Menstrual Irregularity and Absence of Periods

Question #23489

13 days ago

Menstrual Irregularity and Absence of Periods - #23489

Client_18234b

Olá, tudo bem? Tenho 19 anos e estou há cerca de 3 anos sem menstruar. Quando comecei a menstruar, meu ciclo sempre foi irregular. Nunca tive relação sexual e nunca usei anticoncepcional. Tenho bastante pelos no corpo e não sinto dores. Gostaria de orientação médica sobre o que pode estar acontecendo e quais exames ou tratamentos são indicados.

Have you experienced any other symptoms besides the absence of menstruation?:

- Excessive hair growth

Have you had any significant changes in your lifestyle or stress levels recently?:

- No significant changes

Have you had any previous medical evaluations or treatments related to your menstrual health?:

- No, I haven't sought help

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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.

13 days ago

Hello dear
See I doubt you are having pcod.
It is usually associated with
Hypertrichosis
Absence or delayed periods
Abnormal metabolism
Increased body parameters
Iam suggesting some tests for confirmation
Please share the result with gynaecologist in person for better clarity
For safety please donot take any medication without consulting the concerned physician
Serum TSH
Serum rbs
Pelvic USG
Serum ferritin
Serum prolactin
Serum progesterone
Urine analysis
Lft
Rft
CBC
Esr
Hopefully you recover soon
Regards

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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.

13 days ago

Hello
Ficar 3 anos sem menstruar não é normal e precisa de avaliação médica.
O quadro sugere SOP (síndrome dos ovários policísticos), pois há:
Amenorreia prolongada
Excesso de pelos
Ciclos irregulares desde o início
Outras causas também precisam ser descartadas (hormônios, tireoide, prolactina).
Procure um ginecologista.
Exames comuns:
Ultrassom pélvico
Hormônios: FSH, LH, testosterona, prolactina, TSH
Glicemia e insulina
Tratamento depende da causa e pode incluir regulação hormonal e acompanhamento. Não deixe de investigar.
Thank you
Take care

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Dr. Arsha K Isac

13 days ago

Hello
Ficar 3 anos sem menstruar não é normal e precisa de avaliação médica.
O quadro sugere SOP (síndrome dos ovários policísticos), pois há:
Amenorreia prolongada
Excesso de pelos
Ciclos irregulares desde o início
Outras causas também precisam ser descartadas (hormônios, tireoide, prolactina).
Procure um ginecologista.
Exames comuns:
Ultrassom pélvico
Hormônios: FSH, LH, testosterona, prolactina, TSH
Glicemia e insulina
Tratamento depende da causa e pode incluir regulação hormonal e acompanhamento. Não deixe de investigar.
Thank you
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.

13 days ago

PCOS commonly causes:
• Irregular or absent periods
• Weight gain
• Increased body hair
• Hormone imbalance (high androgens)
• Difficulty ovulating
Other possible causes that must also be checked include:
• Thyroid disorders
• High prolactin levels
• Ovarian dysfunction
• Pituitary/hormonal problems
What you should do
You should see a gynecologist or endocrinologist.
Tests usually recommended
• Pelvic ultrasound
• Hormone tests (LH, FSH, testosterone, prolactin)
• Thyroid test (TSH)
• Blood sugar/insulin levels
• Pregnancy test (routine even if unlikely)

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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.

13 days ago

Hello
Olá! Obrigada por compartilhar suas preocupações. A ausência de menstruação por três anos, especialmente com um histórico de ciclos irregulares e crescimento excessivo de pelos, pode estar relacionado a algumas condições, como a síndrome dos ovários policísticos (SOP) ou distúrbios hormonais.
Aqui estão algumas orientações sobre o que pode estar acontecendo e quais passos você pode considerar:
1. Avaliação Médica:
- É importante consultar um ginecologista ou endocrinologista. Eles podem avaliar sua saúde hormonal e menstrual.
2. Exames Recomendados:
- Exames de sangue: Para verificar os níveis hormonais, como testosterona, progesterona e hormônios da tireoide.
- Ultrassonografia pélvica: Para verificar a presença de cistos nos ovários ou outras anormalidades.
3. Tratamentos Possíveis:
- Dependendo do diagnóstico, o tratamento pode incluir mudanças na dieta, exercícios, medicamentos para regular o ciclo menstrual ou tratar o crescimento excessivo de pelos.
4. Acompanhamento:
- É importante fazer um acompanhamento regular com o médico para monitorar sua saúde e ajustar o tratamento conforme necessário.
Thank you and get well soon

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

13 days ago

Olá! Tudo bem, e obrigado por compartilhar sua preocupação comigo. É muito compreensível que isso esteja te deixando ansiosa.
Vou ser direto com você: ficar tanto tempo sem menstruar, quando seu ciclo já era irregular desde o início, junto com o aumento de pelos, realmente aponta para um desequilíbrio hormonal. A suspeita mais comum nesses casos é de uma condição chamada Síndrome dos Ovários Policísticos (SOP). O bom é que isso é bastante comum e tratável.
O mais importante agora é você procurar o especialista certo para confirmar isso. Recomendo fortemente que você marque uma consulta com um ginecologista ou, se possível, um endocrinologista. Eles são os profissionais mais habilitados para cuidar do seu caso.
Para te ajudar no diagnóstico, o médico provavelmente vai solicitar:
· Alguns exames de sangue para verificar seus hormônios.
· Um ultrassom pélvico para observar seus ovários e útero.
Não deixe isso para depois, combinado? Embora você não sinta dor, investigar a causa é essencial para cuidar da sua saúde a longo prazo, incluindo a saúde dos seus ossos e seu bem-estar geral. Você já deu o primeiro passo fundamental, que foi buscar informação.
Fique tranquila, você está no caminho certo para resolver isso.
Com os melhores cumprimentos,
Dr. Nikhil Chauhan

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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.

11 days ago

A ausência de menstruação por três anos é uma condição que merece investigação mais detalhada, especialmente quando acompanhada de outros sintomas como o excesso de pelos corporais que você mencionou. A condição que você descreve pode estar relacionada à síndrome dos ovários policísticos (SOP), que é uma causa comum de irregularidade menstrual e também pode causar hirsutismo (aumento dos pelos corporais). Contudo, é importante também considerar outras causas potenciais como distúrbios na tireoide, hiperprolactinemia ou alterações do eixo hipotálamo-hipófise-ovariana.
Para começar, considerar realizar exames de sangue para avaliar níveis hormonais pode ser útil, incluindo testosterona, LH (hormônio luteinizante), FSH (hormônio folículo estimulante), prolactina e hormônios da tireoide. Um ultrassom pélvico também pode ser indicado para verificar a presença de cistos nos ovários, típicos da SOP, ou outras anormalidades estruturais. É recomendável que procure um ginecologista ou endocrinologista.
O tratamento depende do diagnóstico final. Se for SOP, pode incluir o uso de anticoncepcionais hormonais para regular o ciclo menstrual e talvez medicamentos como metformina, se houver resistência à insulina. Cuidar da dieta e exercício físico regularmente também é parte importante da abordagem, já que mudanças no estilo de vida podem melhorar significativamente os sintomas. Considerando a ausência prolongada de menstruação, é importante agir para prevenir complicações futuras, como hiperplasia endometrial.

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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.

7 days ago

Ficar 3 anos sem menstruar (amenorreia) não é normal e precisa de avaliação médica. A associação de ausência de menstruação e crescimento excessivo de pelos sugere um possível desequilíbrio hormonal, sendo a causa mais comum a Síndrome dos Ovários Policísticos (SOP), mas alterações da tireoide, níveis elevados de prolactina ou outros distúrbios hormonais também podem causar isso.
Os exames geralmente recomendados são: • Ultrassom pélvico
• TSH (função da tireoide)
• Prolactina
• Glicemia de jejum
• Hormônios femininos e androgênios (como testosterona)
O tratamento depende da causa encontrada e pode incluir mudanças no estilo de vida, controle de peso quando necessário e, em alguns casos, medicações hormonais para regular o ciclo. Procure uma avaliação ginecológica quando possível, pois quanto antes investigar, mais fácil é regularizar o ciclo menstrual.
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

4 days ago

Ficar 3 anos sem menstruar (amenorreia) associado a crescimento excessivo de pelos sugere fortemente um distúrbio hormonal, sendo a causa mais comum nessa idade a Síndrome dos Ovários Policísticos, mas também é essencial descartar Hipotireoidismo, alterações da prolactina e outras causas endócrinas.
Mesmo sem dor ou vida sexual ativa, a ausência prolongada de menstruação não é normal e precisa ser investigada para proteger sua saúde hormonal, metabólica e óssea.
Procure um Ginecologista (e possivelmente um Endocrinologista) para solicitar exames como TSH, prolactina, LH, FSH, testosterona, glicemia/insulina e ultrassom pélvico, pois o tratamento depende da causa identificada e pode envolver regulação hormonal adequada.

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Menstrual Irregularity and Absence of Periods - #23489

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