Having Irregular Periods. Pregnancy Test Negative. Prescribed Registone. Got Periods. What Should I Do?

Hello XXXXXXX

Thanks for writing to us.

First of all, you need to undergo serum beta-hCG test to rule out pregnancy by any means. Sometimes late pregnancy can give negative result in early tests.

Other reasons of period irregularity are hormonal imbalance due to disturbance of Hypothalamus-pituitary-ovarian (HPO) axis, thyroid problem, over weight or rapid loss, PCOS (Poly Cystic Ovarian Syndrome) or ovarian cyst, taking any psychiatric medication, irregular diet habit or anorexia, uterine pathology or pelvic infection, high prolactin level etc.

Here, you need to undergo some additional investigations under the guidance of your gynecologist to identify the possible causes. You would need a complete health check up along with pelvic ultrasound scan, thyroid profile, LH/ FSH ratio, D-21 progesterone assay, Hb%, blood sugar (PPBS), prolactin level etc.

Complete treatment depends on underlying etiology. You may require cyclic hormonal medication with estrogen & progesterone for 21 days continuously with 7 days gap to get regular period. Other supportive treatment may be needed as per test report. Please consult with your gynecologist to get a prescription.

Do the following things for healthy life style:

1) Take healthy low carbohydrate diet with more vegetables. Avoid all junk/ fast/ spicy food stuffs.
2) Do regular physical exercise to control body weight and it has key role to regularize period.
3) Try to avoid stress by yoga or meditation or deep breathing exercise (15-20 minutes) regularly.
4) Iron supplements are also needed. Drink plenty of water/ fluid and always take sound sleep.
5) Keep your bowel habit regular and maintain genital hygiene properly.

Hope, I have answered your query. Let me know if you need clarifications.

Wish your good health & take care yourself.

Regards,
Dr Soumen.

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