### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I have had problems with my cycles since Ive had them. During high school I was exercising 6+ hours a day so was told it was normal to not have periods regularly given my level of activity but the the 3 or 4 times a year I did have them they were awful. As I gradually decreases my physical activity my cycles became more consistent but not any less painful. Ive passed-out and thrown-up and been unable to move for days because of pain (and I was a ballet dancer and danced in wooden shoes on broken toes, so Im not a baby when it comes to pain). At age 22 I went on birth control and more or less my cycles have been regular and the pain has varried but never as bad as it used to be. Im not 29, married and would like to get pregnant. I went off birth control the beginning of January and have only just started my second period. The first time there were 36 days and this time it was 49 days. The first was ok but Im on day two of this period and its getting bad. I guess what I want is advise. Is it smart to put my body through this? What are my chances of getting pregnant? Is there any natural type remedy that will make my cycles easier? etc. All the information you can give me would be good.

### output:

Hi, I think you should go for evaluation first.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  If any problem is there, it can be treated. You can conceive., but you may need some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope this helps. Regards Chat Doctor. 