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Dr. Anil Varpe

BAMS

Gynaecologist, Pune

30 Years Experience  ·  0 - 300 at clinic
Dr. Anil Varpe BAMS Gynaecologist, Pune
30 Years Experience  ·  0 - 300 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Anil Varpe
Dr. Anil Varpe is an experienced Gynaecologist in Vadgaon sheri, Pune. He has been a successful Gynaecologist for the last 30 years. He has completed BAMS . You can meet Dr. Anil Varpe personally at Niramaya Hospitals in Vadgaon sheri, Pune. Book an appointment online with Dr. Anil Varpe and consult privately on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 30 years of experience on Lybrate.com. You can find Gynaecologists online in Pune 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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Education
BAMS - Government Medical College, Nagpur - 1987

Location

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Niramaya Hospitals

S. No. 49, Rajashree Colony, Lane No. 1, Wadgaon Sheri. Landmark: Opp. Namdeo Nagar, PunePune Get Directions
100 at clinic
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Niramay Hospital

# 49, Rajashree Colony, Lane No. 1, Wadgaon Sheri, Landmark: Opp. Namdeo Nagar.Pune Get Directions
0 at clinic
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Noble Hospital

153, Magarpatta City Road Landmark : Next To Magarpatta Bus StopPune Get Directions
300 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am hysterectomy women, having one overt, now I affected with hypothyroid and high cholesterol. How to take treatment, what are all test preferable.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
I am hysterectomy women, having one overt, now I affected with hypothyroid and high cholesterol. How to take treatmen...
You need to get the latest test results for the analysis. So get T3, T4, TSH done, get it done on fasting that is do not take any thing including tea or coffee and get the test in the morning hours. At the same time on empty stomach get the Lipid profile test also done which will give the status of cholesterol in the blood and the first test will give thyroid hormone levels basing on which we can suggest some remedial steps. If you are already using throid medicine get the test done after taking the tablet with water and on empty stomach. Come back with the results and names of the medicines with strength if you are using any. In the open questions we can not give medicines names so you need to come in private consultation
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I miscarried on 7th March and bleeds for 7days, after 2 we had intercourse, after that the brown color stringy discharge from vagina, what it causes, shall we intercourse again or should wait (if we have to wait, how many days?).

MBBS
General Physician, Chandigarh
This discharge probably is the continuation of your bleeding from miscarriage please avoid intercourse for atleast the time you are absolutely free from bleeding.
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Things You Must Know Before Adopting a Stray Puppy/Kitten or Dog/Cat at Home

M.V.Sc, B.V.Sc. & A.H.
Veterinarian, Kolkata
Things You Must Know Before Adopting a Stray Puppy/Kitten or Dog/Cat at Home

If you want to adopt a stray puppy/kitten or dog/cat at home, things must not be ignored.

1. Be extreme cautious about the diseases that can be transmitted from dogs or cats to human beings.

2. Examine the puppy /kitten or dog /cat carefully and neatly, preferably take it to your veterinarian to rule out any existing disease. Few may be infectious, can affect your other healthy pets at home, if any! scope of carrying contagiuos zoonotic diseases like rabies, leptospirosis etc. Should be carefully assessed and inspected.

3. Take suggestions from your vet regarding deworming of your newly adopted pets as few worms also can be transmitted from them to us particularly to children as well as can endanger pets' life too. 

4. Know elaboratedly about the precautions that you have to take after you have taken/adopted that stray animal to your house for safe handling without making yourself prone to any kind of infections transmissible from animals to human beings. If a quarantine period is essential and asked to maintain, you need to follow that. 

5. Try utmost to avoid any kind of bite, scratch, lick on your injured/broken skin or on fresh cut on your skin unless this quarantine period is completed or over and you have completed its all possible immunizations including anti rabies vaccine.

6. An adopted stray dog or cat may have many complications and weakness regarding its health. Handle it delicately along with all possible personal health care measures as said above to treat it, so that it can survive and grow for a full health. 

7. Complete its all possible vaccinations under indian standard in healthy clinical condition from your veterinarian.

Lastly I wish a better and healthy life for your adopted pet. Just follow these basics and go ahead. No adverse consequence will perturb you thereafter.

3 people found this helpful

Hello, my wife is a student of BAMS MD (Anastasia) so she has to attend 4-5 surgeries daily. We are planning for a baby is there any problem due to presence of formalin or other disinfectant present in O T to the development of foods and precaution could be taken to avoid any problem I would like to know what female surgeons take precautions during their pregnancy? Thank you.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
Hello, my wife is a student of BAMS MD (Anastasia) so she has to attend 4-5 surgeries daily. We are planning for a ba...
Don't worry bro, As your wife is post graduate doctor, She will definately take all the necessary precautions. OT is the most hyeginic unit of any hospital, so have no worries. A healthy diet, regular drinking of milk, intake of seasonal fresh fruits will be helpful. please remember Only thing she will need alot is a good moral support of yours during these period of 1 year. Congratulations and good luck.
1 person found this helpful
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Natural Cycle IVF

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Delhi
Natural Cycle IVF

Natural Cycle IVF

  • What is natural cycle IVF?

Natural cycle IVF involves collecting and fertilising the one egg that you release during your normal monthly cycle. No fertility drugs are used in this treatment.

  • Is natural cycle IVF for me?

It may be worth discussing this treatment option with your clinician if your periods are fairly regular and you are ovulating normally, but:

you are unable to take fertility drugs (for example, cancer patients or those whose clinician has suggested that they are at risk of OHSS “ ovarian hyper-stimulation “ a dangerous over-reaction to fertility drugs) because for personal or religious beliefs you do not wish to have surplus eggs or embryos destroyed or stored.

  • How does natural cycle IVF work?

The treatment is the same as conventional IVF, but without the fertility drugs that are used to stop natural egg production and hormones that boost the supply of eggs.

As your ovaries are’nt being artificially stimulated, you don’t need to rest as you would after conventional IVF.

If your treatment is unsuccessful, you can try again sooner if you wish.

3 people found this helpful

All test done and are normal. Still not pregnant. We are trying from 1 and half years. Is it safe to use ttc kit and try it?

Advanced Aesthetics
Ayurveda, Gulbarga
All test done and are normal. Still not pregnant. We are trying from 1 and half years. Is it safe to use ttc kit and ...
If you and your partner are planning to conceive, you should start taking folic acid before you get pregnant. Folic acid helps to provide the best health outcomes for your baby when it is growing. Taking folic acid daily before and during pregnancy also prevents the occurrence of neural tube defects, such as spina bifida, in your baby. You’re most likely to get pregnant if you have sex within a day or so of ovulation (releasing an egg from the ovary). This is usually about 14 days after the first day of your last period. An egg lives for about 12-24 hours after it’s released. For pregnancy to happen, the egg must be fertilised by a sperm within this time. If you want to get pregnant, having sex every couple of days will mean there’s always sperm waiting in the fallopian tubes to meet the egg when it’s released. any querries consult privetly
2 people found this helpful
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my last lmp was on 29 july 2015. after the three test from prega news it was shows negative. What is the cause of missing period?

BHMS
Homeopath, Faridabad
my last lmp was on 29 july 2015. after the three test from prega news it was shows negative. What is the cause of mis...
Hello, If a female with normal cycle of 28days of menses will be having ovulation period at around 14th day of the cycle. So, 3-4 days before and after this 14th day is supposed to be the period (mid-cycle) when the chances of getting pregnant are high! And rest of the days are safe when the chances of getting pregnant are less or remote. Pregnancy test come positive only after over 1week of the expected next date of menses. What is the normal menstrual cycle in your case? And is this happening for the first time? As there are many causes of irregular menses apart from pregnancy like nutritional deficiency, PCOS, stress/ tension, excessive exertion, any other or recent medical condition, side effect of any medication, hormonal imbalance, etc. So, we need to rule out any causative factor. Medication: Take homoeopathic medication for your irregular menses – Schwabe's Pulsatilla 200/ once daily for 10 days (not to take during menstrual flow), Schwabe's Five Phos. And Alfaalfa Tonic – both thrice daily for 1 month. There after revert me back..take care.
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PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Ayurvedic Pregnancy Strategies

There are 10 classic strategies to be used during pregnancy that can support the health and well-being of mom and baby, and keep the prana and apana vata in balance.
1. Favor Your Cravings. The most important advice is to eat what you naturally desire. Follow a well-balanced diet, with meals including adequate amounts of protein, healthy starch and veggies. Remember, you are eating for two body types, so you should not follow a strict diet for one body type. Honor your unique cravings in moderation, especially after the fourth month when the cravings you experience are more likely those of the baby.
2. Balance Vata. The major theme during pregnancy is to balance vata, the energy of the nervous system. This is best done with a diet of fresh, plant-based, whole or sprouted grains and non-processed foods. Warm, freshly cooked foods with healthy oils of olive, ghee and coconut are good. Avoid eating leftovers as much as possible.
3. Foods to Avoid:
Hot spicy foods
Uncooked leafy greens – as they can cause gas.
Undercooked beans and lentils – which can also cause gas.
Artificial flavors, preservatives and chemical additives
4. Enjoy These Three Tastes. The three tastes that balance vata are sweet, sour and salty. During pregnancy the sweet taste should be most emphasized, because it is the most sattvic or wholesome for the baby. This includes sprouted breads or those cooked without oils, whole grains, rice, fruits and healthy starches like sweet potatoes, quinoa, cooked beets and carrots. These foods are emphasized on the Winter Grocery List.
5. The Right Milk Does a Baby Good. Drink warm, vat-pasteurized (heated under 135 degrees F), non-homogenized milk with ghee made from grass-fed cows. One cup of warm milk with a teaspoon of ghee twice a day is said to boost immunity and the complexion, or “ojas,” of the baby.
6. Daily Massage with an Ayurvedic Herbalized Massage Oil. These oils feed the microbiology on the skin, as well as calm the skin-based sensory nervous system of the mom. The calmer the mom, the calmer the baby. This can be self-massage, or an opportunity to get massaged by a loving partner. Gently massage the abdomen and, in the 8th and 9th months, spend extra time on the nipples to prepare for nursing.
7. Five Tips to Conquer Morning Sickness:
1. Roast cardamom seeds, powder them and eat a small pinch through the day.
2. Snack on dry crackers or toast. It helps to always keep a little food in the stomach.
3. Temporarily eat from the Spring Grocery List or Kapha-Reducing Diet.
4. Sip tea made of 1/4 tsp. ginger powder and/or fennel seeds and hot water.
5. Try sleeping in a semi-reclined position by putting a pillow between the box spring and the mattress.
8. Get Gentle Daily Exercise. A great way to get this is to walk for 30 minutes each day.
9. Rest Up. In the 8th month, you should get as much rest as possible. This is a delicate time when the subtle nutrient fluid called “ojas” that supports vitality, complexion and immunity is passed between the mother and baby.
10. The MOST important pregnancy principle is to remember to be happy. The partner’s job during this time is to keep the mama-to-be happy. Of course, the mom must practice daily acts of happiness as well. The partner should avoid travel, be home in the evenings and fulfill every desire of the mother-to-be.
3 people found this helpful

Meri wife 5 months ki pregnant h.kal se use suddenly pet me bohot pain ho raha h. Kiu?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Meri wife 5 months ki pregnant h.kal se use suddenly pet me bohot pain ho raha h. Kiu?
Hi Manash, their are multiple reasons for having pain in lower abdomen, it could be due to some infection or ovarian pathology or appendicitis. It could be sign of early abortion.
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If I have regular periods then there is any chance that am pregnant amd even if I checked it but the result showed negative.

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
If I have regular periods then there is any chance that am pregnant amd even if I checked it but the result showed ne...
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 during the fertility period of the woman. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Her egg and your sperm cells should be healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Semen do not pass through clothes to make pregnancy. Sex during periods do not cause pregnancy. In the given case, there are less chances of pregnancy. Take care.
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I had ectopic pregnancy last September 2015. Hsg show my both tube open. We have been trying for baby last 6 month. N 2 iui cycle not succeed. Doctor advise me for laparoscopic surgery for seeing is there any infection in tubes. Pls suggest me other alternative except ivf n laparoscopy.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I had ectopic pregnancy last September 2015. Hsg show my both tube open. We have been trying for baby last 6 month. N...
Hi, HSG will only show whether tunes are open anatomically.But whether it is functional. that is whether there is motility to catch the egg and transport the embryo back to the uterus can be checked only by seeing which means visualizing thro laparoscopy.In that also even if the tube shows motility it does not guarantee that it can catch the embryo which nobody can say.But atleast we can rule out if the tube are plastered and not moving or adhesions are there then there is no point in trying and ivf is the only solution. To come to that clarity it will be helpful.Also if there are minor adhesions it can be released. In any way laparoscopy will be helpful. But you can try few more iui cycles in a good center before going in for lap.
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I am 36 yrs old/ 10yrs married still have not got pregnant, I have undergone treatment also I have done 5 IUI & 2 IVF but resulting negative. I have thyroid & PCOD having medication. Is their still hope for me to get pregnant?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 36 yrs old/ 10yrs married  still have not got pregnant, I have  undergone treatment also I have done 5 IUI & 2 I...
Yes there is. You should never lose hope. If you can afford I would suggest you can try a third cycle of ivf and see if that works. Also important is to understand why ivf cycles have been failing.
1 person found this helpful
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Hi I am 27 years old. I am suffering from irregular periods. I get my periods sometimes after 3, 4 months. I have tried medicines. But when I stop same thing happen. What is the permanent solution?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic treatment pulsatilla nig 30 (dr. Reckeweg) drink 5 drop in 1 spoon fresh water 3 times daily mensoaid syrup (bakson) take 2 spoons twice daily ferrum sip (sbl) take 2 spoons daily report after 3 months take iron rich diet like apple, pomegranate, papaya, cucumber.
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Nutrition of a Hard-Boiled Egg Vs. a Fried Egg

BHMS
Homeopath, Sindhudurg
Nutrition of a Hard-Boiled Egg Vs. a Fried Egg

Whether you're looking for a quick and healthy staple for breakfast, a snack to get you through the day, or simply a slightly unconventional dinner, eggs can be a nutritious addition to your diet. An inexpensive source of protein, eggs also provide vitamin a, iron and selenium. The way you prepare an egg affects its calorie and fat content, but most of the nutritional value are retained.

Preparation

A hard-boiled egg is cooked by placing an egg, shell and all, in boiling water for about 14 minutes, or until the yolk and whites are firm. Hard-boiled eggs may be eaten alone, chopped and made into an egg salad or used as a topping on green salads or soups. Fried eggs are prepared by cracking a whole egg into some sort of fat--butter, bacon grease or vegetable oil. The egg may be cooked through by basting it with the fat in the pan, or flipped to brown it on both sides.

Calories and fat

One hard-boiled egg has 77 calories while a fried egg has 90 calories. A hard-boiled egg provides 5 grams of fat, 2 grams of which are saturated. A fried egg cooked in vegetable oil provides 7 grams of fat with 2 grams saturated. Using saturated fat to cook the egg, such as butter or bacon grease, will increase the saturated fat content of the egg as well.

Additional nutrition

Both egg preparations provide 6 grams of protein. A fried egg is slightly higher in iron, with 5 percent of the recommended dietary allowance, versus 3 percent for a hard-boiled egg, based on a 2, 000-calorie diet. Either egg preparation provides between 2 and 3 percent of the rda for calcium and 10 percent for phosphorus -- two minerals important for healthy bones -- as well as 14 percent for riboflavin and 11 percent for vitamin b-12. Both hard-boiled and fried eggs contain 22 percent of the rda for the trace mineral selenium, which acts as an antioxidant to scavenge disease-causing free radicals.

Cholesterol

An egg contains about 210 milligrams of cholesterol, regardless of whether you fry or hard-boil it. The American heart association advices limiting cholesterol intake to 300 mg or less daily. One fried or hard-boiled egg may fit into a heart-healthy diet, if you limit other sources of cholesterol on days you choose to eat a fried or hard-boiled egg.
 

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Dear Doctor we are newly married couple now my wife medical report said she is having Thyroid TSH E411 8.52 which is high also she have Bilateral Polycystic Ovaries kindly clear our doubt this will not prevent her from pregnancy if taking medicine will she get pregnant- Please Clarify.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Dear Doctor we are newly married couple now my wife medical report said she is having Thyroid TSH E411 8.52 which is ...
Many women with PCOS and thyroid don€™t conceive even after trying to conceive for years. It means their ovaries not functioning properly and eggs are not maturing. In the absence of an egg, conception wouldn’t take place. They feel like they never conceive. Eating the junk foods is the characteristic of modern lifestyle. So we are predominantly taking sugars and carbohydrates. Our intake of vegetables, fruits and proteins is very limited. Excess intake of sugars and carbohydrates disturbing hormonal balance and therefore it is affecting endocrine system. PCOS and thyroid is a problem of a damaging endocrine system. It is, therefore, a wake-up call that something is going wrong in your body. If you can wake-up and take corrective measures, you can fix this problem. PCOS and thyroid are apparently two diseases. But their root problem is same. As an analogy, they are two branches of the same tree. The root cause of these diseases are insulin resistance, chronic inflammation and weakening immunity system. Because of this, both PCOS and thyroid share certain common symptoms and include; Anovulation Insulin resistance High cholesterol levels Irregular or heavy periods Weight gain Hair loss Ovarian cysts. Three step system to treat PCOS and thyroid and get pregnant: Step one: Avoid worst foods Step two: Eat plenty of non-starchy vegetables and fruits and proteins Step three: Practice strength training and Yoga.
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Hello doctor, 1 month before I got family planning surgery and now i'm alright. But I want some suggestions and precautions about this surgery. So please give some tips.

MBBS
Sexologist, Panchkula
Hello doctor, 1 month before I got family planning surgery and now i'm alright. But I want some suggestions and preca...
There are no specific precautions. But take proper balanced vegetarian diet. Take lots of water and fluids. Do meditation for mental strength.
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Hello I am having irregular periods from last 4-5 months. Menstrual are getting delayed. And once it starts bleeding does not stop. Currently I am taking SYLATE T to stop bleeding. My thyroid and sonography reports are normal Please suggest.

BHMS
Homeopath, Faridabad
Hello

I am having irregular periods from last 4-5 months.
Menstrual are getting delayed. And once it starts bleeding...
Hi. Start taking Calcium and Iron tablets (either Centrum for women or Revital for women or else Supradyn)/ 1 tab. for 3 months only. Along with that, prescribing you homoeopathic Rx - Hamamelis Q/ 10drops in 1/2 cup of lukewarm water/ 2 hrly during menses and get back to me with details.
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Ayurveda Treatment

BAMS, MD - Ayurveda
Ayurveda, Navi Mumbai
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Panchakarma Therapy: Effective treatment to overcome common diseases!

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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.

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