STORIES ABOUT FOLLICULAR STUDY AND IRREGULAR PERIODS

This is about lady  with 28 years married for 5 years with irregular periods. When we did follicular study follicles are not developing well. we increased the dosage of cloniphene  citrate from 50 to 200mg with added dosage of injection FSH. Still she had no proper growth of follicles. I felt it was a very difficult case. She was also dejected and stopped treatment. 

Fig 1.1 Irregular periods Days 

After one and half year she came again and I remembered her case; I thought again  the same problem might recur. But she was happy and smiling. She said  her periods had become  regular, she wanted to go for follicular study that cycle .

Fig 1.2 Irregular Period Time and Worries

she also suggested that I induce the cycle with 100mg  clome tablets as her periods have become regular. I was surprised but obliged her, as there was some reasoning in it. To my astonishment the follicles developed very nicely and ruptured at the optimum size of 20x23mm. Both of us were happy about it and she conceived  the same cycle. I asked how her periods became regular and she had this story to tell. 

Fig 1.3 Period Cycles and Treatments 

She was a joint family .she was unemployed previously  and  her husband had temporary job. To come to the clinic she had to ask her mother-in-law for medical expenses; her co sisters would be grumbling to adjust the household work whenever she came to the hospital. Coming to hospital was a big ordeal for her. The follicle problem made her feel helpless and hopeless. 

Fig 1.4 Normal Ovary and Polycystic ovaries comparison 

Six months after stopping the treatment her husband got a permanent job and they setup a separate family; she also started doing a job. There was a financial freedom and no quarreling with co sisters. She was peaceful and happy. She was busy doing household work and office work there was no time to think and worry about pregnancy. She was surprised to find her periods becoming regular for the past 6 months. After observing the regularity of the periods, she felt that her periods improved and felt confident about herself and decided to take treatment. This story made me understand that influence of emotions on follicle growth.

Fig 1.5  Heavy Pain During Periods

         Women was married for 10years with history of irregular periods and pco. She had already undergone  laparoscopy elsewhere for pco and unfortunately her problem had recurred. She was not obese; I had given her medicines and did follicular study there was no follicular growth. Women  volunteered to undergo laparoscopy with me. She was very firm about the decision. So I did repeat ovarian drilling ; after the surgery also ,though the pco was cleared the periods was irregular and there was no improvement in follicle growth.

Fig 1.6 Treatments for Ovaries 

The surprising observation about her was that she never felt dejected or cried. It seemed  that she has accepted the irregular periods. She was very cool and talked normally. She never felt bad about the improper follicular growth,      in contrast to other prospective mothers with same problem, who used to feel anxious and worried about follicular problem.

 I asked about her (adamant and persistent) irregular periods, when it started and other details and she narrated her story. She used to have regular periods since menarche (the time of attaining maturity). A few months before her marriage she developed heavy bleeding and her mother took her to a doctor, who prescribed hormone pills ( 3 weeks pills). 

Video 1.1 Andal Fertility Treatments for periods

She was advised to take the tablets for 3 months. She took the pills for 1 month  and the    next month she went  to her grandmothers place;  there she went to the medical shop and ask for the pill. The chemist who was their family friend told her, “ young  girls like you should not use these tablets; you have taken for 1 month! Don’t take it.” 

so she felt guilty that she had taken some dangerous pills that would have surely harmed her uterus. From then on her periods became irregular. I could see  her firm belief that uterus and ovary were damaged was the reason  for her irregular periods.

 I told her that we use such tablets some times for 6 months or more also depending on the necessity. Unmarried girls also can safely use those pills , under supervision for right indications. I convinced her if she believed my words backed with experienced ,she would surely get regular periods as her uterus and ovaries are as normal as anybody else. 

She  appeared relieved; and came after 3 weeks with periods without using any tablets. She was surprised and happy. I advised her strongly to indulge in some hobby. She started painting saries. her periods became consistently regular, with normal follicular study and she conceived. Now she is having 2 children.