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What should I do if I'm 17 and haven't had my period for 87 days with symptoms of PCOS?
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Gynecology & Pregnancy Care
Question #29698
45 days ago
133

What should I do if I'm 17 and haven't had my period for 87 days with symptoms of PCOS? - #29698

Client_acc101

Hello doctor, I am 17 years old and I have not had my period for about 87 days. My height is 5’2 and my weight is around 90 kg. My periods used to come before but now they have stopped. I have been under a lot of stress recently and I just started going to the gym. I am also experiencing symptoms that make me worried about PCOS, such as irregular periods. In addition, I have noticed increased facial hair growth (like on chin/upper lip) and hyperpigmentation/darkening of my skin in some areas. I cannot currently afford in-person consultation or tests, so I wanted to ask: - Could this be PCOS or another hormonal issue? - What should I do right now to manage this safely without medication? - Is there any way to regulate my periods naturally? - When does this become serious and require urgent medical attention? I would really appreciate your guidance. Thank you.

How long have you been experiencing irregular periods?:

- 3-6 months

Have you noticed any other symptoms besides facial hair growth?:

- Weight gain

How would you describe your stress levels recently?:

- High

What does your diet typically consist of?:

- I don't pay much attention to my diet

How often do you exercise and what type of workouts are you doing?:

- Daily gym workouts

Have you experienced any significant weight changes recently?:

- Yes, I've lost weight

Have you spoken to a healthcare provider about these symptoms before?:

- I don't have access to healthcare
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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.
44 days ago
5

Hello dear Please be aware See pcos is a multiple organs associated disease with varying complications. Below medications and precautions can be taken to control the disease progression to maximum chances. Oral Contraceptives Diane-35 ( acne medication) if found Progesterone - Duphaston ( bleeding induction) Spironolactone -( associated bp fluctuations of present). Metformin - ( glucose control) Letrozole (ovulation induction- but only after confirmation from gynacolologist) Eflorthine- ( for facial hair) Orlistat- ( for fat reduction) In addition,please take preventive measure Do meditation Exercises regularly for half an hour Avoid overthinking Weight control must to prevent osteoporosis In case of no improvement in 1 month,please consult gynacolologist for further details Regards

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Irregular periods, increased facial hair, and skin changes suggestive of acanthosis nigricans (darkened skin patches) could indeed be linked to Polycystic Ovary Syndrome (PCOS), which is a common hormonal disorder among women of reproductive age. While this can’t be diagnosed definitively without some basic tests, your symptoms align with common indicators of PCOS. To manage this condition without medication, lifestyle modifications are a good starting point since they can be quite effective in regulating periods and managing PCOS symptoms. Since you’re already hitting the gym, try focusing on consistent physical activity; this could involve a mix of cardiovascular exercises, strength training, and flexibility exercises, aiming for at least 150 minutes of moderate aerobic activity each week. Weight management is an essential part of managing PCOS, as even modest weight loss can help improve your symptoms. Monitor your dietary habits closely—emphasize a balanced diet with whole foods, high fiber, lean proteins, and reduce intake of processed foods and sugars, which might help regulate insulin levels and subsequently, hormonal balance. Stress management is crucial, since stress can further disrupt hormonal cycles. Techniques like mindfulness, meditation, or light physical activities could potentially alleviate stress. Maintaining a regular sleep schedule is another beneficial aspect in managing your symptoms. However, be alert for any worsening symptoms like significant unexplained weight gain, severe pain, or noticeable mood changes. These warrant an uptick in urgency, and make it necessary to seek medical consultation at the earliest opportunity, despite financial constraints. Trying local clinics or health services that offer sliding scale fees might be an avenue to explore. If symptoms persist or become unmanageable, even with lifestyle changes, aim to consult with a healthcare provider to discuss potential investigations or more tailored interventions, as untreated PCOS can sometimes lead to additional complications such as diabetes or cardiovascular risk.

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