Q. My period was delayed and prolonged this month. Why?
Hello doctor,
I am 40 years old. My last month period was on time but it lasted only one day. This time it was four days late and not stopping for around 12 days. Same happened in December last year but my cycle was normal since February. Doctor had advised taking OCP Yasmin for three months which I could not take somehow. USG is normal. I take Thyronorm 25 mcg and my latest TSH is 2.2. Prolactin was 33 in January but I was breastfeeding my 2-year-old at that time and now stopped since a month. Otherwise, I am feeling normal no pain or weakness. Kindly help.
Hello,
Welcome to icliniq.com.
As you are bleeding for 12 days, for symptomatic relief, please start taking tablet Trapic MF (Tranexamic acid and Mefenamic acid) 500 mg three times a day for three days. As you had light bleeding last month, and this time continuous bleeding for 12 days do a urine pregnancy test at home. If the pregnancy test is negative, you can start taking Yasmin as prescribed by your doctor because in breastfeeding the uterine lining is thin and it bleeds. If the pregnancy test comes out to be positive, then you will have to visit your local gynecologist.
Hello doctor,
Thank you for your response. I forgot to mention that my pregnancy test was negative. Can this issue resolve without medication? I get very bloated on taking the pills.
Hello,
Welcome back to icliniq.com.
Bleeding will recur when you stop taking Trapic MF. In this cycle, you will need oral contraceptive pills to control and stop the bleeding. It will be necessary to take hormones to resolve the issue.
Hello doctor,
I am 43-years-old, and I have had irregular cycles for the past year, usually once in two months. Ultrasound and blood tests like thyroid and prolactin are normal. I had my last cycle three months ago. Should I wait for the next cycle to occur naturally or take medication?
Hello,
Welcome back to icliniq.com.
At 43 years, sometimes, women start to have changes in their menstrual cycles due to fluctuations in hormones as they approach menopause. Some women have abrupt cessation of periods, but some have irregular cycles for three to four years before menopause. It is good that all the tests and scans are normal. If three months have passed, you can take progesterone. But periods will only occur if your uterine lining thickness is more than 5 to 6 mm. So it is also fine if you want to wait for natural periods. Feel free to ask any questions or to share any additional information.
Hello,
Please check my ultrasound report and suggest. I had my last period in December, and it lasted very long, around 25 days. Now no period since January. I have had irregular cycles almost alternate months for the past year. If it is menopause, what steps to take cause it is so early?
Hello,
Welcome back to icliniq.com.
I understand your concern.
Your ultrasound shows a thin (2.1mm) uterus lining with low ovarian volume.
Menopause is when you do not have periods for at least one year. It is a natural process, so nothing can be done.
I have the following suggestions for you-
1. You must perform yoga and exercise.
2. You must keep yourself hydrated.
3. you can take supplements for vitamin D3 and calcium.
4. you must consume fresh fruits and vegetables.
5. You must avoid caffeine and aerated drinks
6. you can get a pap smear test done yearly. Along with self-breast examination, blood pressure, and weight check. You must also get blood sugar tests and lipid profiles yearly.
Thank you.
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