Q. I did not get my periods for four months. Please suggest what to do.

Answered by
Dr. Tinu Philip
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Apr 22, 2020

Hello doctor,

I have a missed period for four months. This has happened before and my period came normally for one to two years after. There is no pain and no medications for that. No symptoms or chances of being pregnant. Please suggest.



Welcome to icliniq.com.

Irregular periods can be due to many reasons. A little bit more information will help in making the right diagnosis. May I know when you had your first periods? Have you lost or gained weight recently? Any change in lifestyle or stress recently? Are you having any pimples, hair growth in face, chin, etc? All the above reasons can contribute to irregular periods. You could also be dealing with a condition called PCOS (polycystic ovary syndrome).

Thank you doctor,

I got my first period when I was 12. i.e approximately four years back. I have not gained or lost any weight. I have been stressed for a few months due to exams and school otherwise no major change in my lifestyle other than exercise. No pimples recently, but yes, a little hair is present on my face.



Welcome back to icliniq.com.

From this history, I feel you do not have to worry too much regarding your irregular periods. It is normal in your age group for periods to be irregular to an extent. Keep a track of your menstrual dates on a calendar for the next six months. If the cycles are within 45 days, you do not need to take any treatment. Just make sure you do not gain too much or lose too much weight.

Weight gain, lots of pimples, and lots of hair in the face can be a sign of PCOS. Watch out for these. Make sure you do not eat too much fried stuff, chocolates, and have some exercise in your daily routine. This will avoid PCOS.

I hope this helps.

The Probable causes:

Agr related.

Differential diagnosis:

?early onset PCOS.

Probable diagnosis:

Stress-related irregular periods.

Treatment plan:

Conservative. Menstrual calendar.

Preventive measures:

Exercise, dietary modifications.

Regarding follow up:

After three months.

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