Period came only for 2 days some time it delay alsoo - #9798

Hello Kaur, Don’t worry I can understand your problem, and I am here to help you out. Patient Name: Vishaldeep Kaur Age: 26 years Date: 12-April-2025 Chief Complaints: Irregular periods with short duration (2 days), delayed cycles, recent UTI, vitamin D deficiency, occasional stress. Concerned about possible PCOS/PCOD Clinical Impression: The pattern of short and delayed periods, coupled with general fatigue (likely from vitamin D deficiency) and occasional stress, may point toward a mild hormonal imbalance, but this alone doesn’t confirm PCOS or PCOD. Menstrual irregularity can be due to multiple causes, including: Functional Hypothalamic Dysfunction – Caused by stress, irregular sleep, or nutrition imbalances. PCOS/PCOD – Diagnosed by symptoms (irregular cycles, acne, weight gain, excess facial/body hair, hair thinning) and confirmed by ultrasound and hormone profile. Post-infection or temporary disruption – Recent UTI or any systemic illness can affect your cycle for a short term. Suggested Diagnostic Workup: To evaluate for PCOS or hormonal imbalance, the following tests are recommended: Pelvic ultrasound – To check for polycystic ovaries Hormonal Profile: LH, FSH (Day 2–5 of your cycle) TSH (thyroid) Prolactin AMH (Anti-Mullerian Hormone) Testosterone (Total and Free) Vitamin D level – If not recently repeated CBC and CRP – To rule out low-grade inflammation Management & Advice: Vitamin D correction: Tab. D3 must 60,000 IU – once weekly for 6 weeks (under guidance) Sunlight exposure 15–20 mins/day Menstrual regulation: Track your cycles using an app or calendar Consider low-dose OCP or cyclical progesterone (only after proper evaluation if PCOS confirmed) Lifestyle Modifications: Regular physical activity (brisk walk/yoga 30 min/day) Balanced diet with more protein, fiber, and healthy fats Reduce processed sugar and refined carbs Manage stress through mindfulness/meditation If periods remain irregular for more than 3 months, a gynecologist/endocrinologist consultation is advised for tailored hormonal therapy. Conclusion: It is too early to confirm PCOS based on just delayed or 2-day periods. A proper diagnostic workup is needed. Your current symptoms could be due to temporary stress, nutrient deficiency, or minor hormonal fluctuation. With a few tests and lifestyle care, things can be improved significantly. *Follow Up with reports* Dr Shayeque Reza MD 9800280276