Dr. Uzma Arqam
Obstetrics and Gynecology
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Patient's Query
Hi doctor,
I have missed my periods for one month. I did a home pregnancy test and it was negative. Therefore I met a doctor to do a proper check. He scanned me and said I am not pregnant and I have fibroids in my uterus. He requested me to stop having birth control pills as I have very thin walls in my womb. I was worried about all the things and he suggested me to have Primolut N (5 mg) tablet twice a day for three continuous days. He said from the third day I will start having my periods and everything will be alright. But I am still missing my periods. Is something wrong with me? And is there a permanent cure for fibroids without any surgery? Why my periods are so late?
Hi,
Welcome to icliniq.com.
For irregular cycle treatment, you get it right but dose and days should be extended and then withdrawal bleed you would have in 1 to 2 weeks not just after finishing tablets. The dose of Primolut N should be 10 mg twice daily for five days and then wait for bleeding for 1 to 2 weeks. Better to have medicine from day 4 to day 24 for three cycles to properly regulate cycles. It would be better if you could send me a detailed history and scan report as well. If fibroid big obstructing cavity and causing symptoms like urine incontinence, infertility, abdominal heaviness then myomectomy (removal of fibroid) necessary but if no symptoms like above no need to remove actually. It is better to have blood tests on day two of periods (serum testosterone, progesterone, insulin, prolactin, FSH (follicular stimulating hormone) and LH (luteinizing hormone), thyroid function test). Collect reports and discuss with gynecologist here or local.
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Obstetrics and Gynecology
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