Concerned Mom: Daughter (16+) Missed 2 Periods, Should I See a Gynecologist?

Ans: Menstrual irregularity at age 15. It is very common to have irregular paid periods in the initial years of menopause anarchy, so having irregular periods. For the first 2 or 3 years, when the period when monarchy begins is quite common. If the ultrasound of the pelvis is fine and the hormonal assessment is normal, like thyroid, prolactin levels, insulin levels are all fine and the FSH, LH levels are fine, it should not be a cause of concern. I do not think regulating the menses menses at such an early age is recommended. However, since she is 53 and ways 66 kilos, maybe optimising her weight by about 2 or 3 kilos might be helpful. Other than that, lifestyle modification, regular exercise, eating a judiciously avoiding junk food, or decreasing the amount of sweets and junk Maida. Potatoes, sugar, rice, EC may help, and increasing proteins in the diet may be helpful. Other than that, if the hemoglobin levels and hormonal profile is normal, I don't think it's a huge cause for concern.

Ans: Dear Vinay,
yes, it's natural as she says. she's responding to the hormonal fluctuations related to menopause.
So, there is no solution to a problem, as there is no problem in the first place. It's just the natural progression of a woman through various stages of her life. Support her by understanding her and her emotions better.
And intercourse isn't the only way to connect. Intimacy can be non-sexual as well; cuddling, kissing, holding hands are forms of being close. This may take the pressure of the performance and it may lead to intercourse. But if you are simply going to obsess over it, neither of you are going to be ready and it will just drive a wall between the two of you. Instead focus on the beautiful things that you have shared so far and what you can build on from no on....a lot of support, care, love and understanding is the need of the hour...

All the best!

Ans: PCOS is a condition of the ovary that one is born with. You can optimize the hormonal imbalances in PCO, but the condition never factually reverses because it is a type of theory. So, lifestyle modifications and medication are sometimes necessary to ensure that regular ovulation happens with PCO. Lifestyle modification in terms of diet control, exercise, medication like metformin, MYO inositol. In exceptional cases, cyclical contraceptive pills, etc., may be needed to regulate cycles and ensure hormonal imbalances in PCO, PCOS with androgen excess, men need medication like spironolactone and aldactone to optimize their hormonal imbalances. Weight loss often helps to optimize the condition and resume ovulation in cases of PCOS. Since you weigh 64 kilos, it might be a good idea to lose around 7 to 8 kgs of weight, which will help further improve the cycles.

Ans: Hello
Since your daughter is 13 years old and just started getting periods that is menarche, she is in her puberty. She is undergoing lots of hormonal changes which is very common in this age group from 10 to 12 to 14 to 16 years of age group.
She will be having physical, cognitive and psychosocial changes. She is bound to have mood swings, irritation, change in behavior. During this phase they are in establishment of own identity, autonomy, sexuality. Not going to school can happen cause if awkwardness in periods, scare of staining clothes, not able to perform activities as routine due to pain or bleeding.
All these are common behavioral changes in most teenagers.
1) We as a parent we need to make ourselves available for open communication. With our children without hesitation.
2) We should be more like friends to them than parents.
3) Openly speak to them regarding periods, all emotional and behavioral changes to them and reassure them that these are normal changes to happen and accept them with grace and understanding.
4) Engage the kids in other activities likes their hobbies and physical exercises to control adverse behavior.
5) Talk openly about sex to your children so that they know about self-care.