1. COMMON QUERIES IN GYNAECOLOGY BY MY GYNAEC WORLD www.mygynaecworld.com

2. Missed Periods-Is It Because of PCOS or Unwanted Pregnancy
Two most important reasons for delay in getting periods
- PCOS (Polycystic Ovarian Syndrome-A hormonal imbalance disorder)
- Unwanted pregnancy

3. Why Should The Period Miss
-Changing lifestyle, dietary patterns.
-Increased stress levels-education, career, relationship status
-Emergency contraceptive pill

4. How To Diagnose
-Pregnancy test in urine
- Serum Beta HCG
-USG

5. Withdrawal bleeding with Progesterones
Short protocol-
Medroxyprogesterone Acetate
Norethisterone
Long protocol-
Oral contraceptive pills
- Levonorgesterel .15 mg
-Ethinyl Estradiol .03 mg

6. Postponement of Menses
-History taking of menses and contraception
-Ovral L vs Ovral G ( Norgestrel 0.5 mg +EE 0.05mg)
-Counsel for next cycle
-Drugs- Medroxyprogesterone Acetate, Norethisterone
Preponement of menses- fact or myth

7. THANK YOU