What can cause a delayed period in a woman with anemia?

Question

Hi doctor,

I have not had my period in 103 days. I do have a history of anemia, but my anemia has never caused me to miss my period for more than a month, two months in rare cases. I have never been sexually active. I have had a full body analysis and have a high muscle percentage and a 13 % body fat percentage. I am not sure if that explains anything. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

It is a very short description of your issue. It would be better if you would send me your detailed gynecological, obstetrical, medical, surgical, and drug history. In polycystic ovaries, you can have a long gap of periods. Anemia, prolonged illness, medications, chemotherapy, hormonal imbalance, male hormonal intake, and hormonal imbalance are all causes for menses to stop. I suggest you have a physician consultation. Undergo complete treatment of any health issue you have. Test your serum beta HCG (human chorionic gonadotropin). If it comes negative, then you can proceed with treatment as suggested below:

Have a healthy diet with iron supplements.
Have tablet Norethisterone 10 mg twice daily for seven days and then wait for bleeding for one to two weeks.
Have a transvaginal scan.
On day 2 of your period, have a sex hormonal test.
Test for progesterone, prolactin, testosterone, serum insulin, FSH (follicle-stimulating hormone), and LH (luteinizing hormone). A thyroid function test and complete blood count are also suggested.
Have combined oral contraceptive pills for three months to regulate cycles.
Walk daily. It is important to have a normal BMI (body mass index) and weight.

Collect laboratory test results and discuss them here or with a local gynecologist.

Hope this helps.

Best of luck.