What Causes Lack Of Menstruation And Spotting?

Posted on Sat, 10 Jan 2015

Question: Hi I have not had my period since November 1st. I took a pregnanancy test on 12/11 and it was negative.have been spotting on and off for 16days since 10/30

Answered by Dr. Sameer Kumar (9 minutes later)

Brief Answer:
irregular shedding , possibly progesterone deficiency

Detailed Answer:
hello,
thanks for contacting HCM

If your pregnancy test is negative then the most common cause of irregular shedding of endometrium would be progesterone deficiency. It is advisable that you may undertake a serum progesterone test and also a transvaginal ultrasound to look for the thickness of the endometrium. If it is more than 10mm then a withdrawal bleed can be offered to you with progesterones to resume your menses properly.
This is sometimes seen in this age group and the hormonal status is also affected by the regular stress levels during the month which may cause irregularity in the cycle.

so please get an ultrasound and serum progesterone test done and you may follow up with reports.
regards,
dr XXXXXXX XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar