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:


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”

PCOS Part 2: “So What ?” (Parenthood Magazine)

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

PCOS (Suffering In Silence) Part 2 : “So What?” .

Parenthood Magazine June 2016 issue.

Link: https://dragilan.com/2016/04/04/pcos-and-fertility-ivf-insuin-resistance/

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PCOS and Fertility Series Part 3

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

PCOS : Suffering In Silence.

Part 3: “I see, What Can I Do To Help Myself?”

Get your facts right and you don’t have to suffer in silence anymore

Hi ! I wish all the readers good health always.

There is a saying :

“ No one saves us but ourselves. No one can and no one may. We ourselves must walk the path”.

In the last 2 parts of this series, you have come to know more about PCOS and what are the health consequences of PCOS. The last thing that is left is to educate you on how to take your step to fight back. You must take the first step in this journey towards freedom from PCOS.

Lifestyle Changes

I’m sure most of the women with PCOS, who are overweight or obese, are familiar with a common advice given by their doctor : “ Please lose some weight”. Am I right?

The first and foremost action to take is to lose weight. Years of research has confirmed the advantage of weight loss in the treatment of PCOS. Studies has shown that even with a weight loss of 5-10% , it can regulate the women’s period cycle. The weight reduction can also improve the probability of ovulation in the women.

What’s the recommended way to lose weight ? There is no special regime for PCOS. You can follow any weight loss programme that you are comfortable with. The usual weight loss programmes consist of nutritional classes, dietary modifications and exercise. In very severe cases, bariatric surgery is recommended to lose weight.

Continue reading “PCOS and Fertility Series Part 3”

PCOS and Fertility Series Part 2

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

PCOS : Suffering In Silence.

Part 2: “So what?”

Get your facts right and you don’t have to suffer in silence anymore

Dear readers, welcome back !.

In Part 1: “Oh, what is it?” , you have learned about what is PCOS and how you get to know if you have PCOS. In this part 2 of my education series, I would continue with how PCOS can affect your health . Ready?

General Health Consequences 

PCOS can lead to general health condition known as metabolic syndrome. Metabolic syndrome consist of a cluster of problems, namely high blood pressure, high blood sugar level, increased fat around the waist and increased body cholesterol level. This occurs because PCOS leads to insulin resistance.

Insulin resistance is a condition where the body does not respond appropriately to a given level of body insulin. Insulin in a natural body hormone, produced by the pancreas,  that regulates metabolism in our body. Insulin regulates sugar level by controlling the intake of sugar into our muscle and fat cells and also production of sugar from the liver. Hence, in PCOS, the body cells does not respond to insulin as they should be. This leads to sugar not being utilised by muscle and fat cells properly and it also increases production of sugar by the liver. This leads to increased sugar level in our body.  Insulin resistance also leads to increased fat release into our circulation from fat cells.

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This phenomenon of insulin resistance puts a woman at increased risk of developing Type 2 Diabetes Mellitus , increased blood pressure and high cholesterol. The combination of all this will finally increase the risk of heart disease.

Continue reading “PCOS and Fertility Series Part 2”

PCOS and Fertility Series Part 1

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

PCOS : Suffering In Silence.

Part 1: “Oh, what is it?”

‘Get your facts right and you don’t have to suffer in silence anymore’

The month of March is very special for women. We celebrate International Women’s Day on 8th of March and the theme for 2016 is ‘Pledge For Parity’ . Various topics that revolves around women would have been discussed. The education process should not just stop in March, therefore I am going to educate you today about a condition that plagued women for over 75 years now.

I do not wish to take much of your time with a lengthy write up, so this educational write up is divided into 3 parts.

Part 1: “Oh, what is it?”

Part 2: “So what?”

Part 3: “ I see, what can I do to help myself?”

 Hope this benefits all of you.

PCOS (PolyCystic Ovarian Syndrome) is a condition that has been diagnosed for over 75 years ago but yet many women still has little understanding of PCOS , let alone combat it.

Just a few days ago I saw a couple who were married for 8 years and trying to conceive for nearly 6 years. She had seen a few general doctors over the years and was told that she has ‘imbalanced hormones’. She was given tablets to induce her periods and to make her ‘eggs’ to grow.

Continue reading “PCOS and Fertility Series Part 1”