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Fertility & Reproductive Support
Question #11699
297 days ago
1,823

Ihave periods problem, irregular periods, painful

Sakshi

Hey! Main Sakshi bol rahi hun Delhi se Meri age 21 years hai aur Main unmarried hoon Mera problem yeh hai ki mujhe Jo period Hai vah irregular hote Hain do din hi hote hain periods ka time pe bahut jyada pain hota Hai to mujhe Janna hai ki mujhe kya problem ho sakti hai.

Age: 21
Chronic illnesses: Low blood pressure.
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Doctors' responses

Hello ji Irregular periods ke main do karan hotay hain hormonal changes ye metabolic changes Pcos ke case main bhi aisa hota hai Main aapko suggest karunga kuch test Wo karwake gynacolologist ko dikhana tabhi pata lagegaa kya dikkat hai Serum ferritin Serum prolactin Pelvic USG if recommended by gynacolologist Serum progesterone Urine analysis Vitamin d 3 CBC Serum TSH Lft Rft Hb In test ko dikhana aur bina doctor ko bataye dawai mat lena Hopefully aap jaldi theek hun Regards

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Hello Sakshi,

Mai aapki problem samajh paa raha hoon.

Aapki takleef ke kayi kaaran ho sakte hai - Hormonal Issues/PCOS, bacchadani ki beemari, Thyroid, khoon ki kami, stress ya fir wazan kam normal se kam/zyada hona.

Lekin aapko ghabrana nahi hai, jo bhi kaaran hai, uske liye kaafi treatment options available hai.

Sabse pehle humein aapki problem ka reason pakadna hoga, uske liye aap kuch tests kara lijiye - Thyroid Profile, CBC, Ultrasound of Pelvis, Hormonal Profile (LH, FSH, Prolactin, Testosterone). Ye tests ki reports aap mujhe ya fir kisi Gynecologist ko dikha sakte hai, aage advise ke liye.

Meri taraf se abhi ke kiye advise -

Ek menstrual diary rakhe - jisme dates, flow aut kitna dard hota hai likhein. Dard ke liye - Tab. Mefenamic Acid + Dicyclomine, din mai 2 baar lijiye × 3 dino ke liye. Regular Exercise karein, Balanced diet lein, acchi neend lijiye, stress ko kam kijiye. Agar stress ko manage karne mai helo chahiye to aap mujhse consult kar sakti hai.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Aapke irregular, short-duration periods aur severe pain ka reason hormonal imbalance, PCOS (Polycystic Ovary Syndrome), thyroid problem, ya uterine issues ho sakta hai. Ye symptoms long-term me anemia aur fertility problems bhi cause kar sakte hain. Please consult a gynecologist for proper evaluation, blood tests, and ultrasound to diagnose the cause and guide treatment.

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Investigation

1) CBC 2) Thyroid profile 3) FBS 4) Pelvic ultrasound

Your irregular, short (2-day) periods with severe pain may be due to hormonal imbalance, PCOS, or primary dysmenorrhea. It is not dangerous but needs evaluation. Please get an ultrasound and thyroid test done for clarity. For now, you can use Meftal Spas during pain and maintain good diet + lifestyle.

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Hi Sakshi,

At your age 21, painful irregular periods that lasts for only 2 days may be due to Hormonal imbalances,Primary dysmenorrhea – normal period pain due to hormonal changes ,fibroid/endometriosis,Stress or overweight /underweight.

Please do these tests: Thyroid profile CBC Fasting sugar, HbA1c Ultrasound pelvic

Meanwhile; Maintain healthy lifelstyle For pain; Warm compression/hot bag on lower abdomen Tab.Meftal spas when needed

I hope this clears your doubts Feel free to talk Thank you dear

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hello sakshi irregular period is not a big issue ,it may be because of your hormonal levels kindly do only serum TSH(empty stomach ),serum prolactin levels with usg pelvis after your menses so that we rule out the issue, and start your medication. kindly tell ur BMI.?

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Irregular and painful periods can be due to a variety of conditions. For someone your age, common causes include hormonal imbalances like polycystic ovary syndrome (PCOS), thyroid issues, stress, and sometimes lifestyle factors, such as diet and exercise. PCOS, for instance, often leads to irregular periods due to an imbalance in reproductive hormones. If your periods are consistently irregular and painful, it may be worth getting screened for thyroid function and PCOS. Ensure you’re maintaining a balanced diet, staying hydrated, and engaging in regular physical activity, as these can sometimes help manage symptoms. During menstruation pain can be managed with over-the-counter NSAIDs (such as ibuprofen), but it may be helpful to see a gynecologist for a full evaluation and possibly an ultrasound, as this can help identify any underlying issues. Additionally, managing stress through relaxation techniques can also be beneficial. If there’s severe pain, or if your menstrual irregularities are accompanied by symptoms like excessive bleeding or rapid weight loss/gain, seek medical attention promptly to rule out any serious conditions. It’s essential to consult with a healthcare provider to tailor a plan specific to your situation, which might involve medication, lifestyle changes, or further testing to understand what’s affecting your menstrual cycle.

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