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Dr. Rashida Boppai

Gynaecologist, Mumbai

Dr. Rashida Boppai Gynaecologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Rashida Boppai
Dr. Rashida Boppai is a renowned Gynaecologist in Mumbai, Mumbai. You can visit her at Saifee Hospital-Girgoan in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Rashida Boppai on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 37 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Amenorrhoea - Causes Behind Primary and Secondary Type

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), CCT (Lon), DNB (Obstetrics and Gynecology), MD
Gynaecologist, Mumbai
Amenorrhoea - Causes Behind Primary and Secondary Type

Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.

Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:

  1. Milky nipple discharge (galactorrhoea)
  2. Hair loss
  3. Headache
  4. Vision changes
  5. Excess facial hair (Hirsuitism)
  6. Pelvic pain
  7. Acne

You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.

Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.

Natural amenorrhea
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:

Contraceptives
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.

Medications
Certain medications can cause menstrual periods to stop, including some types of:

  • Psychiatric medications
  • Cancer chemotherapy
  • Blood pressure drugs
  • Allergy medications
  • Lifestyle factors

Sometimes lifestyle factors contribute to amenorrhea, for instance:

  1. Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
  2. Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
  3. Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.

Hormonal imbalance
Many types of medical problems can cause hormonal imbalance, including:

  1. Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
  2. Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
  3. Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
  4. Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.

Structural problems
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:

  1. Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
  2. Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
  3. Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.

Clinical examination by the doctor  includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine  your breasts and genitals to see if you're experiencing the normal changes of puberty.

Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.

Lab tests
A variety of blood tests may be necessary, including:

  1. Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
  2. Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
  3. Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
  4. Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
  5. Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.

Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.

Imaging tests
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:

  1. Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
  2. Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
  3. Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.

Endoscopy tests
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.

Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.

2411 people found this helpful

I had withdrawal sex on 14th day of my cycle or 9th day after my periods ended. Should I take an ipill to avoid getting pregnant or it's not necessary. please suggest the useful.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I had withdrawal sex on 14th day of my cycle or 9th day after my periods ended. Should I take an ipill to avoid getti...
Dear user. TO CAUSE PREGNANCY on a woman, sperm should be ejaculated inside the vagina or fresh sperm should be inseminated inside the vagina with some means. Pregnancy only happens when other aspects are too satisfied. In the given case, there are less chances of pregnancy. Take care.
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Post Menopausal Health

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata

The diagnosis of menopause is made after periods have stopped for at least 1 year after the age of 40 due to reducing ovarian activity.The age span can vary between 45 to 55 and the median age is 52 years.Menopause occurring before the age of 40 is premature and one needs to consult a Gynaecologist.

The time span for several months to several years leading to menopause is called perimenopause.The periods during this time may become irregular and the patient may experience hot flushes, night sweats, anxiety, mood swings etc; 30-60% of women may experience emotional symptoms at this time. The major symptoms include:

  • Hot Flushes and Night seats
  • Vaginal dryness
  • Tiredness and sleep disturbances
  • Mood swings and lack of concentration
  • Loss of interest in having sex

Every woman experiences menopause differently. A few will have a combination of different mild symptoms while others will have more severe symptoms.Some women choose to go through menopause without any treatment whereas others prefer to have hormonal or non-hormonal medications to help control their symptoms.

However it is important to consult a Gynaecologist as irregular periods and other symptoms may be due to other pathologies and may need investigating.

A healthy lifestyle is very important during this time to maintain good bone health and general health.Regular aerobic exercises like swimming, jogging, brisk walking and in general maintaining an active lifestyle and maintaining an optimal body mass index is very important and helps in preventing osteoporosis, heart disease etc;

  • Low-intensity exercises such as yoga may help to reduce hot flushes and boost general well-being.
  • Reducing intake of tea/coffee/ caffeinated drinks will help reduce hot flushes and night sweats.
  • Vaginal lubricants and moisturisers help in reducing vaginal dryness during intercourse.
  • Also equally important is having a diet rich in Calcium, proteins and low in fat and refined carbohydrates like sweets and junk foods.
  • Soya-based foods like soya beans, chickpeas, peas are rich is phytoestrogens nad may help in reducing perimenopausal/ menopausal symptoms.
  • Getting an annual health check up done helps in identifying risks earlier and taking appropriate actions earlier on.
  • Women should have regular PAP smears, BP check, Mammograms, Lipid profile done and other tests if clinically indicated.

Finally, it is best to consult a Gynaecologist if a woman is having any perimenopausal or menopausal symptoms so that appropriate treatment can be instituted.

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My periods are late I check on I can preg test but it's negative . I am having very little bleeding some times . Am I pregnant ? I don't want to be right now ? What are the measures or pills I can take for my mensuration ? And not getting pregnant ?

DHMS (Hons.)
Homeopath, Patna
My periods are late I check on I can preg test but it's negative . I am having very little bleeding some times . Am I...
Hello, lybrate user, menstrual disorder is caused due to stress, anxiety, depression, malnutrition, anaemia, over exertion, pcod, thyroidism, results in, delayed, painful, excess & frequent blood flow during menstruation. * tk, plenty of water to hydrate yourself, to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving oxygen volume in blood in order, to establish your smooth flow. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * tk, apple, carrots, cheese, milk, banana, papaya, pomegranate, spinach, almonds, walnuts to improve your haemoglobin to release your flow, timely. * tk, homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ pulsatilla 30-6 pills, thrice a day. @ sepia200-6 pills, thrice a day. * ensure, sound sleep in d night for at least 7 hrs. * avoid, caffiene, junkfood, dust, smoke, exertion > your feedback will highly b appreciated for further, follow up. Tk, care.
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My wife is 7 weeks pregnant. We had taken obstetrics scan and antenatal tests. The doctor said everything is normal. Yesterday night she had back pain and vaginal itching. Is it normal? We are worried about the itching. Did she got any infection that affect the baby?

Bsc(Med.), DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Mohali
My wife is 7 weeks pregnant. We had taken obstetrics scan and antenatal tests. The doctor said everything is normal. ...
Hi lybrate-user As you told that your wife is suffering from backache. As it is 3rd. Sem, some times there are certain things which should be taken care of to avoid premature labour. If pain is severe and from back to front and radiating towards vagina, promt action is required. Urine test is required to acertain any uti.In pregnancy there are chances of fungal infections. For that treatment is required. Consult your local gynaecologist.
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My period is 3 days late and I have some symptoms clear watery discharge, frequent urination, leg pain, breast tenderness is it symptoms of pregnancy?

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Yes, these are some of the symptoms, but one can not be sure till preg test comes positive done 4-5 overdue.
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Hello doctor I am medico student I often hear doc saying it is ideal to plan for a child after 1 years of married life why is it so I want to knew the reason behind this statement.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello doctor I am   medico student I often hear doc saying it is ideal to plan for a child after 1 years of married l...
The reason is just psychological and emotional and nothing scientific in -----------it depends upon a couple when to plan a baby and if they are financially and emotionally ready for it or not-----------planning a baby immediately after marriage proves good to majority as per social thoughts and beliefs and there I nothing logical----------------but if you askme the same question, my answer will be based upon few factors like---- 1. If I am mentally, and financially prepared for it------------ 2. Understanding in thoughts with my wife--------------- 3. If my wife also feels the same-------
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Is it safe to have sex during my wife is pregnant as if now she 3 months pregnant.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user better to share ultrasound report to guide you. You should avoid sex till 12 weeks if everything is fine.
3 people found this helpful
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I am having irregular periods since long time ,and also having back pain alot. Is my bk pain a reason of irregularity of periods. How cn this be cured. My age is 27.

DNB - Obstetrics & Gynaecology, MBBS
Gynaecologist, Noida
I am having irregular periods since long time ,and also having back pain alot. Is my bk pain a reason of irregularity...
Dear lybrate-user meet a gynaecologist she would recommend certain tests and ultrasound. There are various reasons for irregular bleed but backache is definitely not one of them. You could have backache due to vitamin d deficiency kindly get it checked. For irregular bleed go to a doctor.
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M 22. My periods are normal n perfect. I ended my last period on 25th and ysterdy I noticed that I have blue spots on my panties. I dnt have any pain nothing. What it could be m so worried please help me. Its dry and only on centre of pantry. please HELP ME.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
M 22. My periods are normal n perfect. I ended my last period on 25th and ysterdy I noticed that I have blue spots on...
Hello, Blue spots are an odd finding indeed. i suggest you should get a per speculum examination done at the gynaecologist for evaluation. regards
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Sir, sex karne ke safe day's kis date ko hote h because female pregnant na ho but female ke period ke safe days kaunsa se hote h ?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, safe days are from day1 to day 12 and day 25 till day of period. Fertile period is 3 days before ovulation day till 10 days after it. Regards.
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Feeling Tired Even After a Lot of Sleep - Did You Know Why?

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CCMTD
Diabetologist, Hyderabad
Feeling Tired Even After a Lot of Sleep - Did You Know Why?

One of the most common scenarios that most people are faced with is a constant feeling of tiredness and lethargy even after you have had a full night’s sleep. The questions popping in your mind right about now is, why is this happening? Why does the lethargic feeling fail to leave you even after you had a proper 8 hours sleep? Why is your sleep getting into the way of your professional productivity? Though there are a number of different explanations to this constant feeling of cloudiness throughout the day, hence, experts in the field have listed down some of the factors that prove to be the major causes behind this condition.

Some of these most common and powerful reasons are listed below.

  1. Thyroid: The moment your thyroid levels start soaring, you will automatically find it difficult to keep up with the pace that your day to day life demands. The thyroid gland, which is placed right in front of the throat, is the size of the knot on your tie. This gland produces a hormone. When the activity of the thyroid gland, it starts secreting more and more of the hormones, leading to a condition termed as hyperthyroidism. The same gland when underperforms, it starts holding back the hormone secretion, leading to a condition called hypothyroidism. In both the cases the metabolism of the body slows down, leading to an increased level of tiredness even after proper sleep.
  2. Anaemia: Another leading cause of that nagging feeling of sleepiness and draining energy is Anaemia. Anaemia causes a certain amount of fatigue in an individual. The main cause influencing this situation is the lack of presence of enough red blood cells. The main function of these red blood cells is to transfer oxygen constantly from the long to the cells and tissues. A break in this process leads to you feeling weak and also short of breath.
  3. Diabetes: Diabetes poses a serious threat to the all over functioning of your body. It is termed as the slow killer and constantly works towards undermining the level of energy a normal individual can hold. This adversely affects your day to day life, including your performance at work and also performing your daily chores at home. The glucose in your body serves as a fuel for your daily activities. Since patients with type 2 diabetes cannot use this rising glucose in their blood properly, they end up being more tired than they ought to be.

Other conditions that lead to the same draining feeling and constant tiredness even after lot of sleep are depression, rheumatoid arthritis, chronic fatigue, sleep apnea, sleep inertia, periodic limb movement disorder, constant exposure to computer screens, tv screen, monitors, etc. There are a whole bag of other factors that lead to the constant feeling of tiredness that you are feeling. Before the end of the day, you are drained, your productivity drops and you cannot wait to hit the bed, and the same is the condition when you get out of bed. Consulting a general physician will not only help you put a finger on the cause, but also cure it with proper treatment.

2730 people found this helpful

MEASURES TO PREVENT HEART ATTACK

BHMS
Homeopath,
MEASURES TO PREVENT HEART ATTACK
Patients with history of heart attack or family history should take following dietary measures to prevent the heart attack again.
• Cut down salt (common table salt) intake in your diet to avoid hypertension. Intake should not exceed more then 2 to 2.5 gm a day.
• Avoid foods rich in cholesterol: ground nut oil, ghee, butter, whole milk, eggs, lard (fats derived from pig meat), tallow (fats derived from goat or sheep mutton) – all non-vegetarian food contain cholesterol in varied amount.
• Avoid non-vegetarian food especially red meat.
• Increase intake of foods that contain PUFA`s (poly unsaturated fatty acids): flax / linseed oil is the richest source of PUFA`s. Other oils that contain PUFA`s are safflower oil, soybean oil, sesame oil, olive oil. As all oils are high in fats, its consumption should be limited. The intake of oils should not exceed 20gms a day.
• Sesame oil and almond oil hinders the absorption of LDL (low-density lipoproteins), so it is advisable to use replace other cooking oils by sesame oil.
• Increase your intake of water.
• Consume whole grain cereals and whole pulses.
• Take high fiber diet - whole grains, bran, oat, green leafy vegetables etc.
• Cut down the intake of sugar and other sweeteners.
• Avoid fat-rich portions of flesh foods. Instead have lean meat.
• Avoid fat-rich desserts and fried snacks like cakes, pastries, puddings etc
• Instead of frying food boil, steam, grill or roast food.
• Avoid coffee and caffeinated drinks, junk food – pizza, burgers etc.
• Consume food rich in magnesium.
– Nuts and sea food, green leafy vegetables, sea plants like Japanese sea plants, whole grains, peas, lotus stem, pulses, legumes and oil seeds.
• Increase intake of vitamin C, it maintains the elasticity and integrity of the artery walls.
– Citrus fruits, green leafy vegetables, vegetables- cabbage, broccoli, tubers- potatoes and sweet potatoes.
• Increase calcium intake:-
– milk and sea food, nuts- ground nuts, walnut, almond and cashew nuts; green leafy vegetables, whole grains, fruits like - custard apple and banana.
– Peas, lotus stem, pulses, legumes and oil seeds
93 people found this helpful

Infertility - 6 Causes Behind It

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Infertility - 6 Causes Behind It

Infertility is characterized by the inability to get pregnant even after unprotected intercourse for over a year. Repeated miscarriages along with other factor can often be the reason behind infertility in women.

Probable causes of Infertility in Women:

  1. The most common cause of infertility in women is an abnormal uterus. Congenital flaws, such as septate uterus can lead to repeated miscarriages. The normal pH level of the uterus is approximately in the range of 6.6 to 7.6. So a pH level below or above this range can lead to an abnormal uterus.

  2. Ovulation defects (such as the eggs not properly maturing in the ovaries or the ovaries not releasing mature eggs) are other causes as well.

  3. Another possible cause is Endometriosis, a condition wherein the tissues which line the inner walls of the uterus start to grow on the outsides of the uterus, such as in the pelvis or the abdomen.

  4. Polycystic Ovarian Syndrome (PCOS), a condition wherein the ovaries become enlarged with tiny cysts growing on them, is another important cause for infertility. Hormonal imbalances are at the root of this condition.

  5. A block or damage to the fallopian tubes can prevent the sperm to properly fertilize the egg thus, leading to infertility.

  6. Unhealthy lifestyle habits such as obesity or being underweight, excessive alcohol consumption, smoking and not following a healthy diet are other important causes of infertility. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2591 people found this helpful

I am 36 years old. I have a son 11 years old. I had sex with my sisters son who is 21 years old. Two weeks before we had sex after long relationship in cinema theater in night show as we were afraid for being caught if done in home. But I am afraid of pregnancy. Now I allow him to do everything except entering me. Will I become pregnant or can I continue to have sex with him?

PG Dip(psycosexual diseases), MBBS
Sexologist, Delhi
I am 36 years old. I have a son 11 years old. I had sex with my sisters son who is 21 years old. Two weeks before we ...
It is better to stop this relationship because many people will get hurt who are dear to you if they come to know about relationship and mind it ur son is quiet big to understand it, these type of relationship leaves lot of scars when passion whiter off.
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My last period was 10th march. Still I did not get period. I consulted one gyne Dr. She suggested me to take duphaston 10mg for 5 days I started it 20th april but still I don't have period pls suggest.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Gurgaon
My last period was 10th march.
Still I did not get period. I consulted one gyne Dr. She suggested me to take duphasto...
Hi lybrate-user. If you are not responding to progesterone then most likely it's an estrogen deficiency. You should most likely respond to estrogen therapy. But before that please get n ultrasound scan of pelvis done to see for endometrial thickness. Depending on the result I will help you out. All the best.
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It has been two months, I didn't get my period, and I am having pain in my back, what's the problem.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
It has been two months, I didn't get my period, and I am having pain in my back, what's the problem.
Delaying period is common, as it can happen with stress or hormonal changes in the body. But it is self correctiong. U can weight for anothe 15 days before u can seek medical help to get the menses. As u said u have back pain, it could be the sign of menses. Just hold on for some more days, it will come.
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