Hello Doc I need to ask regarding my periods...

Menstural Irregularities 
Menstural cycle is a normal physciological process of balance between body hormones where the ovulation occure in the mid of the cycle and the ovum start to secrete progestrone which maintain the stability of the endometrium for a time till the death of the ovum due to lack of fertilization  then endometrial shedding occure and the bleeding ensues. If the fertilization occured then the endmetrium will be maintained and the cycle will not complete with bleeding as the zygot will be implanted to the endometrium. In some cases where the ovulation became defective there will be an imbalance between cycle hormones and the bleeding will not be as expected, so you should check for pregnancy after the bleeding did not happend on time if you are having relationship or check for hormonal imbalance if you are not and consult your treating gynecologist 
Required tests 
After the proper physcial exam you should check for pregnancy if you are on relationship, this is accomplished by serum test which is expected to be positive 1 week after the expected date of bleeding and in urine 2 weeks after. You are also adviced to check for Hgb by doing CBC. Check for hormonal state FSH, Progestrone and estrogene. CHeck for kidney function tests to rule out any chronic illnesses, glucose fasting and  2 hrs after a meal to check for hyperglycemia. Thyroid functions TSH, Free T4  to rule out thyroid dysfuncion and do an abdominal Ultrasound to check for ovaries and uterus .
 Causes 
Pregnancy 
Ovarian failure 
Polycystic ovarian Syndrome 
Thyroid dysfunction
Chronic medical illness of kidney 
Our advice
You are adviced to have a well balanced diet rich of minterals and vitamins from its original sources of fruites and vegetables, have regular exercise and avoid smoking and sources of stress.
يمكنك تحميل تطبيق جواب لمتابعة استفسارك مباشرة مع الخبير ، كما يمكنك التواصل مع خبراء مختصين في أكثر من 16 مجال. بالإضافة إلى مواضيع أخرى يومية من خلال الضغط على هذا الرابط