Suggest Treatment For Anxiety And Mood Swings After Missing A Dose Of Primolut-N

Posted on Fri, 22 Jan 2016

Question: Had thyroid and was on ginette 35 for 2 years. Stopped both medicines after marriage. Had regular period for 1st month. Didnt had periods second month. Pregnancy tests negative. Consulted gyne. She put me on Primolut -N 5 mg for 5 days and thrice a day. I just missed one tab. Didnt had periods till now. Its been 5 days over till the day medicine was stopped. ... having lot of anxiety and mood swings

Answered by Dr. Deepti Verma (37 minutes later)

Brief Answer:
Do not worry, wait for 5 more days

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Delayed periods can be due to pregnancy, stress or hormonal disturbances.
If the pregnancy test is negative, then the pregnancy is ruled out.
Primolut N is given to induce withdrawal bleeding.
Usually the withdrawal bleeding occurs within 7-10 days of stopping the drug.
Missing one tablet will not alter the efficacy of Primolut to induce the periods.
I will suggest you not to worry and wait for another 5 days for the periods to come.
Mood swings are suggestive of premenstrual changes.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (37 minutes later)

I wanted to conceive as soon as possible. I think i m not ovulating bcoz of pcos or some other reason. Do i need to consult infertility or gyne can induce ovulation. What is the permanent solution to this problem

Answered by Dr. Deepti Verma (1 minute later)

Brief Answer:
Pleass furnish some information

Detailed Answer:
Hi dear,
Please furnish some information so that I can explain you more clearly:
Since when you have hypothyroidism and what is the dose of thyronorm you are taking?
What is your weight and height?
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (40 minutes later)

Since 2012. Dosage is 25 mcg. Cyst in ovaries are seen at times and at times not. Conception is imp. For me. Please suggest

Answered by Dr. Deepti Verma (6 minutes later)

Brief Answer:
Do not stress out

Detailed Answer:
Hi dear,
Do not be stressed out.
Conception is very well possible in PCOS patients.
Treatment for conception in PCOS patients is done stepwise, thenext step to be followed when the previous one fails:
1. Ovulation induction with drugs
2. Intrauterine insemination
3. In vitro fertilization ( IVF)
However, the treatment for infertility should be started only after one year of unprotected intercourse.
I will suggest you to be stress free, and start taking folic acid tablet daily as taking it in preconceptional period reduces the risk of congenital anomalies in the fetus.
Hope you found the answer helpful.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (11 minutes later)

In 2013 i was diagnosed with pcod and one enlarged ovary. Waiting for normal conception is tough. After that gyne put me on ginette 35 for 2 yrs. I stopped that medicine immediately. Delay in conception wont be good for my married life. Please suggest what should be done so that i ovulate at least

Answered by Dr. Deepti Verma (2 minutes later)

Brief Answer:
Ovulation induction

Detailed Answer:
Hi dear,
If you are willing for early conception, then you can take ovulation induction with clomiphene citrate.
You can consult your OBGYN specialist for proper ovulation induction.
However, weight loss and lifestyle modification can help you to achieve ovulation and conception.
Please tell me your weight and height so that I can calculate your BMI and guide you further.
Regards
Dr Deepti Verma

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar