What causes irregular fluctuations in bleeding paterns with blood clots?

Hello,

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I read your query and understand your concern. From your history, I presume you have PCOS (Polycystic ovaries). This is a congenital condition, I mean it is a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate- have not you seen obese men developing breast and in young obese girls, who develop periods at a younger age - they all have high levels of estrogen hormone or female hormone) In your body too when fat, which is a store for tomorrow, is more than normal, this is converted to the hormone which tips the balance between FSH (from the brain ) and the ovarian hormone. FSH(follicle-stimulating hormone ) as the name suggests stimulates follicles from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused & follicle growth stops early at a smaller follicle size and will not rupture, next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. May have a family history of diabetes, especially father or his family. This will not allow ovulation to occur at any time so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution.

Your weight has to be

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

Your expected weight is 121 pounds.

Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy.

To reduce weight -

1. No fasting, no junk food, fast foods, red meat, reduced snacks in between meals.

2. Have low-calorie and high-protein foods.

3. Regular exercise (especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well), try to reduce two to eight pounds a month. Do not hurry on weight reduction, it will be difficult to maintain.

4. As soon as you reduce at least 11 pounds, you will see changes.

Now if I may suggest controlling bleeding and having regular cycles

1. Hope you are sure that you are not pregnant, check if not sure.

2. Have a tablet. Norethisterone 5 mg. Two tablets thrice a day till bleeding fully stops (will stop in one to two days). Two tablets twice a day for two days and then one tablet twice a day for 18 days.

3. No matter what the cause is (except pregnancy) you will have relief from bleeding and will have seven to ten days after stopping the pills.

4. Have any of the birth control pills, one tab at night from the day of bleeding, cyclically for three to six months. During this time, I reduced a few kilos of weight. These pills will get your periods on time and your weight reduction will relieve you of future period problems.

I hope I have clarified your query. Do write back if you have any more queries.

Thank you.