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Menstrual Irregularity and Absence of Periods
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Gynecology & Pregnancy Care
Question #23489
2 hours ago
19

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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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.
1 hour ago
5

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

1601 answered questions
62% best answers

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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.
1 hour ago
5

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

799 answered questions
52% best answers

0 replies
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.
1 hour ago
5

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

799 answered questions
52% best answers

0 replies
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.
24 minutes ago
5

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)

1322 answered questions
59% best answers

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