Gynecology and Obstetrics Online Doctors Consultation — page 18

Hello, I totally understand why you’re feeling concerned. Since you’ve already taken two pregnancy tests that came back negative, pregnancy is unlikely—but to be completely sure, I’d recommend taking another test using your first urine of the morning, as hormone levels are most concentrated then. There are many reasons your period could be delayed—stress, changes in diet or routine, or even minor hormonal fluctuations. Since your cycles were normal in January and February, this could just be a temporary shift. However, if your period still doesn’t arrive in the next few days or you experience unusual symptoms like severe cramps, nausea, or breast tenderness, it’s best to check in with a doctor. To rule out any underlying issues, you might also consider getting your TSH (thyroid levels), prolactin, and hemoglobin (Hb) tested. Thyroid imbalances and high prolactin levels can sometimes cause menstrual irregularities, while low hemoglobin (anemia) can also contribute to fatigue and cycle disturbances. You might also need USG pelvic organ if the tests come normal. Try to stay calm and give your body some time. Keep me posted on what happens!

Hey Riya, I’m sorry you’re going through this—it sounds really uncomfortable. The itching, burning sensation while urinating, and lower abdominal pain could be signs of a vaginal infection or even a urinary tract infection (UTI). Since the itching is worst at night and inside the vaginal opening, a yeast infection could also be a possibility, even if there’s no visible discharge. Feeling weak, drowsy, and low on energy might be related to the infection or could indicate something like low hemoglobin (anemia). Since you’re experiencing lower abdominal pain as well, it’s best not to ignore these symptoms. I’d recommend: Hey Riya, I’m sorry you’re going through this—it sounds really uncomfortable. The itching, burning while urinating, and lower abdominal pain could be signs of a vaginal infection or even a urinary tract infection (UTI). Since the itching is worst at night and inside the vaginal opening, a yeast infection is also a possibility, even if there’s no visible discharge. Feeling weak, drowsy, and low on energy might be linked to the infection or could indicate low hemoglobin (anemia). Since you’re also experiencing lower abdominal pain, it’s important not to ignore these symptoms. Here’s what you can do right now: 1. Keep the area dry – Moisture can worsen irritation and promote infection. Change out of sweaty clothes quickly, and pat dry with a soft towel after washing. Avoid wearing damp or tight underwear for long periods. 2. Maintain good personal hygiene – Wash the external area (vulva) gently with warm water. Avoid scented soaps, washes, and wipes, as they can disrupt the natural balance and make irritation worse. 3. Choose breathable fabrics – Wear loose, cotton underwear instead of synthetic fabrics, which can trap heat and moisture. At night, consider sleeping without underwear to allow airflow. 4. Avoid scratching – I know it’s hard when the itching is intense, but scratching can cause tiny cuts, making the irritation worse or even leading to an infection. 5. Drink plenty of water – This helps flush out toxins and can be especially helpful if a UTI is contributing to the burning sensation. You should also get checked for: • Yeast infection or bacterial vaginosis (both can cause itching and irritation). • Urinary tract infection (UTI) (since you have burning while urinating). • Iron levels (Hb test) (to rule out anemia if you’re feeling weak and drowsy). • Thyroid and prolactin levels (hormonal imbalances can sometimes contribute to discomfort). Since the itching is intense and affecting your sleep, it’s best to see a doctor as soon as possible. They may prescribe antifungal medication, antibiotics, or other treatments based on the cause. Take care, and keep me posted on how you’re feeling!

Hello Pcod now a days is common Try to reduce carbohydrates in diet. Take Acless pro sachets morning and night in 200 ml glass water for 3 months. If periods are not started getting tested for thyroid profile too and diabetic profile. If not started then have to use OCP pills to regularise the cycle.

Hi Parul, I understand how concerning it must be to experience these issues. The low period flow, short cycle, and pain during intercourse could be related to hormonal or pelvic health concerns. Since you’re 23 and married, it’s good that you’re paying attention to these changes early. Possible Causes: 1. Hormonal Imbalance: Conditions like PCOS or low estrogen might lead to light periods. 2. Pelvic Inflammatory Disease (PID): Can cause pelvic pain and discomfort during intercourse. 3. Endometriosis: Tissue outside the uterus could be causing pain. 4. Vaginal Dryness or Cervical Issues: Could explain the discomfort during intimacy. What You Can Try: • Track Your Period: Keep a record of flow, pain, and any other changes. • Use Lubricants: If dryness is contributing to pain, lubricants can help. • Pelvic Exercises: Strengthen your pelvic muscles to improve pelvic health. • Healthy Lifestyle: Balanced meals and light exercise can regulate hormones. When to Seek Help: Since these symptoms might be related to a deeper issue, I’d recommend seeing a gynecologist. They can guide you with hormone tests, ultrasounds, or other exams to figure out what’s causing your symptoms. Take care, Parul, and don’t hesitate to reach out if you need more support.

As u have been diagnosed with pcod ..for regular period u need to HRT and while u r taking HRT focus on ur lifestyle and health... decrease ur weight and increase physical activity