HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Irregular Menstrual Cycle

default
Posted on Wed, 12 Oct 2016
Question: Hi, I have been having irregular menstrual cycle for a long time. Since, puberty it has been the same. I haven't tried any medication so far. Also, in a recent examination (6 months old) it was ruled out I have PCOS. I feel I am putting on a lot weight What can be the best suited medication?
doctor
Answered by Dr. Sameer Kumar (19 minutes later)
Brief Answer:
PCOD, hypothyroidism or hyper prolactinemia.

Detailed Answer:
Hello,
Thanks for the query to HCM,
If you have been using contraceptive pills since last 6 months then menses should have been regular each month but if you have used it earlier and then post that till date again the menses have become irregular, then you need to get a hormonal profile done with serum testosterone, serum estradiol, FSH, LH , DHEAS, 17 OHP levels with serum fasting insulin levels to check for PCOD.
Also, important would be get a thyroid profile done to rule out hypothyroidism and also serum prolactin levels to rule out hyperprolactinemia.
These are the most likely causes of regular menses.
Please furnish your menstrual details and days of bleeding of last 3 cycles.
When did you have oc pills last?
Also attach your last ultrasound pelvis reports for review.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Irregular Menstrual Cycle

Brief Answer: PCOD, hypothyroidism or hyper prolactinemia. Detailed Answer: Hello, Thanks for the query to HCM, If you have been using contraceptive pills since last 6 months then menses should have been regular each month but if you have used it earlier and then post that till date again the menses have become irregular, then you need to get a hormonal profile done with serum testosterone, serum estradiol, FSH, LH , DHEAS, 17 OHP levels with serum fasting insulin levels to check for PCOD. Also, important would be get a thyroid profile done to rule out hypothyroidism and also serum prolactin levels to rule out hyperprolactinemia. These are the most likely causes of regular menses. Please furnish your menstrual details and days of bleeding of last 3 cycles. When did you have oc pills last? Also attach your last ultrasound pelvis reports for review. Regards