Hello doctor, I am a 21-year-old married female. PMH of PCOS, diagnosed at age 14. Last PAP was three months ago, all results within range. No change in color, smells, or discharge. Negative pregnancy test one month ago. I stopped taking birth control pills a year back and I have not had a period since. So it has been almost a year with no pregnancy or period. I did not even have a withdrawal bleed after stopping birth control. No form of contraception, such as pills or condoms, have been used since a year back. Should I get this checked out?
Hi. Things should be sorted out without delay actually. Have menstrual induction immediately (tablet Primolute N 10 mg twice daily for seven days, then wait for menstrual bleed for 1 to 2 weeks). On day second of periods, have blood tests (serum testosterone, progesterone, insulin, prolactin, FSH and LH, thyroid function test). Transvaginal scan outside periods days.  Have tablet Norethisterone 10 mg twice daily from day four to day 25 of periods for three months. To have regular periods. Collect all laboratory reports and discuss here or with local gynecologist doctor. Have a daily walk, yoga, and exercise to reduce weight and normal BMI. Have a healthy diet with low salt, sugar, oil, and spice.  For more information consult an obstetrician and gynaecologist online -->