What could be the reason for delayed periods and how to regularize it?

Hi,

Welcome to icliniq.com.

You are normal. Your period problem can be attributed to two different conditions at different times.

Normally a lady has her first period at 10 to 13 years, so you had it on time. But after that, it takes around 10 years for the hormonal cycle between the brain, pituitary, and ovary to mature. Till then, hormones will have ups and downs. So from 19 to 21 years, you can expect irregular cycles. As expected, you had regular cycles around that age, and everything went normal.

Now your periods are abnormal, not due to anything else but your weight.

From your history (attachments removed for patient identity protection), I presume you have PCOD (polycystic ovary disease), which is usually associated with obesity, irregular cycles, and no periods) and a few months later, heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality and prolactin problems indirectly.

You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs and breasts, with no fat beyond the elbow and knees. You have excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, and black skin over the back of the neck, inner thighs and under the breast surface. You may have a history of diabetes, especially your father or his family.

This will not allow ovulation to occur at a time, hence no periods. But this has a solution. Your weight has to be weight (in kilograms) = height (in centimeters) -100. Your expected weight is 52 to 56 kilograms. Once you reduce weight to normal range, you would not need any medicine to get periods.

To reduce weight -

1. Do not do fasting.
2. Do not eat junk food, fast foods, or red meat.
3. Reduce snacks in between meals.
4. Have low calories food.
5. Eat food high in proteins.
6. Do regular exercise, aerobics, yoga, and brisk walking.

Try to reduce two to four kilograms per month. Do not hurry on weight reduction. You will see changes as soon as you reduce at least five kilograms.

To have periods, take any combined oral contraceptive pills (packet of 21 pills) twice daily for 10 days. You will get periods 7 to 10 days after the last pill. This episode of no periods can also be due to some infection.

Please consult with a doctor and take the medicine with their consent.

Thank you.