Common "Menstrual Cycle" queries answered by top doctors | iCliniq

Menstrual Cycle

The changes that occur in the reproductive system of females, which makes pregnancy possible is called the menstrual cycle. This occurs from the rise and fall of hormones estrogen and progesterone, that results in thickening of the uterus lining and the growth of an egg.

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Do we need fertility treatments if we cannot conceive after normal ovulation and semen analysis?

Query: Hello doctor, I am a 34-year-old female. I have been married for 11 months. I have hypothyroidism, and I am obese. I had hyperprolactinemia in the past. But now, my prolactin is normal. After that, I have a regular cycle of 33 days, and we are trying to conceive. My husband did a semen analysis, an...  Read Full »

Dr. Monica Mathur

Answer: Hello, Welcome to I have seen the sperm report of your husband, and it is expected (attachments removed to protect the patient’s identity). I suggest you do an abdominal ultrasound to check for any abnormalities in the fallopian tubes. You should also know about the most fertile p...  Read Full »

Among Depo-Provera and non-hormonal coil, which can cause menstural abnormality?

Query: Hello doctor, I have been using Depo-Provera for the last three years. And I am having issues with on and off bleeding. So, I decided to put the non-hormonal coil, which I have been using already. I removed the coil as I wanted to conceive, since then, nothing has happened. I have been having long m...  Read Full »

Dr. Radha Peruvemba Hariharan

Answer: Hello, Welcome to Your irregular cycles are due to hormonal imbalance. I suggest you undergo blood tests and an ultrasound scan of your abdomen and pelvis to rule out the anemia, thyroid hormone problem, and PCOS (polycystic ovarian syndrome). The blood test to be done are CBC (...  Read Full »

Kindly review my report and suggest a method to conceive in my perimenopause period.

Query: Hi doctor, I am a 34-year-old female, and I think I am experiencing perimenopause. My cycles used to be 27 days long, but now they are only 24 days. I also have endometriosis and have been chronically stressed because of it for the last five years. I am getting anxious in the evenings, feel tired m...  Read Full »

Dr. Richa Agarwal

Answer: Hello, Welcome to Thanks for trusting us about your health care. I have gone through your reports, and I understand your concerns (attachments removed to protect the patient’s identity). As per your description, these symptoms could be due to hormonal imbalance. But as you missed ...  Read Full »

What are the laboratory tests to be done for checking fertility?

Query: Hi doctor, I am a 32-year-old of weight 136 lbs. It has been five years since we got married. My husband is 35-year-old. He was working abroad, so we did not stay together for at least one year. Now he has been here for three months. We are trying for a baby. But today got my periods after 28 days c...  Read Full »

Dr. Poonguzhali Liston

Answer: Hello, Welcome to I understand your concern. To conceive, it is very important to track your periods, maintain good health (both partners) and have intercourse at the right time. So from your period log, you mention your average length of the cycle is 26 days, which means your ovulatio...  Read Full »

My 56-year-old mother missed her periods for the past six months. Could you give some information on menopause?

Query: Hello doctor,My mother is 56 years old. She is not getting her regular menstrual cycle for the past six months. Is this normal for her age? What signs does she have to look out for during this time? She is feeling very tired and has put on some weight too. Are all these due to the sudden absence of ...  Read Full »

Dr. Sanap Sneha Umrao

Answer: Hello, Welcome to I have gone through your case and I understand your concern. It is normal to get such symptoms at premenopausal age. Signs that could be seen during this time include irregular periods, hot flashes, and mood swings. I would suggest your mother do tests including USG...  Read Full »

I had my period last month, and after taking  I-pill at the end of the month, I started bleeding again. Is this vaginal spotting or bleeding?

Query: Hello doctor,My last period was on last month mid. Now bleeding is there after taking an emergency contraceptive pill at the end of the last month. Is this my period or is this just a vaginal spotting?When can I expect my next period?Kindly help.  Read Full »

Dr. Richa Agarwal

Answer: Hi,Welcome to have gone through your history and understand your concerns.Withdrawal bleeding is only a side effect of the I-pill, it happened due to the sudden withdrawal of hormones from your body. So it does not happen with everyone. You may have Menstrual irregularities in your cas...  Read Full »

I have been on Nexplanon since two years and did not get my periods. Should I be concerned?

Query: Hello doctor, I have been on Nexplanon for about two years. I have not got a period but I had sex twice in the last six months. Each time I am getting my period after quite some time. Are these things connected?  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to I understand your concern. It is a hormonal impact and the side effect of the drug is irregular, unplanned, and unscheduled bleeding or spotting. This can even gradually reduce menstrual cycles for a long time. It could be just a couple of incidents, but it is better to...  Read Full »

I have a month between the periods and my last intercourse. Am I safe from pregnancy?

Query: Hello doctor, My menstruation period and my sex have a one-month duration. Is it safe for me to avoid pregnancy? Please help me. Thank you.  Read Full »

Dr. Balakrishnan R

Answer: Hi, Welcome to How are you doing? For a young lady like you usually, ovulation occurs around the 12 to 16th day of the period. The life of an egg is 24 hours and that of sperm is 72 hours. So as you can imagine you are in a safe zone. A month after periods, the egg will not be availa...  Read Full »

I took oral contraceptive pill a day after I had sex and a day before my period was due. I experienced spotting on the day my period was due. Please help.

Query: Hello doctor,I had sex a few days ago and took an oral contraceptive pill the next day's afternoon. My period cycle was due the next day I took the oral contraceptive pill. I had spotting on the day the period was due but I did not experience the regular period. What does it mean?Thank you.  Read Full »

Dr. Balakrishnan R

Answer: Hello, Welcome to Hope you are doing fine. Oral contraceptives are a high dose of progesterone hormone, the same hormone which is produced in your body in the second half of the period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, m...  Read Full »

I have acne that worsens during start of menstrual cycle. Kindly help.

Query: Hi doctor, I am a 24-year-old female. I have acne for almost five to six years now, since my teenage. Since the very beginning, I started to develop acne first on my forehead, then on my chin area, and now on my cheeks also. Acne appears when my menstrual cycle is about to start, and then it continu...  Read Full »

Dr. Dilip Kumar Meena

Answer: Hello, Welcome to Thanks for writing in, and I understand your concern. You seem to have grade two to three acne, which will require oral antibiotics. I suggest taking Capsule Doxycycline 100 mg once a day, after the meal. Apply Adapalene plus Benzoyl peroxide gel on acne once at nigh...  Read Full »

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