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Periods issue and low flow in period , painful,
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Fertility & Reproductive Support
Question #11700
252 days ago
1,907

Periods issue and low flow in period , painful, - #11700

Sakshi

Hey! I amSakshi from delhi, unmarried, My ageis 21 year and my periods is not in good flow,i got my periods only2 day's from2020 , it's painful,.. please tell me what is the cure of this problem and how it can be treated..

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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
252 days ago
5

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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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
249 days ago
5

Hello Sakshi,

I understand your concern. Your issues might be due to hormonal imbalance, low body weight, stress or uterine issues.

I advise you get these investigations done - Thyroid Profile, Sr. Prolactin, Pelvic Ultrasound and CBC. Review with these reports.

For pain relief - Tab. Drotaverine+mefenamic acid whenever pain occurs. Warm compress/hot water bag during periods.

Maintain healthy diet & weight. Regular exercise, yoga, stress management.

If you are having stress issues, you can consult with me, I’ll be more than happy to help.

And please consult a Gynecologist or a Family Physician with your reports as well for physical examination as you have long standing issues.

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

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
248 days ago
5

Hello Sakshi, Your periods can be due to hormonal imbalance. get these tests done before starting any treatment. 1. CBC 2. Thyroid profile 3. Serum Prolactin 4. Serum LH and FSH

review with reports. Take care

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
249 days ago
5

Investigation:

Hormonal Profile – TSH, LH, FSH, Prolactin, AMH Pelvic Ultrasound CBC, Serum Ferritin Vitamin D & Vitamin B12

Your problem is likely hormonal (PCOS / thyroid related). Need hormonal blood tests + ultrasound for confirmation. Pain can be managed with Meftal Spas. For long-term cure: Inositol supplements, lifestyle changes, and correcting vitamin deficiencies. Please consult a gynecologist with reports for targeted treatment.

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Menstrual issues like low flow and pain can be quite troublesome and may have various underlying causes. At your age, such symptoms are commonly due to hormonal imbalances, but could also hint at conditions like polycystic ovary syndrome (PCOS) or endometriosis. It’s important to start by visiting a healthcare provider to discuss these symptoms thoroughly. They’ll likely suggest some blood tests to check hormone levels and possibly an ultrasound to look at the ovaries and uterus for signs of PCOS or other conditions like fibroids. Keep track of your cycle, noting the length, flow, and pain, as this information can be helpful during your medical visit. In the meantime, certain lifestyle adjustments may alleviate some symptoms. Regular exercise, maintaining a healthy weight, and a balanced diet can influence menstrual health positively. Stress management techniques such as yoga or meditation might also help, as stress can affect hormone production and exacerbate menstrual issues. Over-the-counter pain relief like ibuprofen can help manage the pain temporarily, but it’s not a long-term solution. If PCOS is diagnosed, hormonal treatments such as birth control pills might be recommended to regulate your periods. Remember, personal medical advice should always be grounded in a face-to-face consultation with a healthcare professional. If symptoms worsen or are accompanied by severe pain, fever, or heavy bleeding, seek immediate medical attention.

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