Brief Answer:
Please get further evaluation.

Detailed Answer:
Hi,

Thanks for sharing your health concern with us.

I have gone through your query and would like to offer some information.

If you have done the pregnancy test soon after the period, you are not likely to get a positive result even if you have conceived because of the low hormone levels in the urine. Instead, you can go for the blood test which is highly sensitive.

Alternatively, you can repeat the urine HPT with a fresh early morning sample now, i.e., a week after the period. This can be supported by a trans-vaginal/pelvic sonogram for further clarification.

Scanty menstruation at the time of the expected period can be seen with an implantation bleed. So, I suggest clarification of the conception status through testing.

I would also ask you to go for clinical assistance if you fail to conceive in 3-6 months in view of your age where the ovarian reserve is limited and hence one cannot afford to waste precious ova.

Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Detailed below.

Detailed Answer:
Hi,

Thanks for writing back.

Until you get proper clarification through evaluation as mentioned, yes, there is a probability of conception.

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

regards,
Shanti.V.

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Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for writing in again.

Please do not worry. Let the investigation be done. Your condition is more likely to be a transient hormone imbalance if pregnancy is excluded. Early menopause is suspected with positive family history and conditions that could precipitate like a history of some pelvic surgery etc. This is very unlikely.

Hope this helps.

Regards,
Shanti.V

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Brief Answer:
Please complete the investigations.

Detailed Answer:
Hi,

Thanks for writing again.

There is no need to worry about an early menopause in the current scenario. Please get the investigations done. Further management can be planned accordingly.

Try to improve your diet and fluid intake. Tiredness can be due to several causes like anemia, hypoglycemia, thyroid disorders, protein deficiencies etc., apart from pregnancy.

Do not stress. Let the reports come.

Wish you good health.

Hope your query has been clarified. Please feel free to contact for any more help.

regards,
Shanti.V.

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Brief Answer:
Detailed below.

Detailed Answer:
Hi,

Thanks for writing again.

I am very sorry for not being able to reply earlier.

Scanty menstruation does not rule out ovulation. However, as I mentioned earlier, it can be seen more commonly in hormone disruption when the endometrial preparation is lesser than normal or when there is an implantation bleeding. In the latter case, you should have a positive pregnancy test by now. A trans vaginal sonogram is a better way of clarification than repeated urine tests in the current scenario. Further management can be planned accordingly.

Hope this helps.

regards,
Shanti.V.

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