels drop and progesterone levels begin to rise. The egg travels through the fallopian tube toward the uterus. If fertilization does not occur, the egg disintegrates within 2-3 days and also the progesterone level drops. The drop in progesterone causes the uterine lining to begin breaking down on days 23-25 and some days later bleeding starts because the lining is shed in the uterus.

Period changes are generally a characteristic of some underlying physical or hormonal imbalance. Changes in the total amount or timing of hormones released through the thyroid, adrenal and pituitary glands, or hypothalmus could cause the ovary to obstruct or skip ovulation. Without ovulation a period will not occur. However the same alterations in hormones may trigger bleeding at abnormal times or in abnormal amount. One of the most common causes of anovulation is bodyweight. Low bodyweight could cause a prolonged absence of periods. Excessive bodyweight tends to cause abnormal bleeding. Sudden changes in exercise levels or perhaps in body weight could cause temporary changes in bleeding patterns.

Emotional stress and physical illness are also common reasons for menstrual irregularities although the menstrual changes may not occur at the time of the perceived stress. Prescribed medications and herbal preparations could also effect menstrual patterns by changing the interaction and transmission from the body’s natural hormones. Occasionally the thyroid, pituitary or adrenal gland may malfunction and convey not enough or too much hormone. Abnormal bleeding can also be brought on by physical alterations in the uterus or ovaries, for example abnormal growth and development of tissue within the uterine lining or muscle, or ovarian cysts. Pregnancy or infection may also cause spotting or bleeding to happen.

The initial evaluation includes a review of your personal medical and family history and a detailed overview of your menstrual and sexual history. Report any other physical symptoms like sudden changes in weight or body hair, nipple discharge, fatigue, mood changes, etc. that you may be experiencing for your health care provider. The physical exam will usually include measurement of your blood pressure and body weight.

Thyroid is also one of the factor in your case and thyroid hormone level should be kept to normal. Depending on the health background and findings of the physical exam several blood tests might be ordered. An ultrasound study of the uterus and ovaries can also be ordered. An ultrasound study provides pictures from the internal organs by recording the patterns of sound waves because they reflect from the uterus and ovaries. It is not painful test.

Immediate treatment will often involve using the hormones, estrogen and progesterone. A brief span of progesterone is usually prescribed if there has been an extended absence of periods. When the prescription is completed, a period will usually occur within two - 3 weeks. If there has been very irregular spotting or excessive bleeding birth control pills containing both hormones might be prescribed. This will usually stop the bleeding inside a couple of days. Your medical provider may suggest that oral contraceptives be continued for a few months.

Additional treatment is going to be directed toward a specific diagnosis when the physical exam and test results identify a cause. This may mean addressing weight loss, changing exercise patterns and eating habits, or taking medication to manage abnormal thyroid, pituitary or adrenal function. Sometimes, no specific cause could be identified. As long as a thorough evaluation has eliminated severe illness, not getting a specific cause could be reassuring. Treatment can then be directed at controlling the symptoms.

Without ovulation, a woman cannot conceive. Sometimes factors effecting the menses disappear later in life. For example, if bodyweight is related to the irregular periods, and weight returns to a normal range, the menses may spontaneously be regular and fertility will be normal. If menses are persistently irregular, fertility medications enables you to regulate the menstrual period and get conception.

IVF is necessary only if all the medical treatment fails. We want to see all your blood reports if you can send by email attachment and then we can advise you that IVF is required or not. It is not necessary that IVF will be 100 percent successful if your other problems of hormone is not correct.

Please do not hesitate if you have any other query. With regards

Dr. J.S. Chowhan
re: irregular period by Bapattins - Jun 3rd, 2012 8:45 am
If you are suffering with irregular periods, it clearly indicates that your menstrual cycle has lost its balance.

Actually, most irregular periods are benign and don’t cause any complications for your health.
re: irregular period by Geonfetpneupe - Jun 4th, 2012 9:34 am
Everybody is good, very good, and to share my blog
re: irregular period by Monica mane - Jun 6th, 2016 9:02 pm
Monica mane
Monica mane
Have gone through laproscopy surgery 1 month before. 26th may was the day when surgery was done which was 6th day of my menses. Now i missef the period. Is it normal?

Dear Monica

After Laparoscopic Surgery missing the period for one month or delay or early period is normal.

With reply

Dr Nidhi
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