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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delay In Menstruation Other Than Pregnancy?

I had my last period 9 months ago, I thought i was pregnant but after many home preg test that all said negative i gave up, I then went to a doctor around 4 months ago , he gave me a pregnacy test as well, it said negative, i dont have any symptoms except lower back pain and peeing often which i had for years now. Since 4 months ago i went to 3 more doctors the last one a week and a half ago , explaining to them i no it sounds crazy but i think i could be almost 9 months pregnant, The doctor laid me down ( im over weight but not serverely) and pressed on my belly, and he said i could be pregnant but if i was there was no way i could be 9 months, I have a easy belly to feel around in is what he said and that he would be able to feel something, He as well gave me a preg test and it said negative, I asked for a ultrasound but he refused and said he thinkgs i have gallblader issues. DO you thik i still may be pregnant? what are the chaces of someone 25 yrs old, pretty healthy, 5'4 165 lbs be 9 months preg and not look or feel it?
Thu, 12 Nov 2015
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OBGYN,  's  Response
Hallow Dear,

I do empathize your problem.

A pregnant uterus of 9 months would have completely filled the abdomen and you would have felt the foetal movements 20 weeks onwards. Even your so many pregnancy tests are negative. So let us rule out the possibility of pregnancy; though I feel ultrasonography would have been a better tool to clinch the diagnosis.

Ultrasonography would help us to find out the status of your ovaries, whether they are Polycystic (PCOS), whether you have any infection of the uterine lining like tuberculosis, and so many other conditions also.

Considering your high BMI, the chances of Polycystic Ovarian Syndrome are quite high. You may get your blood checked for FSH, LH, Prolactin, Oestrogen and Progesterone. Also, please get your Thyroid function tests (T3, T4, TSH) performed on your blood. If needed further investigations may be suggested.

I would advise you initially to take some Progesterone preparation like Tablets Deviry for 5 days. After discontinuing the pills, you should get your menses within 4-7 days (if amenorrhoea is due to hormonal imbalance).

I sincerely feel, ultrasonography may throw some light on your mysterious delay in menses.

Please keep in touch (may be by asking me a Direct question) after the suggested steps and investigations.

Dr. Nishikant Shrotri
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What Causes Delay In Menstruation Other Than Pregnancy?

Hallow Dear, I do empathize your problem. A pregnant uterus of 9 months would have completely filled the abdomen and you would have felt the foetal movements 20 weeks onwards. Even your so many pregnancy tests are negative. So let us rule out the possibility of pregnancy; though I feel ultrasonography would have been a better tool to clinch the diagnosis. Ultrasonography would help us to find out the status of your ovaries, whether they are Polycystic (PCOS), whether you have any infection of the uterine lining like tuberculosis, and so many other conditions also. Considering your high BMI, the chances of Polycystic Ovarian Syndrome are quite high. You may get your blood checked for FSH, LH, Prolactin, Oestrogen and Progesterone. Also, please get your Thyroid function tests (T3, T4, TSH) performed on your blood. If needed further investigations may be suggested. I would advise you initially to take some Progesterone preparation like Tablets Deviry for 5 days. After discontinuing the pills, you should get your menses within 4-7 days (if amenorrhoea is due to hormonal imbalance). I sincerely feel, ultrasonography may throw some light on your mysterious delay in menses. Please keep in touch (may be by asking me a Direct question) after the suggested steps and investigations. Dr. Nishikant Shrotri