What does delayed period, low values of hemoglobin, MCV, PCV, MCH, and retroverted uterus indicate?

Question

Hello doctor,

I am 35 years old, and my period is delayed by two months. My Hb count is 10 g/dL, and MCV, PCV, and MCH are low. My pelvic ultrasound showed a bulky retroverted uterus. When can my period start, and is everything fine?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Sometimes the body gets affected by illnesses like overwork, medications like hormones or treatment drugs, and circumstances like sudden weight gain or weight loss, stress, or anxiety. Like in any of the above cases, periods can be irregular to maintain body hemostasis. Like if previously you had heavy periods due to reasons, this time it will be less or delayed, but this could be pathological as well sometimes.

You have some features of hypochromic microcytic anemia, but have not described your detailed gynecological, medical, surgical, and drug history. Have a strict check on any health issue you may have and take complete regular treatment.

1. Have a healthy diet with less salt, sugar, oil, and spice.

2. Have iron supplements with a general physician's consultation.

3. Have a blood pregnancy test (serum beta hCG). If the report comes back negative, you can either wait for normal cycles or have hormonal induction through the tablet Primolut-N 10 mg twice daily for seven days. However, please consult a physician, discuss it with them and start taking the medications with their consent.

Observe the regularity of your cycles in the future. For example, if there are changes in weight or any abnormal hair growth with or without scanty irregular periods, it could be the symptoms of PCOS (polycystic ovarian syndrome). Then you will need a transvaginal scan and serum sex hormones on day two of your menstrual cycle.

Hope this helps.

Thank you and take care.