I have had PCOS for the past seven years. Could that be a reason for my missed periods?

Hello,

Welcome to icliniq.com.

I have read your query and understand it.

The levels you mentioned are entirely normal, but since you missed your periods, it would be better if you could add more details on the same to conclude the diagnosis.

Kindly revert with the details.

Hello,

Welcome back to icliniq.com.

I went through the prescription you have attached (attachment removed to protect the patient's identity).

I would like to know a complete history of the following;

1)Your last menstrual period and if you have taken tablet Meprate (Medroxyprogesterone acetate) 10 mg or not?

2) If you are sexually active or not? If yes, have you taken a urine pregnancy test?

3) In case of missed periods after ruling out pregnancy, we look for other causes such as PCOS (polycystic ovary syndrome, which is a hormonal disorder causing enlarged ovaries with small cysts), thyroid disorders (disfunction of the gland in the base of the neck), etc. I suggest you get an ultrasound pelvis, serum TSH (thyroid-stimulating hormone level in the blood), and serum prolactin (to test levels of prolactin (a hormone secreted by the pituitary gland) in the blood).

4) If these reports are normal, then tablet Meprate 10 mg can be taken twice daily for five days, and you will get your period in two to three days.

5)Also, irregular cycles can be due to stress, lifestyle changes, and changes in eating habits; if any of these could be the reason, you need to alter them and take tablet Nexito 10 (Escitalopram Oxalate 10 mg) at night.

I hope this helps.

Kindly revert with the requested details.

Hello,

Welcome back to icliniq.com.

1) I have gone through your reports and see that your TSH and prolactin levels are normal, which is good.

2) If you were diagnosed with PCOS seven years ago, I suggest you get a current ultrasound done to look for the volume of ovaries, number of follicles, and endometrial thickness (thickness of the lining of the uterus).

3) I suggest you wait for two to three days for the bleeding to occur. If you face this problem regularly, you will have to undergo cyclical hormonal therapy ( a treatment to regulate your cycle).

4)After the ultrasound, some blood tests will also be required to look for PCOS severity; if needed, the treatment will be modified. For now, take tablet Normoz DS (Myo-inositol, D-Chiro-inositol, Chromium Picolinate, and vitamin D2) once daily for a month which is a nutritional supplement.

5) I suggest you avoid sugary, oily, and fried food.

I hope this helps.