Hello,

Thanks for your query at DoctorSpring. I have gone through your reports.

Bleeding that goes on for 60 days at a stretch should definitely be investigated. You need to consult a Gynecologist straight away.

I suspect that it is the PCOD that is responsible for this situation. In PCOD, due to hormonal imbalance, the uterine lining does not get shed off regularly, and it builds up, then sheds erratically leading to such bleeding pattern.

This is called endometrial hyperplasia ( thickening of the lining of the uterus ), commonly seen hand in hand with PCOD. Of course, anxiety, stress, being on birth control or other hormonal medications etc. are common reasons.
Your thyroid functions are normal, so that is ruled out.

Apart from the tests done, I suggest -
1. Pelvic ultrasound done transvaginally.
2. Thorough internal per vaginam and per speculum check up by a gynecologist.
3. PCOD panel - FSH, LH, DHEAS, free testosterone, Fasting serum insulin
4. Proper glucose tolerance test ( as your average blood glucose and HBA1C are raised )
5. Gradual and sincere weight loss programme
6. Vitamin D supplements as you are deficient.

You might need cyclical progesterone every month regularly to stabilize your cycles.

Please do get back once the necessary evaluation is done. I would be happy to clear any further doubts if you have them.
All the best.