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What Could Be The Reason For Having Irregular Periods?
Hi, I am 27 years old married woman and have pcos for many years along with irregular periods and so many symptoms. I am on metformin for last 10 months. Generally I use to get my period after every 6 months and when it comes , it won't go without medication. But for last 4 months I am having my period on the right time , first month it was very heavy and prolonged but after that for last three months it's very light that I don't need to use pad. This is very strange thing that never happened before . I am just worried what is happening ? I am also trying to conceive. Can you please tell me what and why it is?
Thu, 13 Mar 2014
Hello and thanks for the query,
The picture that you present is common in PCOS and is due to hormonal imbalances. Prolonged exposure to estrogen leads to overgrowth of the uterine lining and then as there is no progesterone due to absent ovulation, the lining grows un inhibited upto the point where it cannot grow any longer. At this time it sheds off due to lack of blood supply and nutrients in a haphazard manner. This produces irregular or prolonged bleeding.
The spotting may be due to the regular periods that came and the lining is now low. Again there is estrogen excess and some part sheds, the other doesn't producing spotting.
If you are planning to conceive, you must visit an infertility specialist along with your husband. An ovulation study will be needed along with tests to look for open tubes. If there is no ovulation drugs may be needed to induce ovulation. Laparoscopic drilling of the ovarian cysts also produces good results. All of these can be discussed with your doctor and the management is usually step by step.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
The picture that you present is common in PCOS and is due to hormonal imbalances. Prolonged exposure to estrogen leads to overgrowth of the uterine lining and then as there is no progesterone due to absent ovulation, the lining grows un inhibited upto the point where it cannot grow any longer. At this time it sheds off due to lack of blood supply and nutrients in a haphazard manner. This produces irregular or prolonged bleeding.
The spotting may be due to the regular periods that came and the lining is now low. Again there is estrogen excess and some part sheds, the other doesn't producing spotting.
If you are planning to conceive, you must visit an infertility specialist along with your husband. An ovulation study will be needed along with tests to look for open tubes. If there is no ovulation drugs may be needed to induce ovulation. Laparoscopic drilling of the ovarian cysts also produces good results. All of these can be discussed with your doctor and the management is usually step by step.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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