I'm a bit concerned about my recent liver test results. It says my liver is slightly enlarged at 14.8 cm, and there's a grade 3 diffuse fatty change. It mentions mild hepatomegaly with fatty liver, but the tests for Hepatitis A and C came back negative. My liver enzyme levels are SGOT 46.5, SGPT 91.5, and Gamma GT 97.1. I'm not a drinker, so that's not a factor. Could you help me understand what all this means for my health and what steps I should take next?

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

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Meprate (Medroxyprogesterone) for Inducing Periods

Expected Outcomes

1. Scanty periods initially: It's common to experience light or scanty periods after taking Meprate, especially if you've had irregular or absent periods.
2. Gradual improvement: Your periods may become heavier and more regular over time.

Factors Influencing Outcome

1. Hormonal imbalance: Underlying hormonal imbalances can affect the response to Meprate.
2. Dosage and duration: The dosage and duration of Meprate treatment can impact the outcome.
3. Individual response: Everyone's body responds differently to hormonal treatments.

Recommended Next Steps

1. Consult your gynecologist: Discuss your symptoms, treatment, and expectations with your doctor.
2. Wait for 2-3 cycles: Allow your body to adjust to the hormonal treatment, and monitor your periods for improvements.
3. Consider further evaluation: If your periods remain scanty or irregular, your doctor may recommend further evaluation, such as hormonal tests or ultrasound.

Possible Additional Treatments

1. Hormonal therapies: Your doctor may prescribe additional hormonal treatments to support regular ovulation and menstruation.
2. Lifestyle modifications: Maintaining a healthy weight, following a balanced diet, and managing stress can help regulate your menstrual cycle.

Answered 04/07/2025