Periods are not coming - #9857

Hiii Kajal… If urine pregnancy test is negative. Than other can several causes. Firstly u should go for ultrasound , In initial time of pregnancy test chould negative. Here are a few potential causes and steps you might consider: 1. *Stress*: High levels of stress can affect your menstrual cycle. Try to manage stress through relaxation techniques, exercise, or talking to a friend or professional. 2. *Weight Changes*: Significant weight gain or loss can impact your menstrual cycle. Maintaining a healthy weight through a balanced diet and regular exercise can help regulate your periods. 3. *Hormonal Imbalance*: Hormonal changes can affect your menstrual cycle. If you suspect a hormonal imbalance, u can consult with me direct nd we need to do Harmonal testing 4. *Medical Conditions*: Certain medical conditions, such as polycystic ovary syndrome (PCOS), thyroid disorders, or other hormonal imbalances, can cause irregular periods. A healthcare provider can help diagnose and manage these conditions. 5. *Lifestyle Factors*: Changes in routine, travel, or other lifestyle factors can sometimes affect your menstrual cycle. Regards Dr Bajrang Jakhar

Kajal, You’ve missed your period since March 19, and with a negative pregnancy test, it’s time for a focused checkup. Immediate Next Steps: 1. Repeat a urine pregnancy test using early morning urine—this gives the most accurate result. 2. Share your weight and height so I can calculate your BMI—even minor weight changes can affect your cycle. 3. Check if you have any dark, velvety skin patches on the neck, underarms, or thighs (acanthosis nigricans)—this can point to insulin resistance or PCOS. Tests to Get Done Now: • Thyroid Profile (TSH, T3, T4) • Pelvic Ultrasound – to rule out PCOS or any structural issue • S.Prolactin If these are normal, your gynecologist may prescribe progesterone to bring on your period safely.

Hello, With regards to your concern Cause of delayed onset of periods can be many like stress hormonal fluctuations high cortisol levels underlying pcos. Kindly consult a gynaecologist and get your doubts cleared. Once get your Ultrasonography to rule out any pathological cause.

Thanks for sharing — it’s good you're keeping track of your cycle and already did a pregnancy test. Since you have PCOS (Polycystic Ovary Syndrome), it’s not uncommon for periods to become irregular or stop altogether for some time. Here’s what you can consider doing next: --- ### **1. Lifestyle Management** PCOS is very sensitive to lifestyle factors. These can help regulate your cycle naturally: - **Weight management**: Even 5-10% weight loss can improve cycles if you're overweight. - **Exercise**: Moderate exercise (30–45 mins daily) helps regulate insulin and hormones. - **Diet**: Go for a low-glycemic index (GI) diet (less sugar and refined carbs, more veggies, lean protein, and whole grains). --- ### **2. Natural Period Induction (if cycles are absent >35-40 days)** If you’re not pregnant and just want to get a period: - **Home remedies**: Some people use ginger tea, cinnamon, or papaya, but these are usually mild. - **Medications (consult doctor)**: - **Medroxyprogesterone (Provera)** or **Norethisterone**: Doctors prescribe this to induce a withdrawal bleed. - After stopping these pills, bleeding usually occurs in 2–10 days. --- ### **3. See a Gynecologist or Endocrinologist** If your periods remain absent despite lifestyle and basic home remedies: - You may need a **hormonal evaluation**: TSH, Prolactin, LH/FSH ratio, insulin, and androgens. - Consider **hormonal therapy** like combined oral contraceptive pills (COCPs) to regulate cycles if you’re not trying to conceive. - If trying to conceive, ovulation-inducing medications (like Letrozole) might be needed under supervision. --- ### **4. Track Your Cycle** Use apps like Flo or Clue to track and monitor changes. It helps in understanding patterns and discussing with doctors

need your detailed history to evaluate your problem.