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Q. Did not get periods for two months and my Hb is 7. Please help.

Answered by
Dr. Sonal Prasad
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 20, 2016 and last reviewed on: Aug 24, 2020

Hi,

I am a 23 year old female. I am not pregnant, but my period has suddenly stopped from the last month. I have found that my hemoglobin is very low at 7. Please give me your valuable advice.

Dr. Sonal Prasad

Childbirth Educator Lactation Counselor Obstetrics And Gynaecology
#

Hello,

Welcome to icliniq.com.

  • You need to confirm the absence of pregnancy by getting a serum beta hCG (human chorionic gonadotropin) test done. This is because urine pregnancy test does not detect minute pregnancy and treatment for a pregnant and a non-pregnant patient is entirely different.
  • Hormone profile and thyroid prolactin levels must be done to get to the root cause of missed period.
  • Also, get the following investigations for low hemoglobin. Peripheral smear, serum iron and vitamin B12 levels.
  • I suggest tablet Albendazole just once and start Iron supplement. Consult your doctor, discuss with him or her and take the medicine with consent.
  • Please do review with the report, so I could help you further.

Investigations to be done:

1. Serum beta hCG.
2. Peripheral smear.
3. Serum ferritin.
4. Serum vitamin B12.

Treatment plan:

Withdrawal according to beta hCG levels to induce period followed by hormonal analysis.

Regarding follow up:

Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist


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