About period irregularities - #9795

Hello Rinu, Patient Name: Rinu verma Age: 22 years Date: 12-April-2025 Chronic Illnesses: None reported Chief Concern: Menstrual cycle length varies between 28 to 45 days. Periods last for 5 days with no pain or nausea, but significant bloating is present during menstruation. Clinical Impression: Your menstrual cycle, although sometimes reaching up to 45 days, can still be considered within the broader spectrum of normal if: Ovulation occurs regularly Periods are not excessively heavy or painful There are no signs of hormonal imbalance (acne, facial hair, significant weight changes, hair thinning) Cycles ranging from 21 to 35 days are typically considered normal, but occasional longer cycles (up to 45 days) may occur due to stress, dietary changes, lifestyle shifts, or mild hormonal fluctuation. If this pattern is consistent over time, it could indicate a tendency toward mild ovulatory irregularity, possibly related to subclinical PCOS or luteal phase defects, though not always pathological. Advice & Investigations: Menstrual calendar tracking – Note cycle length, flow, mood changes, and ovulation signs for at least 3 months. Hormonal Profile (if cycles remain inconsistent): LH, FSH Prolactin TSH AMH Testosterone (Total and Free) Pelvic ultrasound (to assess ovaries and endometrial thickness) Lifestyle review – Sleep, stress, and dietary habits play a role in hormonal regulation. Management & Recommendations: Diet: Balanced diet rich in fiber and complex carbs Include leafy greens, nuts, flaxseeds, and foods high in magnesium and B6 (for bloating relief) Hydration: Drink 2.5–3 L/day to reduce bloating and improve circulation. Exercise: Moderate physical activity 4–5 days/week (yoga, walking, light cardio). For Bloating: Tab. Meftal Spas – Only if bloating is painful (not daily) Peppermint tea or fennel water may help naturally Avoid carbonated drinks, refined sugar during luteal phase Stress management: Sleep hygiene, mindfulness/meditation 10 mins daily For more follow ups you can contact me. You need close monitoring and follow ups. Do give your review. Dr Shayeque Reza MD 9800280276