absent of periods

[khushi83]

hello,

I am 24yrs old,and i had no periods from the age of 16yrs.

when i taking pills then  i have periods,without pills i don't get periods naturally.

i did all tests and all the tests are normal.

mine ultrasound report is Utreus is nulliparious insize(60.3 x 24.2 mm),anverted and shows normal myometrial echopattern.Endometrium is central & 3.7 mm in thickness.
Both ovaries are normal in size & echogenicity,however shows multiple tiny follicles with no evidence of any dominant follicles in either ovary.

please guide , there is not  any major problem .and how to cure it.

thanks

[Keith Downing, MD]

Hello,

You need to follow up with the physician or physicians who have evaluated you for secondary amenorrhea.  When you say you have had all tests I assume you have had your thyroid hormone and prolactin evaluated and head imaged for the possibility of CNS (central nervous system) tumor.  The one suspicious aspect of the ultrasound you report is the presence of many small follicles in the ovary.  This raises the concern for polycystic ovarian syndrome.  Also associated with this syndrome is anovulation (not ovulating and therefore not menstruating) and hyperandrogenism.  The good news is that you do bleed  when on OCPs (the pill).  If and when you decide you want to try to become pregnant you may need assistance to facilitate ovulation.  You should discuss these issues with your ob/gyn.

Best regards,

Dr. Downing  

[khushi83]

hello,
please help doctor

i have done my thyroid hormone  the reports are LH-5.35,FSH-8.89and prolactin-15.31
which are normal according to the giving limits in the report.and u said the CNS -which i didn't do yet.
I  have done  the CHROMOSONAL ANALYSIS test -the report is Autosomes:44,
Sex chromosomes :2(xx),total chromosomes :46,spontaneous chromosomal anomalies :4%(normal:2-6%).

and in my family this problem is with me only ,not to my mother and not to my sister.then whats the cause ,pls help

do you suggest any other test need to detect the cause of not ovulating .
  
please guide what's the reason for not ovulating when all the reports r normal.



thanks

[illsurvive]

i think there is no measure proble and u shoud take the pill to get period. otherwise ovary can get the blood clots. and dont wory when u ll get married u can have baby.