Question 1

I've noticed my period is 15 days late, and my cycle is typically 28 days like clockwork. This is the first time I've experienced this delay, and I'm a bit worried. Could you help me understand what might be causing this?

Accepted Answer

Causes_

1. *Hormonal Imbalance*: Changes in estrogen and progesterone levels can disrupt your menstrual cycle.
2. *Stress*: Physical or emotional stress can affect hormone production, leading to late periods.
3. *Weight Changes*: Significant weight gain or loss can impact hormone production and menstrual cycles.
4. *Polycystic Ovary Syndrome (PCOS)*: A hormonal disorder that can cause irregular periods.
5. *Thyroid Issues*: An underactive or overactive thyroid gland (hypothyroidism or hyperthyroidism) can affect menstrual cycles.
6. *Other Medical Conditions*: Certain conditions, such as diabetes, pituitary tumors, or premature ovarian failure, can also cause late periods.

_Diagnostic Tests_

1. *Pregnancy Test*: To rule out pregnancy as a cause for late periods.
2. *Thyroid Function Tests*: To check for thyroid hormone imbalances.
3. *Hormone Level Tests*: To assess estrogen and progesterone levels.
4. *Pelvic Examination*: To check for any abnormalities in the reproductive organs.
5. *Ultrasound*: To evaluate the ovaries and uterus.

_Treatment Options_

1. *Hormonal Medications*: To regulate hormone levels and induce menstruation.
2. *Birth Control Pills*: To regulate menstrual cycles and reduce androgen levels.
3. *Fertility Medications*: To stimulate ovulation and menstruation.
4. *Lifestyle Changes*: Maintaining a healthy weight, reducing stress, and exercising regularly.

_Advice_

1. *Consult a Gynecologist*: To determine the underlying cause of your late period and receive personalized guidance.
2. *Keep a Menstrual Diary*: To track your periods, symptoms, and any changes.
3. *Maintain a Healthy Lifestyle*: Focus on a balanced diet, regular exercise, and stress management techniques.

Question 2

I'm really worried about my wife. She's 4 months into her pregnancy and hasn't had a bowel movement in 4 days. Is this common, and what should we do?

Accepted Answer

refer to gynecologist

Question 3

I'm dealing with PCOS, and I was given an HCG shot of 10,000 UI along with Duphaston. My pregnancy test came back negative, and now my doctor has prescribed Ovral G for 20 days starting from the second day of my period. I'm wondering why I've been given Ovral G, and why it's important to take it at the same time every day. Could you help me understand this better?

Accepted Answer

Weight Gain Diet Plan for a 21-Year-Old Student

*Caloric Intake:*
To gain weight, you need to consume more calories than you burn. Aim for an additional 250-500 calories above your maintenance level.

*Dietary Recommendations:*

1. *Eat frequently*: 5-6 mealsday, including 3 main meals, 2-3 snacks, and 1-2 bedtime snacks.
2. *Calorie-dense foods*: Focus on nutrient-rich foods, such as:
    - Nuts and seeds (almonds, cashews, pumpkin seeds)
    - Dried fruits (dates, apricots, prunes)
    - Avocados
    - Full-fat dairy products (milk, cheese, yogurt)
    - Protein-rich foods (eggs, chicken, fish, beans, lentils)
3. *Healthy fats*: Include sources like olive oil, coconut oil, and ghee in your diet.
4. *Complex carbohydrates*: Whole grains like brown rice, quinoa, whole-wheat bread, and pasta provide sustained energy.
5. *Protein shakes*: Consider adding protein shakes to your diet, especially after workouts or as a bedtime snack.

*Sample Meal Plan:*

- Breakfast: 2 eggs, 2 slices whole-grain toast, 1 cup milk
- Mid-morning snack: 1 cup yogurt, 12 cup mixed nuts
- Lunch: 1 cup brown rice, 1 cup chicken, 1 cup mixed vegetables
- Evening snack: 1 cup fruit salad, 1 tablespoon almond butter
- Dinner: 1 cup quinoa, 1 cup fish, 1 cup sauted spinach
- Bedtime snack: 1 scoop protein powder, 1 cup milk

*Additional Tips:*

1. *Strength training*: Incorporate weightlifting exercises to build muscle mass.
2. *Adequate sleep*: Ensure 7-8 hours of sleep per night to support muscle growth and recovery.
3. *Consult a doctor or nutritionist*: Get personalized guidance to create a tailored weight gain plan.

I'm a 46-year-old woman nearing menopause and dealing with really heavy periods due to endometriosis. My doctor recommended laparoscopic surgery but I'm worried about how safe it is and what kind of complications I might face

please consult Gynec for better advise.

More Obstetrics & Gynaecology Health Queries

I've noticed my period is 15 days late, and my cycle is typically 28 days like clockwork. This is the first time I've experienced this delay, and I'm a bit worried. Could you help me understand what might be causing this?

I'm really worried about my wife. She's 4 months into her pregnancy and hasn't had a bowel movement in 4 days. Is this common, and what should we do?

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