If you have missed your period for four months, this could be due to several causes, including Polycystic Ovary Syndrome (PCOS), thyroid disorders, hormonal imbalances, significant stress, sudden weight changes, certain medications, or pregnancy. PCOS is a common cause and may also present with symptoms like irregular periods, acne, excess hair growth, or weight gain. Because the absence of menstruation for several months can indicate an underlying health issue, it is essential to consult a gynaecologist, who may recommend blood tests to evaluate hormone and thyroid levels, a pregnancy test, or an ultrasound to examine the ovaries and uterus, in order to identify the cause and plan appropriate management.

Breast cancer may present with several signs, including a lump or thickening in the breast or underarm, changes in breast size or shape, dimpling or puckering of the skin, nipple discharge or inversion, redness or scaling of the breast skin or nipple, and persistent breast pain. Early detection through regular self-examination and screening, such as mammography, improves outcomes. The treatment depends on the type, stage, and individual patient factors. It may include surgery, radiotherapy, chemotherapy, hormonal therapy, or targeted therapy. While some cases can be cured entirely, particularly when detected early, advanced breast cancer may require long-term management. Because symptoms can vary and treatment must be individualised, it is essential to consult an oncologist or healthcare provider for proper diagnosis, staging, and an appropriate treatment plan.

If you have an ovarian cyst and irregular periods, it is vital to see a gynaecologist or reproductive specialist for proper evaluation. Your doctor may perform a pelvic ultrasound to check the cyst and may order hormone tests to identify any underlying causes, like thyroid problems or high prolactin. Many ovarian cysts are harmless and may go away on their own, so sometimes watchful waiting is recommended, which means regular check-ups and ultrasounds to monitor the cyst and any symptoms. If the cyst is significant, persistent, or causing pain, your doctor may suggest treatment options such as hormonal therapy to regulate periods or, in some cases, surgery. Regular follow-up ensures safe and effective management.

PCOD is not immediately life-threatening, but it is a chronic hormonal condition that can have long-term health implications if not managed properly. It can cause irregular periods, infertility, weight gain, excess hair growth, and acne. More importantly, it increases the risk of type 2 diabetes, high cholesterol, high blood pressure, heart disease, and endometrial (uterine) cancer. Early diagnosis, lifestyle management, and regular medical follow-up can help control symptoms and reduce complications, so it should be taken seriously and managed under a doctor's guidance.

Multi-follicular ovaries are usually a harmless finding on ultrasound, but in some women, they can be associated with mild hormonal changes that affect ovulation and cause irregular periods. These changes are typically different from polycystic ovary syndrome (PCOS), and the effect on menstrual cycles can vary between individuals. The best approach is to consult a gynaecologist or reproductive specialist, who can evaluate hormone levels, rule out other causes like thyroid issues or high prolactin, and suggest safe ways to regulate periods if needed. Lifestyle measures such as maintaining a healthy weight and regular exercise can also help support menstrual regularity.

Irregular periods can have various causes, including Polycystic Ovary Syndrome (PCOS), thyroid disorders, stress, significant weight changes, certain medications, or pregnancy. Because the exact cause can vary from person to person, it is essential to consult a doctor for proper evaluation, diagnosis, and appropriate medical treatment.