I Have Irregular Period

by Dr Agilan Arjunan, Fertility Specialist & Gynaecologist, KL Fertility Centre ( Malaysia)

This is a simple basic guide for women with irregular period.

What are absent or irregular periods? 

Absent or irregular periods are periods that do not happen at all or that happen less than 6 to 8 times a year. If a woman does not get her period for a while, it might be because she is pregnant. Or in some cases, it might be that she has a medical condition that affects her reproductive system.

What causes absent or irregular periods? 

 Absent or irregular periods can be caused by:

Pregnancy

PCOS (which stands for “polycystic ovary syndrome”). In women with this condition, the ovaries make too much male hormone. This can disrupt a woman’s periods and cause excess facial hair, acne, and problems with weight. PCOS is the most common cause of absent or irregular periods.

Being too thin or not having enough body fat

Exercising too much

Too much prolactin – Prolactin is a hormone made in the “pituitary gland”, which is a small organ at the base of the brain.

Early menopause – Menopause is the time in a woman’s life when she naturally stops having periods. Menopause usually occurs between the ages of 45 and 55. But in some women, menopause comes early – before the age of 40. Early menopause happens when the ovaries run out of eggs earlier than normal.

Certain types of hormonal birth control – Some forms of birth control can cause absent or irregular periods. This is more common with those that contain only the hormone progestin. Examples include the progestin-only pill (sometimes called the “minipill”), the implant, and hormone-containing intrauterine devices (IUDs).

Should I see a doctor or nurse? 

 See your doctor or nurse if:

You are older than 15 and still have not had your period

You used to get periods, but you have not had a period for more than 3 months

Your periods happen more than 45 days apart

Continue reading “I Have Irregular Period”

Why Am I Not Getting Pregnant Again ?

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre ( Malaysia)

 

Mrs M walked into the clinic with her beautiful daughter Maya, aged 5 . She is a happily married woman and conceived Maya within their first 6 months of marriage. Her pregnancy was well and Maya was delivered via a caesarean delivery.

The obvious question popped up in my mind, “ How can I help you ?”

“ Well one ain’t enough and we have been trying for a second child for the past one and a half years. I just don’t understand why i am not getting pregnant. I got pregnant with Maya easily. Surely we are not suffering from infertility. But why it is not happening again ?”

She is just one out of many women who find it difficult to believe that they are struggling for a second child or what is medically known as secondary subfertility.

What leads to secondary subfertility ? Let’s find out why.

Continue reading “Why Am I Not Getting Pregnant Again ?”

How To Improve My Chances of Getting Pregnant ?

by Dr Agilan Arjunan, Fertility Specialist, KL Fertility Centre (Malaysia)

How To Improve My Chances of Getting Pregnant

Treatment options for infertility can not guarantee a 100% success. However, YOU and your partner can help to improve the success rate. Every effort and step to achieving your goal of holding your little sunshine is worth trying. There are some aspects where the male and female partners can play a role.

  1. Knowing your most fertile period ( fertile window).

Fertile window is the time in the month when the women is most likely to become pregnant. This window is usually the 6 days interval ending on the day of ovulation. Ovulation occurs about 14-days prior to next period , so in a woman with 28-days period cycle, ovulation occurs on day 14 of her menses (Day-1 is when the woman starts to bleed).

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2. Knowing when you will ovulate (releasing the egg into the Fallopian tube).

The knowledge of when you might ovulate will help you increase your chances of getting pregnant naturally. Methods you can use are:

a) Cervical mucous changes: Cervical mucous and vaginal discharge will increase 5-6 days prior to ovulation and peaks 2-3 days before ovulation. When you are nearing ovulation, cervical mucous will be more abundant, takes on a more raw-egg-white-like consistency. It will also be more stretchy in between your fingers.  This method is easy to do and also helps you know your body better.

Continue reading “How To Improve My Chances of Getting Pregnant ?”