How to get rid of irregular periods

Question #11769

45 days ago

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How to get rid of irregular periods - #11769

Haritha

I had used primoult -n one tablet and Got my periods only for two days on July till now no periods about 3 months .. what isthe problem in between used isotretinoin acne treatment and how this can be solved

Age: 22

300 INR (~3.53 USD)

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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.

45 days ago

First step: Rule out pregnancy (if you are sexually active) → urine pregnancy test.
Basic hormone :
Thyroid (TSH, T3, T4).
Prolactin.
LH, FSH, Estradiol.
Ultrasound pelvis

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

45 days ago

Hi Haritha,
Delayed periods can happens because of of several reasons such as hormonal imbalance, stress, side effects of the pills taken etc
To rule out please do these tests;
🛑If you are sexually active- Do urine pregnancy test First and foremost
Otherwise
Thyroid profile
FSH/LH
Ultrasound pelvic
Prolactin
These tests will help to find the exact cause.
I trust this helps.
Feel free to talk
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

43 days ago

Irregular periods, especially after using medications like Primolut-N and isotretinoin, can be concerning but not uncommon. Primolut-N, a synthetic form of progesterone, is often utilized to induce menstruation or manage menstrual disorders. A two-day period might point to a response, but its brevity and the subsequent three-month gap could indicate an underlying hormonal imbalance or effect of isotretinoin, which is known for its possible impact on menstruation. Isotretinoin, primarily used for acne treatment, is known to cause menstrual irregularities due to its effects on hormones and skin. Either medication can disrupt the menstrual cycle temporarily, so the combination might extend the time required for your cycle to regularize. It’s essential to take a holistic approach. First, consider scheduling a visit with your healthcare provider for a detailed evaluation. They might recommend checking hormone levels or ruling out conditions like Polycystic Ovary Syndrome (PCOS) or thyroid disorders, other frequent causes of irregular periods. Meanwhile, managing lifestyle factors, like stress reduction, regular exercise, and a balanced diet, can support hormonal balance and cycle regulation. If pregnancy is a possibility, conducting a home test could be a prudent first step. Since medical oversight is crucial in such scenarios, unmonitored intake of hormonal medication should be avoided. Your healthcare provider might consider options like oral contraceptive pills to regularize cycles, depending on your medical history and current health conditions. Always ensure any continuing use of isotretinoin or similar medications is supervised by a dermatologist to monitor potential side effects and interactions. While awaiting a medical evaluation, track any symptoms or patterns, as they can provide valuable insights for your healthcare professional.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

45 days ago

Hello Haritha
Once you have finished taking a course of Primolut N, you will usually have a menstrual bleed (period) 2-3 days after taking your last tablet. If you do not have a period, you must make sure that you are not pregnant before taking any more tablets.
Have you done further upt or usg for confirmation of pregnancy?

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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.

45 days ago

Hello dear
See as per clinical history there can be chances of hormonal fluctuations or physiological variation
I suggest you to please get following tests done for confirmation
Serum ferritin
Serum progesterone
Serum prolactin
Pelvic USG
Serum RBS
Serum TSH
Urine analysis
I suggest you to please share the details with gynacolologist in person for better clarification.
Please donot take any medications without consulting the concerned doctor
However you can replace isotretinoin with tusli alovera gel
It is more beneficial
Hopefully you recover soon
Regards

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

45 days ago

Irregular periods after using Primolut-N and isotretinoin are usually due to hormonal imbalance rather than a permanent problem.
Sometimes these medicines delay the body’s natural cycle, especially if periods were already irregular before.
Stress, weight changes, diet, and hormonal conditions like PCOS can also contribute to missed periods.
To correct it, you may need a short course of medicines prescribed by a gynecologist after checking hormones, thyroid, and ultrasound.
Do not worry with proper treatment and lifestyle balance, your cycles can return to normal.

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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.

44 days ago

Hello,
For the delayed periods, you need proper evaluation before any treatment.
You can get these tests done and visit the gynaec doctor:
1. CBC
2. Thyroid profile
3. Serum Prolactin
4. Serum LH and FSH
5. Ultrasound-Pelvis & Lower abdomen
Take care

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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.

44 days ago

Hello Haritha, I understand your concern. Your issues might be due to a lot of causes.
Kindly get done these tests - Urine Pregnancy Test, CBC, Thyroid Profile, HbA1C, Hormonal Profile (FSH, LH, Prolactin, AMH, Testosterone), Ultrasound of Abdomen + Pelvis. Review with reports.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Kavyasri

I am working as a rehab therapist and over the years my focus turned strongly towards kids rehab, because I feel children need a diff kind of care, patience and approach when they are struggling with conditions that limit their growth or daily activity. Many pt I see come with long history of delays, difficulty in movement, sometimes speech or motor problems, and it can be overwhelming for families. I try to design therapy in a way that is not only clinical but also practical for parents to follow at home. I have seen that combining structured rehabilitation techniques with flexible methods suited to each child bring good results, and that is something I keep repeating to myself when I plan any session. Every kid progress differently, sometimes slow sometimes suddenly fast, and in that moment my job is to keep adjusting the plan without losing sight of the bigger goal. In practice I work on exercises that strengthen mobility, balance and coordination, also focus on daily life activities like grasping, walking, or posture correction. Parents often ask me about timeline for cure but I learned to explain that rehab is less about rushing and more about sustaining. Still, I feel proud when many of my patients recover with visible improvement and even reach milestones that were earlier delayed. That satisfaction is hard to put in words, but it makes the long hours of therapy worth it. Communication is also a big part of my work, since families need reassurance, guidance and clarity at every stage. I treat each case as unique, there is no single way that fit all, and that flexibility in treatment is what I consider my strength. Mistaks happen, sometimes I change plans midway, sometimes I realise a certain method is not working and I quickly shift, but that trial and correction actually helps the child get what is best for them. My way of treatment may look simple from outside but it is rooted in consistent effort, empathy and experience with many children who trusted me in their journey.

40 days ago

It may be because of that pill or hormonal fluctuations daily go for walking do some intense exercises all this helps in normalising the hormone levels!

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How to get rid of irregular periods - #11769

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