What could cause delayed period and spotting in a sexually inactive woman?

Hello,

Welcome to icliniq.com.

We will pay close attention to your worries and address all your questions with utmost care.

From your history, I presume you have PCOD (polycystic ovarian disease). This is a congenital condition, which means it is a genetically programmed condition, and you can acquire it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone. You might have noticed obese men developing breasts. Young obese girls who develop periods at a younger age have high levels of estrogen hormone (female hormone) and fats act as a reservoir for tomorrow.

When the level is more than normal, this is converted to a hormone that maintains the balance between FSH (follicle-stimulating hormone) from the brain and the ovarian hormone. Follicle-stimulating hormone (FSH) as the name suggests, stimulates the follicle in the ovary. But once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone in the ovary. But when the same estrogen hormone comes from fat, the brain gets confused and the growth of the follicle stops earlier at a stage when the follicle size is small and hence it will not rupture. In the next scan, you will see all these follicles as polycystic ovaries.

This is usually associated with obesity, irregular cycles, no period for a few months, heavy periods with clots and fleshy masses, spotting that occurs on and off, thyroid abnormalities, and an indirect influence on prolactin. You develop that extra pad of fat around the mid-segment of the body, especially near the waist, thighs, and breasts. No fat will develop beyond the elbows and the knees. Excessive growth of body hair, hair fall, a dark shade over the lower half of the face, acne, oily face, and black skin over the back of the neck, inner thighs, and under the surface of the breast can be noticed. Please let me know if you have a family history of diabetes, especially your father or his family.

This will not allow ovulation to occur at the correct time and so you cannot get pregnant, until this is treated. But, there is a solution.

Your weight has to be as follows:

Weight (in pounds)= Height (in inches)-100

Your expected weight should be between 121-127 pounds. From this, you do not seem to be too overweight. Once you reduce your weight to the normal range, you will not require any medications to get your period. I suggest you do the following to reduce your weight:

1. Do not diet by fasting. Avoid eating junk foods, fast foods, and red meat.

2. Reduce the intake of snacks in between meals.

3. Have low-calorie food with high proteins.

4. Exercise regularly by especially focusing on the waist and hip area. Do aerobics, yoga, and brisk walking. Swing your hands well when you walk.

5. Try to reduce four to eight pounds a month. Do not be hasty in reducing your weight, since it will be difficult to maintain.

As soon as you reduce at least 11 pounds, you will begin to see the changes. As I mentioned, you are not so overweight, so missing your period is not a significant problem. But if you gain weight, the difference can be significant. Tablet Lymecycline does not have much effect on the irregularity of your menses, so you need not worry about it.

I hope I have clarified all your queries. Do write back if you have any further queries.

Thank you.