Why are my periods delayed despite experiencing symptoms?

Welcome to icliniq.com.

I have read the query, and I can understand your concern.

How are you doing? From your history, I presume you have PCOD ( Polycystic ovaries). It is a congenital condition; it is genetically programmed, and you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate- have not you seen obese men developing breast and in young obese girls, who develop periods at a younger age - they all have high levels of estrogen or female hormone). In your body, when fat, which is a store for tomorrow, is more than normal, this is converted to hormone, which tips the balance between FSH (follicular stimulating hormone) and the ovarian hormone. FSH, as the name suggests, stimulates the follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture. At the next scan, you will see all these follicles as polycystic ovaries.

It is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. You can have overgrowth and shedding of body hair, a dark complexion on the lower face, acne, greasy skin on the face, black skin on the back of the neck, inner thighs, and beneath the breast. You may have a family history of diabetes, especially paternal or his family. This will not allow ovulation to occur at any time, so you cannot get pregnant till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Your weight has to be

Weight (in Kgs) = Height (in cms) -100

Your expected weight is 114 to 125 pounds. Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant, and pregnancy will be healthy.

To reduce weight -

1. No fasting, junk food, fast foods, red meat, reduced snacks in between meals.

2. Have low-calorie food and high proteins.

3. Try to lose 4.4 to 8.8 pounds each month with regular exercise, especially for the waist and hip area, by doing yoga, aerobics, and fast walking while swinging your hands nicely. Do not rush losing weight because it will be hard to maintain.

You will see changes as soon as you reduce at least 11 pounds.All the symptoms are due to the anovulatory cycle, where the hormonal balance is disturbed. You may have had regular periods to date, but there was a sudden increase in weight, any recent significant physical or mental stress, or any hormonal usage to alter periods. It can tip the balance. Also, your age, till the age of 19 to 21, the hormonal axis between the brain and ovary is immature, so once in a while, you may have anovulatory cycles. All you need to do is wait till the hormonal cycle matures and keep your weight within normal range.

Now you can wait till 15 days after the expected date of periods. If you have no periods, then have any of the birth control pills; 21 pills packet- have one tablet twice a day for ten days (throw away the 21st pill) no matter what the cause is, you will get periods within seven to ten days of the last pill. Consult a specialist doctor, talk to them, and then take the medication.

I hope I have clarified your query. Do write back if there are more queries.

Thank you.