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Delayed Periods, Negative Blood And Urine Pregnancy Test, Pregnancy Ruled Out After Complete Work Up. What Could Be Going On?
I am 34yrs old healthy female. I had one pregnancy which resulted in a miscarriage 6yrs ago. Menstrual cycle 26 days never late! My last period was Oct 31 it it is now Dec 26..I have taken one urine and two blood tests about 3 weeks ago all negative. Seen my obgyn and had a COMPLETE work up...all negative. She stated I don t feel pregnant snd she is at a loss. Not stressed out and not on any medications . What is going on???
Wed, 7 Aug 2013
Hi,
If period is delayed by nearly 2mths with blood & urine pregnancy tests -ve,a full check up by obgyn is non suggestive,sonography is done to exclude missed abortion,PCOS,Fibroid uterus.
*After excluding these,Usually , a short course of hormones is given,which is usually followed by withdrawal bleeding.
Many a times menses resume to normal after this. If the following periods are delayed/irregular,it has to be further investigated -
* With consultation of endocrinologist a complete hormonal assesment & management accordingly should be taken over..
* some times diagnostic D&C operation is needed.
I hope I have answered your quiery to satisfy you.
Thank you.
If period is delayed by nearly 2mths with blood & urine pregnancy tests -ve,a full check up by obgyn is non suggestive,sonography is done to exclude missed abortion,PCOS,Fibroid uterus.
*After excluding these,Usually , a short course of hormones is given,which is usually followed by withdrawal bleeding.
Many a times menses resume to normal after this. If the following periods are delayed/irregular,it has to be further investigated -
* With consultation of endocrinologist a complete hormonal assesment & management accordingly should be taken over..
* some times diagnostic D&C operation is needed.
I hope I have answered your quiery to satisfy you.
Thank you.
I find this answer helpful
Hello Good Evening,
You have missed period, which is due to some common reason like:
-Pregnancy
-Menopause
-Stress and anxiety
-Excessive weight loss, or weight gain
-Hormonal imbalance
-Hypothyroidism
-PCOS
Any of them can be a cause for your missing period, so please go through proper evaluation to get other causes like hypothyroidism or PCOS.
PCOS (Polycystic ovary syndrome) produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of female sub-fertility and the most frequent endocrine problem in women of reproductive age.
The principal features are anovulation, resulting in irregular menstruation, amenorrhoea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity, Type 2 diabetes, and high cholesterol levels.
The symptoms and severity of the syndrome vary greatly among affected women.
Another rare possibility is premature menopause:
In rare cases, a woman's ovaries stop working at a very early age, ranging anywhere from the age of puberty to age 40, and this is known as premature ovarian failure (POF). Spontaneous premature ovarian failure affects 1% of women by age 40, and 0.1% of women by age 30.
So go for a USG, TSH and other investigation to find out the cause of amenorrhoea.
Regards,
Dr. Naresh Jain.
You have missed period, which is due to some common reason like:
-Pregnancy
-Menopause
-Stress and anxiety
-Excessive weight loss, or weight gain
-Hormonal imbalance
-Hypothyroidism
-PCOS
Any of them can be a cause for your missing period, so please go through proper evaluation to get other causes like hypothyroidism or PCOS.
PCOS (Polycystic ovary syndrome) produces symptoms in approximately 5% to 10% of women of reproductive age (12–45 years old). It is thought to be one of the leading causes of female sub-fertility and the most frequent endocrine problem in women of reproductive age.
The principal features are anovulation, resulting in irregular menstruation, amenorrhoea, ovulation-related infertility, and polycystic ovaries; excessive amounts or effects of androgenic (masculinizing) hormones, resulting in acne and hirsutism; and insulin resistance, often associated with obesity, Type 2 diabetes, and high cholesterol levels.
The symptoms and severity of the syndrome vary greatly among affected women.
Another rare possibility is premature menopause:
In rare cases, a woman's ovaries stop working at a very early age, ranging anywhere from the age of puberty to age 40, and this is known as premature ovarian failure (POF). Spontaneous premature ovarian failure affects 1% of women by age 40, and 0.1% of women by age 30.
So go for a USG, TSH and other investigation to find out the cause of amenorrhoea.
Regards,
Dr. Naresh Jain.
I find this answer helpful
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