Our expert says:
There are two pertinent issues regarding your problem. The first is the problem of the initial menstrual irregularity, which has supposedly normalized. The second problem is that of the associated symptoms such as pain, breast tenderness and nausea which accompanies your cycle. Each problem has it’s own possible problems and need to be dealt with independently. One has to seriously consider the possibility of late onset polycystic ovary syndrome, which may have been responsible for the irregular cycles initially. The fact that your cycles have normalized does not imply that you are getting better and in some cases may actually be indication of increased severity. I agree that ovulation is certainly a problem and needs to be further evaluated. You check this by yourself by using the home ovulation testing kits such as Clearplan and if used properly one can establish a pattern over several months. The other problem regarding the pain is more than likely related to a structural problem in your pelvis either a change in your womb or the presence of endometriosis. This should be assessed by means of laparoscopy and can be done in a government hospital. Ideally you should be seeing a fertility specialist even if it is at a government institution.
Answered by: Dr M.I. Cassim
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