Conversation: The conversation between human and AI assistant.
[|Human|] i had iud removed within 2 months of insertion due to prolonged bleeding of 40 days.with next cycle i has to use i pill. Following that i had to use tid norethisterone due to heavy bleed.now i am have no period past 4 months. I have been feeding my 14 m baby only nights. Please help me. Does it affect my fertility
[|AI|]  HelloThanks for writing to us with your health concern. Absence of periods can affect your fertility. You need to see a gynecologist. Firstly have a pelvic ultrasound scan done transvaginally. This will assess the status of the endometrium. Also get following blood measurements done - FSH, LH, TSH, Prolactin, OG TT, Lipid Profile, RHEAS, free testosterone, AMH. It is wise to have endometrial biopsy also and to rule out tuberculosis if you are living in an endemic country. Absent period could be due to various reasons - you need to have an evaluation. Take care.