How to manage my menstrual irregularity and weight gain?

Q. I have irregular periods with increase in weight and BV. Kindly help.

Answered by
Dr. Sangeeta Milap
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 02, 2020 and last reviewed on: Sep 06, 2023

Hi doctor,

I am 22 years old. I have a problem with irregular periods. Firstly, I began my menstrual cycle much later than most girls. I started only at the age of 16 years. Recently, I have noticed that I no longer get a regular period and it has been happening for around eight months. Ever since I turned 21, I started gaining weight rapidly and that is when I noticed my period was not normal anymore. I track my cycle but when it is supposed to come I will get brown discharge a few days before the expected date of my period and sometimes that will last two weeks. It has an offensive smell, sometimes sour smell but I am afraid to go to the doctor or for my mom to find out. Sometimes I notice red spotting when I wipe and think it is my period but it never comes. I used to have really bad cramps with my period before and bleed heavily for the first two days of my period. Sometimes I would have a period for three to five days long and the longest recorded was nine days.

I am sexually active but I have only been with one sexual partner for the past four years who is tested negative for any STIs or STDs. I am not on any contraceptives, but I have used emergency contraceptives twice about two years back. I have had BV and a UTI and ended up having to secretly see a gynecologist who gave me Metronidazole tablets as a course of antibiotics and a vaginal gel to use in conjunction. The BV went away but it keeps coming back. I cannot afford to always go to a doctor for a prescription for antibiotics so I have opted to irrigate my vagina with diluted hydrogen peroxide 3% and water. The fishy odor goes away but as soon as I have sex with my partner, it comes back and it is embarrassing. Can you please assist me, is it possible to find a solution without going to a gynecologist?



Welcome to

You seem to be having PCOD (polycystic ovary disease), which is the reason for you not having periods. Get ultrasonography of the uterus tubes and ovaries, blood tests, thyroid function tests, PCOD panel, serum prolactin, and complete blood count. Also, you are having severe vulvovaginitis. For this, you take Clingen forte vaginal tablet vaginally once at bedtime for seven days. Orally take tablet Oflox OZ (Ofloxacin and Ornidazole) twice daily for five days and Forcan (Fluconazole) 150 mg once a week for six weeks. For the onset of periods, take tablet Meprate (Medroxyprogesterone Acetate) 10 mg twice a day for five days and then stop. After that, you will get a week to ten days of periods.

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