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Delay in getting periods from past few months
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Gynecology & Pregnancy Care
Question #18603
310 days ago
716

Delay in getting periods from past few months

Sweta S.

Hello Doctor, I took a pregnancy test recently and it came back negative. In October, I had consulted a doctor due to an infection, and she prescribed the following medicines: Tab Primolut-N (1 OD for 5 days), Cap Fefol-Z (1 OD), Cap Doxy (1 BD), Cap Pantod-DSR (1 BD), Canesten ointment, Tab Candiforce 200 (1 OD), and Candid-V vaginal tablet. After completing these medicines, I got my periods on 7th November. Currently, my doctor is not available, so I wanted to ask whether I can repeat only the period-related medicines (excluding the infection medicines) or not. Also, a few years ago I was diagnosed with PCOS and had completed the treatment. After many years, I am again facing some symptoms such as delayed periods, acne, bloating, and hair fall. Kindly guide me on what should be done next. Thank you.

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Doctors' responses

Hello dear See as per history i doubt there can be chances of pcos I suggest you to please get following tests done for confirmation Serum ferritin Serum prolactin Serum tsh Serum rbs Pelvic USG Urine analysis Pregnancy strip test blood HCG test Kindly share the result with gynaecologist in person for better clarity Please donot take any medication without consulting the concerned physician. I suggest you to please confirm from concerned physician about past medication Regards

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Hello Sweta Regarding the medications: Since your doctor is unavailable, it’s generally not advisable to repeat any medications without their guidance, especially after a recent treatment for an infection. However, if you feel that the period-related medications (like Primolut-N) helped you in the past, you can take it .

For your PCOS symptoms: Given your history of PCOS and the return of symptoms like delayed periods, acne, bloating, and hair fall, here are some steps you can consider: 1. Consult a healthcare provider: It’s important to see a gynecologist or endocrinologist who can evaluate your current symptoms and possibly run tests to check your hormone levels. 2. Lifestyle changes: Focus on a balanced diet, regular exercise, and maintaining a healthy weight, as these can help manage PCOS symptoms. 3. Medications: Depending on your symptoms, your doctor may suggest hormonal treatments (like birth control pills) to regulate your periods and manage acne. 4. Monitor your symptoms: Keep track of your menstrual cycle, any changes in symptoms, and any new concerns that arise. This information will be helpful for your doctor. 5. Consider supplements: Some women with PCOS find that supplements like inositol or omega-3 fatty acids can help with symptoms, but it’s best to discuss this with a healthcare provider first.

Thank you

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Hello,

Primolut N will only force bleeding, It doesnt treat pcos.

Do not repeat Primolut-N without consulting your gynaecologist

Meanwhile you can try healthy options, because pcos is manageable ; Pcos management:

1. Lifestyle (MOST IMPORTANT – 50–60% improvement) AVOID JUNK AVOID SUGARY FOODS ADD PROTEIN , IRON , ZINC RICH FOODS 30 min WALKING MANDATORY

Take multivitamin tablet daily one for one month

I trust this helps Thank you

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Investigation:

TSH (thyroid) Prolactin Pelvic ultrasound Fasting blood sugar Serum testosterone

This is common in PCOS

It is manageable

Fertility is not affected with proper care

Early correction prevents worsening hair fall & acne

Since 7th November, how many days has it been without periods now?

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Given your history of PCOS and the current symptoms you’re experiencing like delayed periods and acne, it’s possible that your hormonal balance may have shifted again, leading to these irregularities. PCOS can sometimes cause an ongoing cycle of symptoms that can re-emerge even after treatment. The medication you were previously prescribed like Primolut-N is usually used to regulate menstrual cycles, but it should not be restarted without consulting a healthcare provider. It is important to avoid self-prescribing because the underlying issues might need a tailored approach that’s different than what was prescribed before.

Considering the symptoms you’re experiencing, it would be wise to arrange a follow-up appointment with a healthcare provider even if your primary doctor is not available. A healthcare provider can evaluate to determine whether PCOS is affecting you again or if there may be other contributing factors influencing your cycle like stress, diet, or weight changes. They might suggest blood tests to check hormone levels or an ultrasound to assess ovary appearance.

In the meantime, adopting some lifestyle changes could also help manage symptoms. These include maintaining a balanced diet, regular exercise to manage weight, and possibly using over-the-counter treatments for acne and bloating. However, make sure to discuss any supplements you’re considering starting as some might interact with previous treatments. Seek prompt medical advice if you experience heavy bleeding, severe pain, or other significant changes, as these could signal other health issues needing immediate attention. Avoid re-taking medication without consulting a doctor to minimize any potential risk or complications.

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