Periods - #9655

Patient Name: Ishika Age: 20 years Date: 13-April-2025 Chief Complaint: Irregular menstrual cycles (intervals of 34–36 days) Weight gain Menarche at age 11 Preliminary Assessment: Oligomenorrhea (irregular menstrual cycles) Suspected hormonal imbalance — rule out Polycystic Ovary Syndrome (PCOS) or other endocrine disorders Recommended Investigations: Pelvic Ultrasound (Transabdominal or Transvaginal) — to check for polycystic ovaries Blood Tests (on day 2–5 of cycle or as advised): LH, FSH Serum Testosterone (total and free) TSH (Thyroid Stimulating Hormone) Prolactin Fasting Blood Sugar and Insulin Lipid Profile HbA1c Lifestyle Recommendations: Balanced diet focused on whole grains, lean proteins, vegetables, and low-GI carbs Avoid refined sugar and processed foods At least 30 minutes of moderate exercise 5 days a week (e.g., walking, yoga, strength training) Monitor weight and menstrual pattern Follow-up: After completion of investigations Track cycles using a period tracker app or journal Note: If PCOS is confirmed, further management may include dietary changes, hormonal therapy, or insulin-sensitizing agents based on findings. Prescribing Doctor: Dr. Shayeque Reza MD 9800280276 ( Whatsapp)