Dr. Deepti Kurmi
Obstetrics and Gynecology
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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Patient's Query
Hi doctor,
My sister is having irregular periods for a year. She has consulted the doctor but I need a second opinion.
Hi,
Welcome to icliniq.com.
Please mention her age and marital status. Please mention the duration of having irregular periods and mention the last date of having periods. Please mention her height and weight. Please mention whether she has any other medical conditions such as diabetes and thyroid.
Patient's Query
Thank you doctor,
She is unmarried. She has not got her periods for the past seven months. But now, she had some bleeding. She consulted a doctor and she advised her to take birth control pills. But she is afraid of taking it because of its side effects. The doctor advised her to lose weight and to take pills along with it. She has a lot of stress due to her family history of ovarian cancer. She has a weight of 154 lbs and a height of five feet three inches.
Hi,
Welcome back to icliniq.com.
Her weight seems to be high and there is a higher chance for her to get PCOS (polycystic ovarian disease). This is the main reason for having hormonal imbalance and menstrual irregularities. If she takes birth control pills, it helps to regularize her periods. Birth control pills decrease the chances of having ovarian cancer. She seems to have an increased weight of 15 lbs on considering her height. She needs to reduce her weight and irregular periods will not trouble her. She can take birth control pills for a couple of months to regularise her periods and meanwhile she can work on reducing her weight also.
Patient's Query
Thank you doctor,
She took pills for a while. After that, she started to have anxiety and depression. How long she needs to take pills? Will periods become irregular after stopping them? Even when she was at her perfect weight, she had some issues due to irregular periods. She is afraid of getting ovarian cancer. Is there a way to prevent it?
Hi,
Welcome back to icliniq.com.
She needs to do exercise like running, cycling, swimming, and aerobics on a regular basis. She needs to take a healthy diet. She should avoid taking junk foods, spicy foods, oily foods, and bakery products.
Patient's Query
Thank you doctor,
She has tried everything. Please help.
Hi,
Welcome back to icliniq.com.
Even when her weight is normal, she needs to do exercise regularly. If it is not possible every day, then she can do it five days a week. She needs to take pills for three months to have minimum effects. It will be easy for her to reduce weight while taking pills. Without pills, weight reduction seems to be difficult.
Patient's Query
Thank you doctor,
Is there any other medicine other than pills?
Hi,
Welcome back to icliniq.com.
Yes, but they are not effective as pills.
Patient's Query
Thank you doctor,
I will try to convince her to take pills. As she has a family history of ovarian cancer, what can be done to avoid it?
Hi,
Welcome back to icliniq.com.
Taking oral contraceptive pills helps to avoid having cancer. After marriage, she needs to plan for pregnancy early. After the age of 30, she needs to do sonography every year along with a blood test of CA125 (cancer antigen 125).
Patient's Query
Thank you doctor,
You have helped me a lot. I appreciate your time and effort.
Hi,
Welcome back to icliniq.com.
You can ask further queries at any time.
Patient's Query
Thank you doctor,
After getting resolved from irregular periods due to pills, can she stop taking them? Will irregular periods occur again?
Hi,
Welcome back to icliniq.com.
She can take pills for three to four months. She will not have irregular periods again. But she needs to do exercise regularly. She needs to have a healthy lifestyle.
Patient's Query
Thank you doctor,
I can understand now. Thanks for helping me a lot.
Hi,
Welcome back to icliniq.com.
You are always welcome. Revert me at any time.
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Obstetrics and Gynecology
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