Hello,

Thanks for writing to us. I am trying to solve your problem.

First of all, you got withdrawal bleeding (similar to period) on 6th February after stop taking the birth control pill. It is not your actual period date that should be counted for next cycle. But your upcoming period may be delayed due to effect of the pill associated with hormonal imbalance. 1-7 days period due date alteration is normal thing.

It is generally seen that period is delayed by 7-10 days in case of sudden stop taking the pill. If you get missed period more than 10 days, then you may need to consult with gynecologist for further investigation.

Secondly, according to expected due date, you ovulated around 8th February and fertile days were 6th-11th February. So, chance of pregnancy is there if you were involved in unprotected sex. Early pregnancy test is less significant. In general, home pregnancy test gives 95% positive result around period due date or 2 weeks following ovulation. 96-99% positive result is achieved 7 days after due date.

Therefore, I suggest you to wait at least 7 days from due date for getting period and if you do not get it, you must undergo one home pregnancy test with urine or blood test for beta-HCG to confirm/ exclude pregnancy.

Otherwise, your clinical features are mostly suggestive of Pre Menstrual Syndrome (PMS). It has several symptoms and includes abdominal bloating, breast tenderness, weight gain, headache, anxiety/ depression, mood swing, fatigue, dyspareunia, increased appetite, irritability etc. Tender breast is due to the effect of progesterone hormone in luteal phase. PMS is a good sign for ovulatory cycle and indicates to get period shortly.

In exclusion of pregnancy, do the following things to avoid PMS:

1) Avoid salty/ spicy/ junk food/coffee in 2nd half of period. Keep bowel habit regular.
2) Avoid stress/ anxiety/ emotional upset by yoga/ regular XXXXXXX breathing.
3) Control body weight by regular physical exercise (if you are not pregnant).
4) Take healthy diet with more vegetables & drink plenty of water or juice.
5) Use anti depressant medication like fluoxetine to elevate mood & sleep.
6) For breast discomfort, take prime XXXXXXX capsule & wear tight breast support.
7) May need OCP/ Progesterone pill to prevent above symptoms from next cycles.
8) Maintain personal hygiene and need proper sleeping with more relaxing way.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your good health and practice safe or protected sex in future to avoid unwanted pregnancy.

Regards,
Dr Soumen

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Hello,

Thanks for follow up query.

PMS can only be ruled out after exclusion of pregnancy. According to your ovulation date, your expected due date is around 22nd-24th February. Around due date, positive pregnancy test is achieved only in 95% cases.

Therefore, I suggest you to wait at least one week before proceeding to next pregnancy test by doing blood test for beta HCG (more confirmatory).

In addition, if you still not get your period even after 10 days with exclusion of pregnancy, you have to undergo other investigation like ultrasound scan, complete hormonal assay, blood sugar, thyroid profile etc to rule out causative factors.

In the interim, you follow suggestive measures (described in previous reply) to get some relief. Breast tenderness is due to progesterone hormone. Wearing tight breast support & taking prime XXXXXXX capsule can give some comfort.

If you do not have any clarifications, you can close the discussion and rate the answer.

Take care yourself.

Regards,
Dr Soumen

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