LH, FSH ratio (early follicular phase) Prolactin Serum Ferritin Vitamin D3 Serum Vitamin B12 Total Testosterone + DHEAS Pelvic ultrasound
Please visit a nearby gynecologist.
Since your periods have been irregular since menarche, and now you also have hair fall, this points toward a chronic hormonal imbalance rather than a temporary lifestyle cause.
Hormonal signals not synchronizing — Irregular cycles from the start often mean your hypothalamus-pituitary-ovarian axis never fully settled into a predictable rhythm.
Hair fall link — Could be due to high androgens (testosterone/DHEAS) as in PCOS, or nutritional deficiencies (iron, vitamin D, protein, zinc).
FSH luteal-phase variation — If FSH was taken in luteal phase, it’s less diagnostic — for cycle assessment, day 2–3 FSH, LH, Estradiol are more useful.
Investigation Day 2–3 of cycle: FSH, LH, Estradiol
Any day: Prolactin, Testosterone (total + free), DHEAS, TSH, free T4, fasting insulin, fasting glucose
Deficiency check: Ferritin, Vitamin D, Vitamin B12, Zinc
Pelvic ultrasound (transabdominal or transvaginal depending on comfort)
Diet to restore cycles & hair
Protein: 1–1.2 g/kg/day (dal, paneer, eggs, curd, chicken, fish, soy, sprouts)
Iron-rich foods: spinach, dates, jaggery (small amounts), beans — plus Vitamin C foods for absorption
Healthy fats: nuts, seeds, ghee, coconut
Low-GI carbs: whole wheat, millets, quinoa — avoid refined sugar & junk
Zinc + Biotin sources: pumpkin seeds, sesame seeds, eggs
Hydration: 2–2.5 L/day water or herbal teas Ashokarisht 2 tsp in lukewarm water at night daily
Kindly consult gynecologist for proper treatment
Irregular periods since menarche can suggest possible underlying issues like polycystic ovary syndrome (PCOS), thyroid dysfunction, or other hormonal imbalances, especially when combined with symptoms like hairfall. Even if your tests were largely normal, the elevated FSH levels point to potential hormonal dysfunction. To regulate your menstrual cycle, it’s important to first target the root cause. I recommend a comprehensive evaluation by a healthcare professional, possibly an endocrinologist or gynecologist, to thoroughly assess for conditions like PCOS, thyroid disorders, or other hormonal imbalances. In the meantime, adopting lifestyle modifications could also help. Regular exercise and a balanced diet, particularly one low in refined carbohydrates and sugars, can help manage symptoms linked to insulin resistance often associated with PCOS. This may also assist in normalizing periods. Managing stress through methods like mindfulness or yoga can positively influence hormone balance as well. For hairfall, ensure adequate intake of iron and other essential nutrients, considering that deficiencies can worsen hair loss. Biotin and omega-3 supplements are often suggested, but do consult your healthcare provider to personalize this. If diagnosis confirms PCOS or thyroid problems, medications such as hormonal contraceptives to regulate menstrual cycles or specific treatments for thyroid issues may be prescribed. These actionable steps align with modern clinical principles and can be implemented practically into daily life. It’s vital to follow up regularly with your healthcare provider to monitor your condition and adjust your treatment plan accordingly.
