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Irregular Menstrual Cycle Can It Be Depression ?

Amongst many causes of amenorrhoea (missing periods) and irregular menstrual cycles in young females psychiatric disorders like depression, chronic anxiety or schizophrenia should also be kept in mind.

All these disorders themselves and the medicines used for their management have as adverse effect on menstrual cycle.

The antipsychotic and antidepressant medicines enhance the common side effects of oral contraceptives used in these patients for inducing withdrawal bleeding.

The best management of drug-induced amenorrhoea is to wait and watch for the body to adjust to the medicines and for the natural cycle to start all by itself. A slight adjustment of the dose of these medicines at times is also helpful.

In all cases of infertility and menstrual disturbances before proceeding with costly and cumbersome investigations a psychiatric illness or drug use should be ruled out.

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