Talk to Gynecologist on Premenupas

Asst. Prof. Dr. Sana Hafeez - Gynecologist

MBBS, MRCOG (UK), FCPS Gynaecology & Obstetrics | Multan

31 Positive Reviews

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yes this is good

Dr. Tasnim Zahid Hussain - Gynecologist

MBBS, MRCOG, DFSRH | Islamabad

127 Positive Reviews

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Assalam o Alaikum
Normal cycle pattern for this age. No work up or treatment is required

Asst. Prof. Dr. Hina Akhtar - Gynecologist

MBBS, FCPS (Obstetrics & Gynaecology), MRCOG (UK) | Lahore

33 Positive Reviews

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Hard to understand your prescription better to have an appointment for consultation

Dr. Sania Khan - Gynecologist

MBBS, FCPS Gynaecology & Obstetrics | Lahore

55 Positive Reviews

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Better to consult for proper evaluation and treatment

It seems you're discussing the management of menopausal symptoms or irregular menstruation associated with elevated FSH (Follicle-Stimulating Hormone) levels. Let's break down the medications mentioned:

### 1. **Primolut N (Norethisterone)**
**Indications:**
- Treatment of menstrual disorders, including irregular cycles and heavy periods.
- May be used to induce a menstrual period.

**Contraindications:**
- Known or suspected pregnancy.
- Active or history of thromboembolic disorders.
- Liver tumors or active liver disease.
- Undiagnosed vaginal bleeding.
- Hormone-sensitive cancers (e.g., breast cancer).
- Conditions exacerbated by fluid retention (e.g., severe hypertension, heart disease).

**Side Effects:**
- Nausea
- Headaches
- Breast tenderness
- Mood changes
- Weight gain
- Fluid retention

**Adverse Reactions:**
- Thromboembolic events (DVT, PE).
- Liver dysfunction.
- Allergic reactions (rare).

### 2. **Meliane (Ethinylestradiol and Desogestrel)**
**Indications:**
- Contraceptive purposes.
- Management of menstrual cycle irregularities.

**Contraindications:**
- Similar to Primolut N, including a history of thromboembolic events, certain cancers, and liver disease.

**Side Effects:**
- Nausea
- Breast tenderness
- Mood swings
- Headaches
- Breakthrough bleeding

**Adverse Reactions:**
- Increased risk of venous thromboembolism.
- Hypertension.
- Possible liver tumors.

### 3. **Primrose Oil (likely referring to Evening Primrose Oil)**
**Indications:**
- Typically used for symptoms of PMS and menopausal symptoms (though evidence is mixed).

**Contraindications:**
- Allergy to evening primrose or its components.
- Caution in patients with seizure disorders.

**Side Effects:**
- Gastrointestinal upset.
- Headaches.
- Allergic skin reactions.

### 4. **Vitamin D**
**Indications:**
- Important for bone health, especially post-menopause.
- Correction of vitamin D deficiency.

**Contraindications:**
- Hypercalcemia
- Vitamin D toxicity

**Side Effects:**
- Generally well-tolerated but can include hypercalcemia if overdosed.

**Adverse Reactions:**
- Rare but can include calcium deposits in soft tissues.

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### Disclaimer
While the above information provides general insights about the medications mentioned, it is essential to rely on your clinical judgment and the specific context of your patient's case. Always consult updated clinical guidelines and resources for the most current information and make treatment decisions based on individual patient assessments.

I do not know. Maula Imam Ali As

can not understand what I actually want to ask ???