instruction: hello doctor I am a teenager and I got periods five and a half years back in the start they were irregular I took medicines for 21 days and I got my periods after a month but as soon as I left them after three months my periods became irregular then for some time I did not take any medicine but still my periods were irregular I used to get two to three menses in a month I got very sick and anemic I stayed in the hospital for three days where I was given intravenous iron treatment three bottles I had regular periods after that for a year or less but my doctor told me to consult a specialist after that they were again irregular and then I had them for five months without stopping I have taken many medicines but all in vain it has been five years and my periods are irregular still I have got two menses in this month I have become so skinny and my weight has not increased for the last five years I will be very grateful if you suggest me something to get better my ultrasound results do not have any problem
output: hello I understand you are deeply troubled by your menstrual cycles heavy and frequent bleeding as you suggested will cause anemia and weakness and needs to be treated on the other hand if periods are infrequent and less flow you can treat it without medications too in your case your mi body mass index is very low which is not healthy at all first you need to eat healthily include lots of proteins and lots of iron rich foods in your diet secondly the cause of this bleeding is a hormonal imbalance which usually gets better as you move on to your 20s meanwhile you will have to take hormonal tablets regularly for at least one to two years at a go without changing the medications I hope this helps