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Delay in getting periods from past few months
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Gynecology & Pregnancy Care
Question #18603
160 days ago
308

Delay in getting periods from past few months - #18603

Sweta Sharma

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

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.
159 days ago
5

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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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.
158 days ago
5

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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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.
158 days ago
5

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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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.
159 days ago
5

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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