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PMS and delayed period

Dear Doctor,

We are a couple aged 32 and 35 years and we have a 6 year old daughter.

We have been trying for a second child for two years with no success.

Apart from that I have been having severe to moderate PMS symptoms like breast tenderness, frequent urination - bladder feels over stretched, bloating, fatigue about one - two weeks before my period and my period stays reglar in some months and keeps moving some days. So my longest cycle has been 40 days while shortest has been 29 days and average cycle lenght generally is 32 days.

The no. of symptoms have reduced and I am just left with the above mentioned. But I never hve had these all my life. Also my sonography showed cysts on my ovaries. Various doctors have had various theories some say nothing to worry some say PCOS.

I have had cysts in the past and thse went away when I had my first pregnancy.

I have been put on clomid for 4 months last year along with progesterone suppsotories and some other medications, I was irritated taking medicines all the time so I stopped. Then I was prescribed Glucophage which I did take for 5 months but I was severly constipated an dhence stopped this.

My Husband Has a sperm count of 18 million and variocele which the urologist says is mild and we do not want to under go any operative measures.

Please advuce as I am really upset, confused and not knowing what to do?


patient for advice
  Rhea2002 on 2009-03-29
This is just a forum. Assume posts are not from medical professionals.
Since I have been reading various posts I gather you would require the following information:

Could you please provide the following information for selection of proper medicine?
Patient ID:
Sex: Female
Age: 32 years
Nature of work: Sedentary/office
Habits: a glass alcohol (beer/ wine) once a week

Describe your main suffering and from how long?
I have been suffering from PCOS and PMS symptoms (breast tenderness, bloating in abdomen, cramping, dizziness and nausea - prior to my period for about two years)

Exact location of problem?
Ovaries and Hormones

Any cause which you feel for this ailment?
None that could be traced from the tests

What other physical sufferings do you have in your body?
Dry hands and feet

What mental sufferings / feelings do you have associated with your physical sufferings?
Frustration and helplessness as my daughter longs for a sibling and I cannot do anything about it.

When did it all start?
September 2007

What are the things which aggravate or ameliorate your suffering?
Before my period, my symptoms are worse and tone down on the onset of my period.

When do you feel better, during hot weather or cold weather, humid or dry weather?
Cool weather makes me feel better not hot or cold but humid weather makes it worse

What do you crave for in food items and what are your aversions?
I crave for just good food; I do not have particular cravings or aversions.

How is your thirst: Less, Normal or Excessive?

How if your hunger: Less, Normal or Excessive?
Normal but gets excessive before period

How is your bowel movement and stool type (Constipation etc.)?
Normal and soft

How sleep, how are your dreams?
I sleep well if not interrupted. I have a host of dreams that I do not remember

Do you have any strange, peculiar or unusual symptom or feelings?
Not other than what I have mentioned

What medicines have been taken earlier?
Clomid from June 2008 to August 2008 -3 cycles
Glucophage -Sept 2008 to Dec 2008

How do you look like (Appearance (fat, thin, smart, tall, lean etc)?
I look lean, tall and smart.

If your are female how is your menstrual cycles and from how long (normal, irregular, painful, clotted, colour etc.)
My menstrual cycles and normal I feel ranging from 32-35 days average. While in one instance it was 40 days and another as early as 29 days.
The flow is the same as in years 5 days with heavy bleeding only on second day.

Family history - What major diseases are running in your family?
Blood pressure – my Dad has had it for 30 odd years

Any other information
Rhea2002 last decade
1. please describe your exact symptoms / sensations with location and modalities.

2. please describe your nature and personality.

3. what are your other ailments in the mental or physical side.
rishimba last decade
1.please describe your exact symptoms / sensations with location and modalities.
My Exact symptoms prior to my period for 1-2 weeks

Breast tenderness - breast are tender in the morning when I get up and tender to touch especially the nipples in the evening. This stops when my period starts.

Bloating - again for a similar period, I feel terribly hungry and when I eat I get burps in a couple of hours and feel my stomach is bloated.

Frequent urination: For 3-4 days I experience frequent urination, every hour and even after urinating the bladder feels full and stretched.

2. please describe your nature and personality.
I am happy when I want to be, quite stubobrn and imopssible at times. I can get worked up when I get stressed. I can have a short temper.

3. what are your other ailments in the mental or physical side.
Dandruff of scalp and hair loss but growth is also okay so on the whole not too troubled
Rhea2002 last decade
please take 4 doses of LACHESIS 30C on the day you feel the worst before your periods. take it every 4 hours.

note the changes for the next 10 days and then we will decide the next course of action.
rishimba last decade

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