I don’t get regular menstrual periods. I get the periods only after taking some medicine. I have also become over-weight. I am thinking of planning pregnancy. Will it be possible if the periods are only due to the medicine? What should I do in this regard? Do I have to undergo some investigation or some specific type of treatment? If I become pregnant, will the baby be normal? Please advise me since I am feeling a lot of stress as I have not become pregnant so far even though I am about 30 years of age and my marriage took place about 4-5 years back.
Answer (by Dr. Neelam Dhamija): Many patients have periods after taking medicines and they do become pregnant and give birth to a healthy baby. So don’t worry, you can become pregnant and can have a healthy baby. You have to do few tests these are: complete blood count, ESR, Blood sugar (Fasting and 2 hours after eating food), serum TSH, serum prolactin, AMH, serum Insulin (fasting and 2 hours after food), rubella IgG, urine complete examination. Certain hormones tests (FSH and LH) need to be done on first or second day of your periods, they are done after you have not eaten any thing for about 8 hours. One ultrasound of pelvic region has to be done. Please get semen analysis of your husband done, this must be done after 3-5 days of abstinence (avoid sexual contact for 3-5 days). You say that you are putting on weight and you are not having periods. You might be suffering from Polycystic ovarian disease. Anyways your blood tests and ultrasound reports will help the doctor in diagnosing the main problem and you will be treated accordingly. If all the reports are normal the doctor may give you some medicines, known as ovulation inducing drugs. These medicines help in the ovulation and you will be observed for ovulation by ultrasound study. At the time of ovulation, if you have relations with your husband, you have very bright chance to become pregnant. You can start with tab Folic acid daily which if taken reduces the possibility of neural tube defects(defects in the brain and spinal cord) in the growing fetus. Follow healthy life style. Try to reduce weight, you can have low carbohydrate and low fat diet, prefer fruits and salads in your diet. Daily 45 minutes of brisk walking and few exercises will help you in reducing excess weight and will also help you in the treatment. Please consult an infertility specialist in your area and proceed with the treatment. Do not worry and have positive thinking, every thing will be fine.
*Dr. Neelam Dhamija Dr. Neelam Dhamija is a qualified Obstetrician and Gynaecologist [M.B.B.S., M.S. (Gynae. & Obst.)] and has about 25 years of experience in the medical profession.