How to deal with an irregular menstrual cycle at 29?

Hello,

Welcome to icliniq.com.

I understand your concern.

I understand your concerns and would like to gather more information to better understand your situation.

Do you have any other symptoms associated with your irregular menstrual cycle, such as:

1. History of painful periods (dysmenorrhea)?

2. Pain during intercourse (dyspareunia)?

3. Bleeding between periods (intermenstrual bleeding)?

4. Bleeding after intercourse (postcoital bleeding)?

5. Any signs of weight gain, heat intolerance, palpitations, or cold intolerance?

6. Any history of headaches, nausea, vomiting, or blurred vision?

7. Weight gain, acne, or excessive hair growth (hirsutism)?

8. Abdominal discomfort, difficulty breathing (dyspnea), or burning, urgent, or frequent urination?

To better evaluate the situation, I would recommend the following tests:

1. Hormonal tests:

   1. Serum FT4 (free thyroxine) and TSH (thyroid stimulating hormone) (to check thyroid function).

   2. Serum FSH (follicular stimulating hormone) and LH (luteinizing hormone) on the 2nd day of your menstrual cycle.

   3. Serum prolactin level.

2. Ultrasound of the pelvis to check for any abnormalities.

In the meantime, I would suggest starting the following medications for the next three months:

1. Tablet YAZ (contains Ethinylestradiol 0.02 milligrams and Drospirenone 3 milligrams):

   • Take for 21 days, starting from the 2nd day of your cycle, followed by a seven-day break. Repeat this routine for three months.

2. Inomel-F sachet:

   • Take one sachet at night for three months.

Please follow these steps, and after three months, we can reassess your situation.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.