Why am I not getting my periods after delivery?

Question

Hello doctor,

After my delivery for the past two years, I had no period. I went for a checkup with a gynecologist. She gave me Primolut N (Norethisterone) to start my period. The period came but then again, no periods in coming months. I visited two to three doctors, they gave me the same Primolut N, and the same thing happened. Now two months back, I again went to a gynecologist. She asked me to do a few tests. Unluckily, my thyroid report was not fine, so she gave me medicines for that and Primolut N to start my period. I took this, and now on the second day of my period. But on the first day, discharge was brown, and on the second day, it was dark red. I also had a very low flow. It was not normal. What should I do now?

Answer 1

Hi doctor,

Welcome to icliniq.com.

It will take some six months for your thyroid levels to become normal with medicines and your periods to resume regularly. After initiating thyroid medicine, you have to repeat thyroid levels to see if the dosage is sufficient after three months. Moreover, you have to reduce your weight also. Asking with thyroid problems, you maybe having PCOS (polycystic ovarian syndrome), which will make your periods erratic. So you can undergo an ultrasound scan of your uterus and ovaries to rule out the condition. You have to lose weight at least by 33 lbs to be near to your normal BMI (body mass index). On reducing weight, your periods may come back to regularity, and the flow will also be normal. So you have to do walking, regular exercises, and diet control. Are you best breastfeeding your baby? Breastfeeding also will make your periods irregular. Please do the scan and get back to me with the results.

Regards.