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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A Pregnancy Test Be Negative But I Still Miss My Period?

Hi good evening. I was 15 days delayed and my blood test are negative for pregnancy. My doctor adviced me to take dydrogesterone 10mg every 12 hours 5-10 days i finished 10 days already and still i dont have my period. What could be wrong with me? Is the period will come soon?
Thu, 24 Sep 2015
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OBGYN,  's  Response
Hallow Dear,

Since 15 days after the missed period, your pregnancy test is negative, you are not pregnant. If the delay in menses is due to hormonal disturbance or dysfunction of the reproductory system, you should get menses (withdrawal bleeding) about 4-7 days after discontinuing Dydrogesterone. Have you stopped the tablets after 10 days? If not, please discontinue them now and you will get menses within 4-7 days.

If even after the discontinuation of the Dydrogesterone tablets you do not get menses, then you need to undergo further investigations for any other causative factors like Thyroid dysfunction, ant intra-abdominal factor or intrauterine factor or otherwise. The first investigation I will suggest you to undergo ultrasonography which will reveal lot of things like missed pregnancy, PCOS, genital tuberculosis, etc. If no cause is detected, then you should get your blood examined for FSH, LH, Prolactin, Oestrogen and Progesterone and Thyroid function tests (T3,T4,TSH). If they are normal you may undergo laparoscopy and hysteroscopy.

However, I feel after discontinuing Dydrogesterone tablets, you should get menses in due course.
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Can A Pregnancy Test Be Negative But I Still Miss My Period?

Hallow Dear, Since 15 days after the missed period, your pregnancy test is negative, you are not pregnant. If the delay in menses is due to hormonal disturbance or dysfunction of the reproductory system, you should get menses (withdrawal bleeding) about 4-7 days after discontinuing Dydrogesterone. Have you stopped the tablets after 10 days? If not, please discontinue them now and you will get menses within 4-7 days. If even after the discontinuation of the Dydrogesterone tablets you do not get menses, then you need to undergo further investigations for any other causative factors like Thyroid dysfunction, ant intra-abdominal factor or intrauterine factor or otherwise. The first investigation I will suggest you to undergo ultrasonography which will reveal lot of things like missed pregnancy, PCOS, genital tuberculosis, etc. If no cause is detected, then you should get your blood examined for FSH, LH, Prolactin, Oestrogen and Progesterone and Thyroid function tests (T3,T4,TSH). If they are normal you may undergo laparoscopy and hysteroscopy. However, I feel after discontinuing Dydrogesterone tablets, you should get menses in due course.