HomeAnswersObstetrics and Gynecologymenstrual irregularityWhy do I get periods only with medication?

I am getting periods only with medication. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 29, 2016
Reviewed AtDecember 7, 2023

Patient's Query

Hi doctor,

I am a 23 year old girl. I am suffering from irregular periods for the last two years. With medication period occurs, but the problem persists when the medicine is discontinued. I had my last periods two months back. Tests done for TSH and pelvic ultrasound done. Please guide.

Hello,

Welcome to icliniq.com.

This is an association of irregular cycle with cystic ovaries as seen by ultrasonography of the abdomen (attachment removed to protect patient identity). This is, I suppose, a polycystic ovarian syndrome, for which you are suffering from irregular and absent menstruation. You need few more investigations to rule out it as a syndrome of cystic ovaries. Now, the basic management varies from patient to patient and it is different from those who are unmarried. However, weight reduction is the basic and first step of all management protocols. So, please let me know your marital status, whether you want to conceive now along with serum levels of LH (luteinizing hormone) and testosterone on day 2 of the cycle. Your TSH (thyroid-stimulating hormone) level is within normal limits, which could rule out any possibility of thyroid disorder.

Patient's Query

Thank you doctor,

I am married, but right now I do not have any plan for the baby.

Hello,

Welcome back to icliniq.com.

First of all, there needs a confirmation that it is PCOS (polycystic ovarian syndrome) by doing those tests. Next, you need some medicines like contraceptive pills for at least six cycles. There are lots of them like Diane 20 or 30, Yasmin which contains Drospirenone. Consult your doctor, discuss with him or her and take the medicine with consent. Lastly, you need to reduce your body weight as it is the prime of all management strategies. Join a gym and make your diet in such a mode, which contains the least amount of calories.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sanjay Kumar Bhattacharyya
Dr. Sanjay Kumar Bhattacharyya

Obstetrics and Gynecology

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