Late Menses+not conceving. Out doctor!

Menstrual cycles occur due to a complex interaction between the hormones released from the brain with the effect they have on the ovaries and uterus. Menstrual cycle length can be changed by thoughts, and some emotional events like exams, stressful events, birth, death in family etc you have been suspected to have pcod and this is a very common finding nowadays. Pcod is not an unsurmountable disease, and it can be helped with medicines and some lifestyle modification. During pcod the body's chemical capacity to utilise glucose is altered, and hence there is a cascade of events like weight gain, irregular menses, acne and darkening of skin etc. Weight gain is crucial factor. You have been experiencing weight gain too. The best way to curb this disease is to control weight using a multi modal approach like - diet -exercise - medicines. The weight loss that you have achieved is good, keep the effort on so visit a good dietician and chart out a healthy diet, do regular cardiovascular exercises which help in burning the excess fat thats accumulated as excess weight in body. If your weight goes down by even 5 kg, you will experience a good regularisation of your menstrual cycle on it's own, without resorting to any medications. At 21, you are very young and so canw aif for some time to get conceived. And if you desire to have a child then suitable medicines cna be given to help you to have ovulation. This will cure the pcod too Of course we can give medicines to help patients with pcod, but they are not the only factor that can regulate this disease. Life style modification is the cornerstone in management of pcod. The back ache you mention could be due to weight menses, or it could be a sign of premenstrual syndrome.....which will go away when menses come. so till then just apply some ointment locally for pain relief scanning, is usually asked for in PCOD patients, and it can help in your treatment planning