Menstrual Irregularity and Absence of Periods

Question #23490

90 days ago

156

Menstrual Irregularity and Absence of Periods - #23490

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?:

- Weight gain

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

- No significant changes

Have you ever had any medical evaluations or tests related to your menstrual health?:

- No, I haven't consulted a doctor

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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.

90 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. 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.

90 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. 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.

88 days ago

A ausência de menstruação por tanto tempo, conhecida como amenorreia, especialmente em combinação com ciclos menstruais irregulares e o crescimento excessivo de pelos (hirsutismo), pode sugerir condições médicas que vale a pena investigar. Uma das condições mais comuns associadas a esses sintomas é a Síndrome dos Ovários Policísticos (SOP). Ela pode causar desequilíbrios hormonais que afetam a ovulação e levar a sintomas como o crescimento de pelos e mudança nos ciclos menstruais. Além da SOP, outras condições que podem estar envolvidas incluem problemas na tireoide, hiperprolactinemia, ou distúrbios glandulares. Para chegar a um diagnóstico preciso, seria aconselhável começar com uma consulta médica. O médico provavelmente solicitará exames de sangue para avaliar os níveis hormonais, tais como testosterona, LH, FSH, prolactina, e hormônios da tireoide. Outras investigações podem incluir um ultrassom pélvico para verificar a presença de cistos nos ovários ou outras anormalidades estruturais que possam estar influenciando sua menstruação. Em termos de tratamento, tudo dependerá do diagnóstico específico. Para a SOP, por exemplo, mudanças no estilo de vida, como dieta balanceada e exercício regular, podem ajudar a regular os ciclos. Algumas vezes, o uso de medicações como contraceptivos orais é recomendado para ajudar a regular os ciclos menstruais e controlar sintomas como o hirsutismo. Contudo, é crucial receber um tratamento específico baseado na causa subjacente que será identificada. Marque uma consulta com um ginecologista ou endocrinologista para discutir seus sintomas e iniciar a investigação necessária.

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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.

90 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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