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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods?

Hiya, im 19 yrs old, I haven t had my periods for 2 months now, I have never had a sexual intercourse before so I know I can not be pregnant.I am just worried because I do sometimes skip a month but never 2. When I usually get periods the colour of the blood is very very dark & I get painful cramps on the first and second day, but on the third and fourth the pain decreases and becomes bearable. I got a blood test done and results came out normal. I don t know what I can do, hope to hear from you soon. thank you
Fri, 23 Feb 2018
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OBGYN,  's  Response
Hi there, I have understood your concern and I will suggest you the best possible treatment options.

First of all do not panic.

Please get USG done to know about any structural pathology like fibroids or polyps of uterus and information about the ovarian status like ovarian volume and echo texture. to rule out PCOS- polycystic ovaries.

As you are sure that you are not pregnant, please seek prescription support from your treating doctor for Tablet Regestrone 5 mg twice a day for 5 days. Withdrawal bleeding occurs 3 to 10 days after finishing the tablets.

For pain during menstrual pain you can take tablet Mefenamic acid and Dicyclomine as needed to ease out the pain.

If USG shows polycystic ovaries as a cause of your irregular periods then I will suggest you the following -
Please opt for a healthy diet and regular exercise regimen.
Include more portions of fruits and vegetables and salads in daily diet.
Drink plenty of water in the day.
Avoid refined sugars and deep fried foods and bakery products in the diet.
Please take Iron, Calcium, protein and vitamin B 12 and Folic acid supplementation on regular basis.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar.
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What Causes Delayed Periods?

Hi there, I have understood your concern and I will suggest you the best possible treatment options. First of all do not panic. Please get USG done to know about any structural pathology like fibroids or polyps of uterus and information about the ovarian status like ovarian volume and echo texture. to rule out PCOS- polycystic ovaries. As you are sure that you are not pregnant, please seek prescription support from your treating doctor for Tablet Regestrone 5 mg twice a day for 5 days. Withdrawal bleeding occurs 3 to 10 days after finishing the tablets. For pain during menstrual pain you can take tablet Mefenamic acid and Dicyclomine as needed to ease out the pain. If USG shows polycystic ovaries as a cause of your irregular periods then I will suggest you the following - Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Drink plenty of water in the day. Avoid refined sugars and deep fried foods and bakery products in the diet. Please take Iron, Calcium, protein and vitamin B 12 and Folic acid supplementation on regular basis. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar.