My sister 27 yr old, she is having irregular periods since 2yrs, sometimes comes,sometimes only spotting is there, she has increased some weight, her thyroid profile & cbc is normal, she has some facial hairs, but she has hairs all over body since child, she is always busy, has to do night duties also, has consulted once, ocp were given, but after that again same problem, is there any way to solve her problem, will she having future problem as she is going to marry, can you tell us
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Answered2026-10-16 15:58:41
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Irregular or very scanty periods for two years, with weight changes and facial hair, warrant a gynaecology review. A hormonal condition such as PCOS is one possibility, but symptoms alone do not confirm it and normal thyroid and blood-count results do not complete the assessment.
Next Steps
Take her previous reports, treatment details and a menstrual diary to the appointment. Discuss long gaps between periods and future pregnancy plans. Many causes can be managed, but fertility cannot be predicted from this description. Do not restart hormonal tablets without review.
Health Tips
If pregnancy is possible, a missed period needs pregnancy assessment. Severe pelvic pain, faintness or heavy bleeding needs urgent care.
get your hormonal profile done such as lh ,fsh , testosterone,thyroid
eat balanced meal
calories deficit for weight management
regular exercise
meditation for stress
drink lots of water
protein rich diet
strength training
I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp on 971*66*33*129 or book here on practo.
Check BP, glucose/HbA1c (or OGTT when indicated), and lipid profile.
For Pregnancy related issues: there will be not much issue.. There are medications is pregnancy is desired
Next Steps
Consult doctor in detail
Health Tips
Lifestyle
Healthy, sustainable diet and regular physical activity.
Sleep optimization and stress management.
Weight management if overweight; even modest weight reduction can improve cycles and metabolic parameters.
Kindly consult and give proper detailed history along with symptoms for evaluation and take proper timely treatment with relevant investigations if required.
Your given history is suggestive of polyendocrine metabolic ovarian syndrome.Kindly consult directly for detailed assessment and management
Next Steps
Lifestyle modification including diet and exercise
daily Diet consisting of only 1500 kcal and 6g proteins
Avoid oily and spicy foods
avoid carbonated beverages
Avoid packaged foods and drinks
Restrict alcohol or smoking if applicable
Looks like PCOS or hormonal cause, but it is treatable and does not mean future fertility problems please book a consultation for proper evaluation and a personalised plan.
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
As per your complain,
This can be a case of PMOS.
As facial hair (Hirsutism)is there,also irregular,scanty bleeding is there.
Menstrual history is needed.
USG report also needed
Blood report (Thyroid profile,S. FSH,LH,AMH)
Please consult with the report.
Only Ocps will not help,a detail history, evaluation is must needed.
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Hello,
Take Balanced diet.
For diet details and ePrescription consult by practo app or contact me at WhatsApp at +91959508739nine.
In future if consultations are required than consult by practo app or contact me at WhatsApp at +91959508739nine.
Thanks.
Her symptoms are because of pcos . Only taking medicines won't relieve her problem . She has to do lifestyle changes and diet modification.
Exercise daily or brisk walk for 30 to 40 mins
Eat less spicy food and fibre rich diet , avoid sweet and suggary food items , packated food
Meditation for 20 to 30 mins
Stay hydrated.
She can be having pcod / pmos , it can sometimes cause fertility issues also. But in most of the cases it's manageable and pregnancy is achieved.
But do consult a gynaecologist and get a ultrasound scan done for proper diagnosis
Health Tips
weight loss and balanced diet helps a lot with PCOD/ PMOS. patient
Irregular periods for two years along with weight gain and hair growth since childhood point toward PCOS. This is a hormonal condition, not something cured once and finished. The pill worked before because it regulates the cycle while you take it, not because it removed the cause. That's why the irregular pattern returned once you stopped it.
Next Steps
A pelvic ultrasound and hormone blood tests will confirm this and guide treatment. PCOS can also affect fertility later, so treating it properly before marriage is worth doing now.
Health Tips
Please see a gynaecologist for a proper PCOS workup and treatment plan, rather than waiting for the cycle to settle on its own.
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