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

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!

I understand your concern about irregular periods, especially with no menstruation for 6-7 months. Given your weight (95 kg), height (5 feet), and high blood pressure, it’s likely that your weight gain and hormonal imbalance are contributing to your cycle irregularities. Polycystic Ovary Syndrome (PCOS), insulin resistance, or thyroid disorders could be possible causes. Steps to Regulate Your Menstrual Cycle: 1. Lifestyle Changes (Most Effective & Sustainable Approach) • Weight Management – Even 5-10% weight loss can help restore your cycle. • Diet: Focus on a low-carb, high-fiber diet with more vegetables, lean protein, and whole grains. Avoid sugary and processed foods. • Exercise: Aim for 30-45 mins of daily activity, including walking, cardio, and strength training. 2. Medical Evaluation (To Identify the Cause) • Hormonal Tests: Check thyroid (TSH), insulin levels, testosterone, LH/FSH to rule out PCOS or thyroid issues. • Ultrasound (Pelvic Scan): To check for ovarian cysts or uterine lining issues. 3. Medical Treatment Options • Hormonal Therapy: Birth control pills or progesterone supplements may help restore regular periods. • Metformin: If insulin resistance is present, this can help with weight loss and cycle regulation. • BP Management: Controlling high blood pressure is essential for overall health. Since you’re willing to make lifestyle changes, that’s the best long-term approach. However, I strongly recommend visiting a gynecologist and endocrinologist for proper diagnosis and treatment.

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.