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Irregular period
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Avoid fried food and spicy food and
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Fiber meal
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I can definitely help you over this being a general physician
You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Need few more details
Kindly connect.
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Thank you for sharing the details. Based on the provided information
---
Age: 30 years
Symptoms: Irregular periods for 9 days, history of PCOD (Polycystic Ovarian Disease)
PCOD & High AMH:
A high AMH level supports the diagnosis of PCOD, which is often associated with delayed or irregular periods.
In PCOD, the ovaries have many small follicles, but they don't mature and ovulate properly, leading to hormonal imbalances and irregular cycles.
TSH Borderline High:
A TSH of 4.57 might indicate subclinical hypothyroidism.
Even a slight thyroid imbalance can affect your periods and ovulation.
It’s worth checking thyroid antibodies (like TPO-Ab) to rule out autoimmune thyroiditis.
Prolactin Normal:
Good news. High prolactin can cause irregular periods, but yours is in the normal range.
📌 Why Your Periods Are Irregular:
PCOD (main reason): Hormonal imbalance leads to anovulation (no egg release), resulting in irregular periods.
Thyroid Dysfunction (possible contributing factor): Even mildly elevated TSH can interfere with the menstrual cycle.
Next Steps
1. Ultrasound Pelvis: To check ovarian morphology (if not already done).
2. TSH Repeat + TPO Antibody: To evaluate if thyroid support medication is needed.
3. Lifestyle Modification:
Weight management, regular exercise, low-glycemic diet – very important in PCOD.
Avoid sugar, processed carbs.
4. Medications
OCPs (oral contraceptive pills) may regulate periods.
Myo-inositol supplements may improve ovulation in PCOD.
If TSH stays above 4.5 and symptoms persist, thyroid medication may be recommended
Health Tips
💬 Final Reassurance:
You are not alone – PCOD is very common. With regular follow-up and proper management, your cycles can be regulated, and any fertility concerns can also be addressed early.
Would you like me to help further??
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Direct gyne consultation
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Greetings
Exercise
Diet
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I understand, it must be irritating. Please connect for regularising cycles
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Please get ultrasound of uterus done and consult gynecologist physically.
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Consult gynecologist
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You require life style modifications
Regular exercise
Dietary changes
Strict and regular exercise keeps your pcos away
So far the mentioned hormonal values are normal
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Yuvraj Arora Monga
General Physician
28 yrs exp
Delhi
Dear Practo User.
Thanks for sending across your query.
Irregular periods with PCOD are due to hormonal imbalance, including high AMH and borderline TSH. Your thyroid and prolactin are normal, but PCOD affects ovulation. Lifestyle changes and doctor-prescribed hormonal therapy can help regulate periods. Don't worry—it's manageable.
Next Steps
For further details you can consult with me in Dr. Monga medi clinic or consult me directly by taking a consultation on Practo.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Use thyronorm 12.5
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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