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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Delay In Menstruation

Hi, I just took two pregnancy tests however they are negative. I have not had my period since December 2015 where it lasted for about over a month from november into december. My stomach is bloated, but no signs of my period and i can feel a pulsing around my belly button. Could i b pregnant?
Tue, 5 Apr 2016
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General & Family Physician 's  Response
Hello dear,
Understand your concern.

Following are the reason for late periods:
1. Pregnancy: in sexually active women.
1. High level of stress
2. Change in life style
3. Late ovulation
4. Excessive exercise
5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine
6. Thyroid problem
7. Hormonal imbalance
8. PCOS
9. Endometriosis
10. Molar pregnancy, ectopic pregnancy: Pregnancy kit may give negative results
11. Cancer

Also note that
Menstruation required co ordinate action of various hormone that secreted by ovary (estrogen and progesterone) and brain (FSH and LH).
If any above hormone is decreased or increased there is imbalance in menstruation.
So please do full hormonal profile : Estrogen, progestron, LH, FSH, HCG and thyroid hormone.
That help to diagnose hormonal imbalance.
Also consult with gynecologist and test for
Pelvic examination
USG
Emndometrial biopsy
Ovarian Follicle study
Hysteroscopy
PAP smear

Take following advice
1.Limit caffeine, salt and nicotine from a few days before your period until two weeks after it
2. Healthy lifestyle
3 Stretching and regular exercise routines will reduce cramping and menstrual pain.
4. Yoga can be extremely helpful to reduce both the physical and mental symptoms
5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks.
6. Hot baths help with cramping, back pain and relaxation.
7. Sleep of at least 8 hours

Maintain hygiene like below:
1. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria.
2. Keeping The Vagina Dry (Not wet, clean well)
3. Wear pure cotton Loose underwear

Hope this may help you.
Best regards
Dr. Sagar


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Suggest Treatment For Delay In Menstruation

Hello dear, Understand your concern. Following are the reason for late periods: 1. Pregnancy: in sexually active women. 1. High level of stress 2. Change in life style 3. Late ovulation 4. Excessive exercise 5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine 6. Thyroid problem 7. Hormonal imbalance 8. PCOS 9. Endometriosis 10. Molar pregnancy, ectopic pregnancy: Pregnancy kit may give negative results 11. Cancer Also note that Menstruation required co ordinate action of various hormone that secreted by ovary (estrogen and progesterone) and brain (FSH and LH). If any above hormone is decreased or increased there is imbalance in menstruation. So please do full hormonal profile : Estrogen, progestron, LH, FSH, HCG and thyroid hormone. That help to diagnose hormonal imbalance. Also consult with gynecologist and test for Pelvic examination USG Emndometrial biopsy Ovarian Follicle study Hysteroscopy PAP smear Take following advice 1.Limit caffeine, salt and nicotine from a few days before your period until two weeks after it 2. Healthy lifestyle 3 Stretching and regular exercise routines will reduce cramping and menstrual pain. 4. Yoga can be extremely helpful to reduce both the physical and mental symptoms 5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks. 6. Hot baths help with cramping, back pain and relaxation. 7. Sleep of at least 8 hours Maintain hygiene like below: 1. Salt Bath- Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 2. Keeping The Vagina Dry (Not wet, clean well) 3. Wear pure cotton Loose underwear Hope this may help you. Best regards Dr. Sagar