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Talk to Gynecologist on Periods Cycle Delay

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Asking for Self, Female, 19 years old, Karachi

Hello, few months I noticed few things. 1) Periods cycle disturb, almost 45 to 50 days. 2) Weight increasing fastly, even I am doing dieting but still it's increasing. 3) Acne problem. 4) Sometimes feel pain in lower abdomen 5) very painful periods every month. 6) Feels hungry alot but can't eat alot. What test should I need to do now? Is it normal? Or can cure easily? Please help me, i am going to depression day by day. Also my marriage is decided after 6 months (Dec 2020)

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Dear Member,
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Member

Member


Rs 30, how?
It's showing Consultant fees about 1k or more,

1 year ago

Gynecologist in Karachi - Dr. Samreen Mahboob

Dr. Samreen Mahboob - Gynecologist

MBBS, MCPS, FCPS | Karachi

review-stars

2 Positive Reviews

it is important to investigate early
on day 2 of period S.FSH, LH ,prolactin,TSH ,T3,S.Insulin and FBS. ultrasound pelvis is also needed
change life style
do exercise and reduce wt
i will advise med after reports


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Member

Member


Day 2 means? Today mine first day of period..

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar

Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi

Ur wt n ht plz


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Member

Member


Weight : 66kg.
Height : 5'6.
Last year December, my weight was 55kg.

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar

Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi

Don't b depressed dear
Ur wt is just in normal BMI but if it increases more u wil b overweight


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Member

Member


Yes but it's increasing day by day, even I am not taking fried and sugar items, someone said me maybe it's PCOS

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar
Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi | Book Appointment


Yes ur symptoms r going towards them
Let's see what ur reports say
Is there any history of diabetes or pcos in ur family

1 year ago

Member

Member


No, not at all.
What test should I do now?

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar
Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi | Book Appointment


I have written all the test and Usg required
Pcos is a condition in which ur wt ,ur mensrual cycle and ability to handle the food is disturbed
They r all interrelated
As I mentioned all the test in my reply get them done
Usg too
Then discuss
Easy tips
Get a diet chart done by dietician
Exercise
Evaluate ur lifestyle
Is it active or sedentary
Motivate urself
It will b a long journey but u will make it IA

1 year ago

Member

Member


Yeah ma'am I read all test, I'll do it asap and will let you know.
Btw is it necessary to do perform test on second day of periods?

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar
Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi | Book Appointment


It would b hard to explain the whole physiology but understand like this that once u start ur periods all the female hormones start to b active again for the next cycle

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar

Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi

Ur cycle length is getting prolonged
Ur wt is increasing
Acne as well
U need to
Diet
Exercise
Loose wt
Active life style
Yes few blood test that u need to take on second day of ur periods
Serum FSH,lh,thyroid profile,prolactin and testosterone
Usg Pelvis for any pathology in ovaries or uterus
Lots of determination is required to loose wt but u can do it dear
Few medicines
Tab glucophage 500mg twice a day for 2-3mths
For regulation of ur periods too
Tab Diane 35once a day for 21 days ,leave for 7 days and then restart
Periods wld come once u leave them
Need to take them for 2-3mths
Hopefully u will b fine
Get ur tests done n discuss
What it seems that u r going towards pcos which is a treatable condition so don't worry IA I will b fine


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Member

Member


Thanks, I'll do it, is it necessary to do all test on second day of my period?

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar
Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi | Book Appointment


Yes it would b better bcz all these hormones have role in ur menstrual cycle
Blood sample would b taken in one go
Don't worry about that

1 year ago

Member

Member


Sure , I'll do it on second day of period, all are blood sample test?
One more thing, is it effective for my married life?

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar
Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi | Book Appointment


Yes all r except Usg ofcoarse
Second u have 6 mths
So hopefully things would b better hopefully
Wt loss is ur key
U should maintain ur diet ,exercise and active lifestyle routine after marriage too
It will not effect ur married life in any way

1 year ago

Member

Member


Thanks Dr, you are great :'))

1 year ago

Gynecologist in Karachi - Dr. Nazneen Umar

Dr. Nazneen Umar - Gynecologist

MBBS, FCPS (Gyne & Obs.) | Karachi

Thanks


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Gynecologist in Karachi - Dr. Zakia Bano

Dr. Zakia Bano - Gynecologist

MBBS, FCPS (Gyne/ Obs) | Karachi

review-stars

127 Positive Reviews

Assalam o alaikum.
get your ultrasound pelvis and fasting serum insulin done.
start tab Diane 35 from first day of periods for 21 days for 3 month.
take tinostol sachet daily at night in glass of water for 3 months.
daily walk for 30 minutes morning evening along with diet control.
get your these two test done and share the results


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Gynecologist in Karachi - Dr. Zakia Bano
Dr. Zakia Bano - Gynecologist

MBBS, FCPS (Gyne/ Obs) | Karachi | Book Appointment

review-stars 107 Positive Reviews

dear all labs are normal,except prolactin level slightly on higher side.
you have to control your weight by diet,exercise and life style changes.
walk for half an hour in morning and night.
start tab Diane 35 from first day of periods along with tinostol sachet daily for 3 months .
get your ultrasound pelvis to rule out any pelvic pathology and share report

1 year ago

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