Missing periods for two months with a negative pregnancy test can happen due to several reasons, including hormonal imbalances, stress, significant weight changes, thyroid problems, polycystic ovarian disease, or other medical conditions. It is essential to consult a gynaecologist for proper evaluation, which may include a physical examination, hormone level blood tests, and an ultrasound if needed. Based on the results, the doctor can guide you with an appropriate management plan to regulate your menstrual cycle and address any underlying causes.

Type 2 diabetes mellitus increases the risk of ischemic heart disease because high blood sugar over time can damage blood vessels and the nerves controlling the heart. Diabetes promotes atherosclerosis, in which plaque builds up in the arteries, reducing blood flow to the heart and increasing the risk of a heart attack. Additional factors common in type 2 diabetes, such as high blood pressure, high cholesterol, obesity, and insulin resistance, further elevate this risk. Managing blood sugar, blood pressure, cholesterol, weight, and lifestyle factors is essential to reduce the risk of ischemic heart disease in people with type 2 diabetes.

Increased thirst in type 2 diabetes may indicate high blood sugar and requires prompt attention. You should check your blood glucose levels regularly and consult your doctor to review your diabetes management plan. Meanwhile, stay well hydrated with water, avoid sugary drinks, maintain a balanced diet, and follow your prescribed medications. Persistent excessive thirst can signal poorly controlled diabetes or other complications, so timely medical review is essential to adjust treatment and prevent further health issues.

Polycystic ovarian disease (PCOD) is a hormonal disorder where the ovaries can develop multiple small cysts, often leading to irregular periods. It may also cause symptoms such as acne, excess hair growth, weight gain, and fertility issues. If left unmanaged, PCOD can increase the risk of long-term complications like insulin resistance, type 2 diabetes, or heart disease. Since the condition and symptoms vary from person to person, it is essential to consult a gynaecologist for proper evaluation, including blood tests and an ultrasound, so they can create a personalised management plan that may include lifestyle changes, hormonal or period-regulating medications, and ways to manage symptoms effectively.

Polycystic ovary syndrome (PCOS) can cause irregular periods due to hormonal imbalances and multiple small ovarian follicles. Over time, this can also affect fertility, weight, and increase the risk of insulin resistance or type 2 diabetes. Since you have had irregular periods for several years, it is essential to consult a gynaecologist for a thorough evaluation, which may include blood tests and an ultrasound. Based on the findings, the doctor can recommend a personalised management plan, which may include lifestyle changes, medications to regulate periods or hormones, and strategies to manage symptoms and prevent long-term complications.

Some Ayurvedic herbs, such as Gymnema sylvestre, Momordica charantia (bitter melon), Trigonella foenum-graecum (fenugreek), Tinospora cordifolia, Aegle marmelos, Nigella sativa, and Salacia reticulata, have shown potential to help manage blood sugar in type 2 diabetes. However, the quality of evidence varies, and improper use or relying solely on Ayurvedic remedies while delaying standard diabetes treatment may lead to uncontrolled blood sugar, increasing the risk of complications like kidney, eye, nerve, or heart problems. It is essential to consult an Ayurvedic practitioner or doctor familiar with diabetes before using herbal treatments and to monitor your blood sugar regularly to ensure safe and effective management.