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What to do for a regular my period cycle
Gynecology and Obstetrics
Question #9359
280 days ago
2,648

What to do for a regular my period cycle - #9359

Suprabhati Mohapatro

Doctor, I'm 20 years old, 5 feet tall, and weigh 95 kg. I'm concerned about my menstrual cycle, which has been no periods for the past 6-7 months. I haven't had a period during this time. I'm not pregnant, but I do have high blood pressure. I'm worried that my irregular periods might be related to my weight or blood pressure. I've noticed that I've been gaining weight over the past few years, and I'm not sure if this is contributing to my menstrual issues. I'm looking for your advice on how to regulate my period cycle. I'm willing to make lifestyle changes, such as diet and exercise, if that's what it takes. I'd also like to know if there are any medical treatments or supplements that can help. Could you please help me identify the underlying cause of my irregular periods and suggest a plan to get my cycle back on track?"

Age: 20
Chronic illnesses: No
100 INR (~1.18 USD)
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Doctors’ responses

Hello Suprabhati, I understand this must be really frustrating for you. Let me explain the common causes of irregular periods to you. 1. Lifestyle- Unhealthy diet, lack of exercise, stress, increased BMI 2. Medical causes- Hormonal imbalance. PCOS, medical disorders such as thyroid disorders, Diabetes, PCOS, infections such as STI, endometriosis, any anatomical defect in the genital tract 3. Use of medicines such as oral contraceptive pills, steroids, herbal medicines 4. Pregnancy. In your case weight seems to be an issue leading to problems such as High BP and Irregular periods. The most likely cause of your problem seems to be PCOS which can lead to weight gain subsequently causing irregular cycles and high BP. High BP at 20 years of age is slightly concerning especially if you have no familial history. I would like to advise Lifestyle modifications such as daily aerobic exercises with cardio to lose weight along with Healthy diet with lots of veggies and fruits containing antioxidants. I would also like to advice a few tests such as CBC, Liver function tests, Kidney function tests, sugars- HbA1C, FBS PPBS, Thyroid panel, Hormonal Tests- FSH LH Prolactin on day 2 of menses, Urine pregnancy test and an Ultrasound Abdomen+Pelvis. This would help us to understand to cause of your irregular cycles and high BP and we can then start any medicines if needed for the same. Also consult a General Physician for your High BP Hope this helps! Take care!
Accepted response

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At age 20, missing periods for 6–7 months (a condition called secondary amenorrhea) is often linked to hormonal imbalances, and in your case, weight gain and high blood pressure may be contributing factors. Excess weight can lead to insulin resistance and a condition called PCOS (Polycystic Ovary Syndrome), which is a common cause of irregular or absent periods in young women. PCOS can also lead to weight gain, acne, excess hair, and fertility issues. A thyroid imbalance or prolactin issues could also play a role. It’s important to do a few blood tests (hormones, thyroid, sugar levels) and a pelvic ultrasound to get a clearer picture. Treatment starts with lifestyle changes — a balanced diet low in refined carbs and sugars, at least 30 minutes of daily exercise (walking, yoga, or strength training), and gradual weight loss can naturally help restart your cycles. Medically, doctors may prescribe hormonal tablets (like progesterone or birth control pills) to regulate periods and metformin if insulin resistance is involved. It’s crucial to consult a gynecologist or endocrinologist who can create a plan based on your test results. With time, patience, and the right guidance, many women in your situation see great improvement. Let me know if you'd like a sample diet or workout plan to get started.

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