Hi,Welcome to icliniq.com.Your symptoms can have two causes: one is a low pain threshold (pain sensitivity varies among individuals), and the other is endometriosis. Endometriosis is less likely in your case, as oral contraceptives are known to suppress it. If you are taking a low-dose oral contraceptive (Estrogen 20/30 mcg), you can take a high dose (Estrogen 35/50 mcg-microgram) for two to three months (if your doctor permits or if you have no risk factor for the high-dose pill). You can see the package insert for risk factors and see if pain reduces or disappears.
Hi, Welcome to icliniq.com. If she is having chronic anemia then one advice would be to make sure that it is due to iron deficiency anemia indeed and not due to other deficiency or thalassemia minor. If hemogram was done, red blood cell distribution width (RDW) of ≥15 % and picture of microcytic or normocytic hypochromic anemia with anisopoikilocytosis (red blood cells of unequal size) will be indicative of iron deficiency and no other test would be needed. If not so, serum ferritin and high performance liquid chromatography - HPLC to rule out thalassemia would be recommended. For confirmed iron deficiency anemia, preferred medicine of choice should be Orofer XT 100 mg daily.
Hi, Welcome to icliniq.com. If your periods are irregular, then tablet Ovacet (combination of L-Methylfolate, Myo-Inositol, and Vitamin D3) alone is less likely to induce ovulation. However, the tablet will help in normalizing metabolism and decrease the resistance to ovulation induction medicine. I hope this helps you. Thank you.
Hi, Welcome to icliniq.com. You are suffering from PCOS/PMOS (polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome), which is found in 5-10 percentage of general population and there is nothing to worry for it. Your spotting is not related to PCOS directly. In PCOS/PMOS, periods become irregular due to anovulation, which leads to heavy bleeding due to unopposed estrogen in body. Simple treatment for it is to take combined oral contraceptive pills for regularizing periods before marriage and when you are not trying for pregnancy.
Hi, Welcome to icliniq.com. With so much prolonged amenorrhea, ovulation is unlikely to have occurred and pregnancy is less likely. Kindly use barrier contraceptive (condom) for three weeks and repeat home pregnancy test. If it comes negative, then pregnancy is almost ruled out. Absence of menstrual cycle for such a long term is not desirable, as it increases the chance of endometrial cancer by unopposed estrogen exposure to endometrium.
Hello, Welcome to icliniq.com. Initial periods around puberty can be irregular. If the diagnosis of PCOS/PMOS (polycystic ovaries syndrome) is correct, she may require medicines to make her periods regular. PCOS/PMOS girls are at a risk of obesity, diabetes, hypertension and endometrial hyperplasia. Many of those can be prevented by a good diet, regular exercise, preventing weight gain and taking progesterone tablets to induce a period, if they are irregular even after the age of 20.
Hello, Welcome to icliniq.com. The chance of pregnancy is almost zero. There is no need to worry. Dizziness might be due to stress. I hope this has helped.
Hi, Welcome to icliniq.com. You are suffering from a condition called polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome (PCOS/PMOS). It is normally found in 5-10 % of girls and is probably of genetic origin. The treatment is lifestyle modification such as healthy diet and regular exercise (at least 45 minutes of sweat inducing exercise daily). You need to reduce weight to achieve healthy BMI (body mass index).
Hi, Welcome to icliniq.com. I suggest you get beta hCG (human chorionic gonadotropin) test to rule out pregnancy and ectopic pregnancy with 100 % confidence. If negative, you should consider taking progesterone for withdrawal bleed and painkiller for pain. If beta hCG is positive, you need to go to the emergency room as there is a chance of ectopic pregnancy..
Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Your latest ultrasound shows reduced blood flow to the baby, along with hydrocephalus (the buildup of cerebrospinal fluid (CSF) in spaces called ventricles deep within the brain), breech presentation (when a baby's feet or buttocks are positioned to come out of your vagina first), and polyhydramnios (when there is too much amniotic fluid in your uterus during pregnancy). In such cases, the usual approach is frequent monitoring of the baby with NST (non-stress test) and, if possible, color doppler studies. The baby can be delivered safely after completion of 37 weeks if the condition remains stable.
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