I have not had my periods for more than three months. Why?

Question

Hello doctor,

I usually have a regular period cycle of 33 days. But, I have not had any period for more than three months. I had Primolut-N for 21 days but still no period. Later the doctor gave me Ginnette-35 for 21 days. My last pill was on the 24th. But, still no periods. Negative HPT. Normal thyroid and even my sonography is normal. Why am I not getting my period? I am sexually active.

Answer 1

Hello,

Welcome to icliniq.com.

You have a hormonal imbalance. On an ultrasound, we need to see the endometrial thickness. If it is more than seven to eight millimetres then only you will have your periods. Is there any history of D and C (dilation and curettage)? As you are sexually active, there are chances that you might have contracted some infection in the endometrium.

You are overweight for your height. Weight reduction is a must. We need to do hysteroscopic D and C to look for the endometrium with the naked eyes and take a sample from it and send for HPE (histopathological examination), AFB (acid-fast bacillus), PCR (polymerase chain reaction), culture and sensitivity, apart from urine routine and culture as well as hemogram.

I hope this helps.

Thank you and take care.

Regards.