Patient's Query
Hello doctor,
I am a 19-year-old female with a height of 5 '4 feet and weighs 166 lbs. I have not got my period for 70 days. I have started getting nauseous at night or sometimes during the day. I also have a stuffy nose. My longest menstrual cycle period was 53 days. My two urinary pregnancy tests returned negative on the 55th and 58th day of the menstrual cycle. Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I have read your query, and I can understand your concern.
From your history, I presume you have PCOD (Polycystic ovary disease). It is a congenital condition that you get from your parents. When you suddenly increase weight, the cholesterol gets converted into estrogen hormone. If your body fat is more than normal, a hormone is generated from fat that tips the balance between FSH (follicular stimulating hormone) and the ovarian hormone. FSH stimulates the follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the estrogen hormone from the ovary. When the estrogen hormone is released from fat, the brain is confused, and follicle growth stops early at a smaller follicle size and will not rupture. When a scan is done, all these follicles appear as polycystic ovaries.The cause is obesity, irregular cycles, absent periods for a few months, late heavy periods with clots and fleshy masses, intermittent spotting, thyroid abnormality, and prolactin abnormalities. The extra-pad of fat develops around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Development of excessive body hair, hair fall, a dark shade over the lower half of the face, acne, oily skin, and black skin over the back of the neck, inner thighs, and under the surface of the breast can be seen. A family history of diabetes may be a risk factor, especially on the father's side. In PCOD, ovulation will not occur at a time, and you may face difficulty getting pregnant till treated. It also increases your chances of early pregnancy abortions. The following measures can be followed:
Reduce your weight to 114 to 125 lbs. Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant. Your pregnancy will be healthy.
Avoid junk food, fast foods, red meat, and reduce snacks between meals.
Do not fast, but have low-calorie food that is high in proteins.
Exercise regularly, especially for the waist and hip area. Do aerobics, yoga, or brisk walking by swinging your hands. Try to reduce 4 to 8 lbs per month. Take your time with weight reduction. It will be challenging to maintain. You will gradually see changes in your body.
To get periods, take birth control pills or 21 pills packet. One tablet is taken twice daily for ten days, and the 21st pill is thrown away. Periods will come within seven to 10 days of the last pill.
This information will help you.
Thank you.
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Answered byDr. Balakrishnan. R
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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