I have missed my periods for two months. What treatment can be had?

Question

Hello doctor,

I have been missing my periods for two months now. I am unable to understand the reason. I felt the pain on the expected date, but there was no period. I am sure there is no chance of pregnancy. Although I did not do anything unusual, I started to exercise for almost an hour on a daily basis. Since then, I have not gotten my periods. Please provide your opinion.

Answer 1

Hello,

Welcome to icliniq.com.

I suggest you get on serum beta hCG done to rule out pregnancy and get a gynecological ultrasound to look for endometrial thickness. Check your thyroid profile, fasting blood sugar, fasting insulin, prolactin, complete hemogram, LFTs (liver function tests), FSH (follicle-stimulating hormone), LH (luteinizing hormone), and estrogens.

I think it may be because of vigorous exercises that you have had hypothalamic amenorrhea. If the pregnancy test is negative, then take tablet Primolut-N (Norethisterone) 5 mg three times a day for five days and then wait for periods for seven days.

Thank you.