HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

My Last Menstrual Date Was Nov 1 .I Missed My

Posted on Tue, 28 Jan 2020

Question: My last menstrual date was Nov 1 .I missed my periods twice. I have been doing regular athletic activities from mid nov and have been going through a lot of stress. Home pregnancy kit results were negative.what can I do ?

Answered by Dr. Shanti Vennam (53 minutes later)

Brief Answer:
Hormone imbalance is the most likely cause.

Detailed Answer:
Hi,

Thanks for sharing your health concern with us.

During heavy exercise and also during stress, hormone levels are disturbed. This can lead to irregular menstrual cycles.

Ofcourse, if you are sexually active simultaneously without protection, pregnancy must be excluded.

In the current scenario, I would suggest a proper clinical evaluation, a trans vaginal sonogram, blood counts and urinalysis. If everything is fine and pregnancy is excluded, you can use hormones to induce a period. A single course should be enough to set your cycles back on track.

Hope you find this information helpful. Please let me know if I can assist you further.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shanti Vennam (2 hours later)

Sample No: 0000 Collected On: 06/01/2020 18:18 Certified On: 06/01/2020 22:31
BIOCHEMISTRY
PROLACTIN 17.17 ng/mL 5.0-35.0
RANDOM BLOOD SUGAR 117 mg/dL 70.0-140.0
THYROID STIMULATING
HORMONE - TSH
2.47 uIU/ml 0.25-5.0
Entered By: TINTU Verified By: TINTU
HAEMATOLOGY
BLOOD ROUTINE
HEMOGLOBIN CONCENTRATION 13.1 gm/dl 13.0-17.5
TOTAL COUNT 7100 Cells/cumm 4000.0-10500.0
NEUTROPHILS 69.2 % 50.0-80.0
LYMPHOCYTES 25.4 % 20.0-40.0
EOSINOPHILS 1.8 % 2.0-8.0
MONOCYTES 3.0 % 2.0-10.0
BASOPHILS 0.6 % 0.0-1.0
OTHERS 00
E S R 07 mm/HR 3.0-20.0
PLATELET COUNT 278000 Cells/cumm 150000.0-400000.0
PACKED CELL VOLUME 39.3 % 36.0-54.0

This is my blood diagnosis results. Haven't done urine test. What test has to be done to rule out the possibility of pregnancy.Both blood and urine.

Answered by Dr. Shanti Vennam (23 minutes later)

Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for writing back.

Your blood counts are within normal range.

To detect pregnancy, you can get the home pregnancy test done using a fresh early morning sample of urine or get the estimation of serum beta-hCG titers. A trans-vaginal sonogram is of very good help for further clarification.

Hope this answers your query. Please let me know if I can assist you further.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Shanti Vennam (2 hours later)

I had already taken the home pregnancy test a couple of times.. there was only one line and was negative. The other line was slightly visible but not dark like the other the last time. Should I do urine test (hcg ) or is it just an irregular periods.. I have experienced irregularities even before

Answered by Dr. Shanti Vennam (1 hour later)

Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for writing again.

Though you have had irregular periods in the past, it is better to exclude any pelvic condition through the sonogram. If you want to exclude pregnancy conclusively, please go for the blood test.

To go for the induction of period, it is necessary to eliminate pregnancy and pelvic causes.

Hope this helps.

regards,
Shanti.V.

Above answer was peer-reviewed by : Dr. Yogesh D