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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Reason For Delay In Periods?

I am 47 and have missed my period suddenly. I had slight cramps sore breasts some nausea and no period HPT negative on day 8. No contraceptives. Went thru fertility drugs one year ago. My mother at 55 grandma 54 aunts all had children 45+ ages. What should I do. One year ago all my Hormones were optimal levels
Wed, 15 Apr 2015
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OBGYN,  's  Response
Hi,
Please get a trans-vaginal sonogram and an estimation of the serum beta-hCG titres in addition to a clinical evaluation by an expert. In view of your family history, this becomes essential. If pregnancy is excluded, the possibility of perimenopause should be considered and further management planned accordingly. Then, you may go for hormone profile, a pap smear and if there is any endometrial hyperplasia, go for an endometrial biopsy. Hormone supplementation, exercise, healthy diet and regular follow up help you through it. Take care.
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Reason For Delay In Periods?

Hi, Please get a trans-vaginal sonogram and an estimation of the serum beta-hCG titres in addition to a clinical evaluation by an expert. In view of your family history, this becomes essential. If pregnancy is excluded, the possibility of perimenopause should be considered and further management planned accordingly. Then, you may go for hormone profile, a pap smear and if there is any endometrial hyperplasia, go for an endometrial biopsy. Hormone supplementation, exercise, healthy diet and regular follow up help you through it. Take care.