Irregular periods - #9775

Hello Muneba, Thanks for sharing that—since you're just 20, the sudden change in your periods is definitely something worth getting to the bottom of, especially since they were regular before. Given your age and the symptoms (irregular cycles, shortened periods, past Nabothian cyst), here are some focused possibilities: Top Likely Causes at Your Age: 1. **PCOS (Polycystic Ovary Syndrome)** - Very common in young women. - May cause: - Irregular periods - Short, light bleeding - Acne, weight gain, or facial/body hair (but not always!) - Can be diagnosed with: - Pelvic ultrasound (to check for multiple small cysts in ovaries) - Blood tests: LH/FSH ratio, testosterone, insulin, etc. 2. **Thyroid Dysfunction** - Hypothyroidism (underactive thyroid) or hyperthyroidism can affect your cycle. - Simple blood test (TSH, T3, T4) will clarify this. 3. **Stress / Weight Changes / Diet** - Mental or physical stress, under-eating, or rapid weight changes can shut down ovulation. - This leads to shorter or missed periods. 4. **Hormonal Imbalance or Early Ovarian Dysfunction** - Although rare at your age, low estrogen or hormonal issues can cause thin endometrial lining—leading to only 1–2 days of bleeding. 5. **Post-Cyst Hormonal Disruption** - Sometimes after Nabothian cysts or minor gynecological procedures, your hormones take time to settle, especially if you were given any hormonal medication. What You Should Consider Doing: **1. Hormonal Blood Work** (done on Day 2–5 of your cycle if possible): - **FSH & LH** - **TSH (thyroid) - **Prolactin - **Estradiol (E2) - **AMH** (to assess ovarian reserve) - **Testosterone & DHEA-S** (if acne or hair issues) 2. Pelvic Ultrasound** - To check ovaries (for PCOS signs) - Endometrial lining thickness - Any structural changes after cyst healing Dr Shayeque Reza MD 9800280276