Get E-Book on COVID-19

Q. What are the ways to conceive with irregular periods?

Answered by
Dr. Sanjay Kumar Bhattacharyya
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Nov 24, 2019 and last reviewed on: Nov 27, 2019

Hello doctor,

I am 19 years old, soon to be 20. I and my fiance are trying to conceive for the past four years. We are having trouble getting pregnant due to my absence of a menstrual cycle. When I was younger I did not get my period when I was supposed to and had to be put on birth control pills in order to get my first period. Since then I have been on and off on birth control pills and said Depo-Provera shot. I stopped getting my Depo shot four years back and I have not been on any method of birth control since. I only had my period twice after discontinuing the shot. The last time I had my period was four years back and then I spotted the whole entire first week of the very next month. Since then I have not had any type of spotting or bleeding. Of course, I need to be having a menstrual cycle in order to conceive but I am just in desperate need and I feel so hopeless because I feel like I am not be able to have any kids or if I do it will be in a long time. What can I do to get my period?

Should the Depo-Provera be completely flushed out of my body by now? I just want to have my period already and at least a normal cycle so I can finally have a baby.

Dr. Sanjay Kumar Bhattacharyya

Obstetrics And Gynaecology


Welcome to

Definitely you need a regular cycle to conceive. A regular cycle signifies a normal ovulation and thus a fertile status. I presume you are suffering from anovulation, which means absence of ovulation. There are 100 causes of anovulation whereas the most common cause of anovulation is polycystic ovarian syndrome (PCOS), a complex endocrine disorder of uncertain etiology, where ovaries turn into cystic structures. Other causes are obesity, thyroid disorders, underweight, anorexia nervosa, stress, overt exercise, and usage of some medications.

You have a body weight only 40 kg with BMI 17.28 (attachment removed to protect patient identity). This is a bit lower than normal weight.You were on antidepressant, which you have left, also which could cause anovulation. Are you suffering from any psychiatric illness still now? These all could cause anovulation and amenorrhoea. You have taken also Depo shot one year back. I do not know why you had taken, but this medicine itself can cause absence of cycle. Whatever may be the reason, you need a detailed evaluation. You need to increase your body weight, need hormonal screening (LH, FSH, thyroid, prolactin, testosterone) and an USG screening for polycystic ovaries. Just get a regular cycle and then try to conceive when you will achieve this.

The Probable causes:


Investigations to be done:

1. Serum level of LH, FSH, prolactin, thyroid, testosterone.
2. USG lower abdomen.

Was this answer helpful?


Related Questions:
Does missed period after taking Z pack mean pregnancy?
Do PCOS and SUFE have some underlying cause?
Will PCOS delay pregnancy?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

Though my pregnancy test is negative, I miss my period. What to do now?

Query: Hello doctor, I have missed periods and a negative pregnancy test. Should I wait for another test? I tested three days back. The last LMP date was exactly a month back. This is related to my wife.  Read Full »

I have missed periods. Is this pregnancy or a disease amenorrhea?

Query: Hi doctor,I had unprotected sex at 11 PM but took I-pill the next morning at 9 AM. I have missed periods. I have heard about the disease amenorrhea. Is this pregnancy or a disease amenorrhea? If amenorrhea happens, can it be easily cured? How she I have regular periods? Is it a matter of fear or a c...  Read Full »

Will I be able to conceive naturally with PCOS?

Query: Hi doctor, I am 27 years old. I got married before 1.5 years. I have PCOS since I was young. I remember that I had various types of medication as I did not get my periods regularly in the initial stages. My mother had taken me to many doctors, including ayurveda, homeopathy and allopathy. Before 4 y...  Read Full »

Also Read

Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.