Hello,

Thanks for writing to us.

The very first thing, you need to undergo one blood test for beta-hCG to rule out late conception. It is more confirmatory than usual home pregnancy test.

In absence of pregnancy, there are some other reasons which are associated with above said clinical features like hormonal ups & downs (in perimenopausal age), mental stress/ depression, existing ovarian cyst, hypothyroid state, over weight/ rapid loss, improper diet habit, pelvic infection, certain medication etc.

Some basic investigations are required under the guidance of your gynecologist to identify the possible causes in the absence of pregnancy. Here, you would need a complete health check up along with pelvic ultrasound scan, complete hormone assay, test for ovarian reserve, blood sugar & prolactin level etc to pin point the diagnosis.

Proper treatment can only be made after diagnosis of the case. You may require hormonal medication with other supportive therapy. Therefore, I suggest to consult with your gynecologist at the earliest for complete evaluation.

Till then, you can do the following things:

1) Take healthy diet with low carbohydrate & more vegetables. Avoid all junk/ fast/ spicy food stuffs. Control body weight.

2) Try to avoid stress/ depression (it has great impact on delaying period) by yoga or meditation or deep breathing exercise (15-20 minutes) regularly.

3) Iron supplements may be needed. Drink plenty of water/ fluid and always take sound sleep.

Hope, I have answered your query. Let me know if you need clarifications or have any other query.

Wish your good health and take care yourself.

Regards,
Dr Soumen.

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Hello,

Thanks for your follow up query with additional information.

Hormonal disturbance has significant role during perimenopausal age, leading to irregular cycle in association with other factors. Menopausal change does not occur so abruptly, but it occurs gradually over the time period. These may be some signs of early stage.

However, I recommend to undergo blood test for beta-hCG to rule out possible pregnancy at the earliest. It is more confirmatory.

In absence of pregnancy, some other investigations (as mentioned earlier) are needed to carry out under the guidance of gynecologist to diagnose the case properly. Take suggestive treatment according to test reports.

Hope, it helps for your understanding. If you do not need any clarification, you can close the discussion.

Take care yourself. Good luck.

Regards,
Dr Soumen

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