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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delay In Periods And Menstrual Cramps Despite Having Negative UPT?

hi madam i have sex with my girl friend 2 week before and her last period cycle was about 11th of march.. now its 17th april and no periods found but just pain of periods.today she tested two pregnancy strip but it gives negative result..do she have to use penorit tablets for making this regular ?
Tue, 17 May 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
Most common cause of delayed period is pregnancy in sexual active women.
First you have to confirm the pregnancy if you had unprotected sexual intercourse in unsafe period of your cycle. Cause of negative UPT may be you did early. It will positive around 7-10 days after missed period. So please repeat the test after 3 days again. Better to go for blood HCG or Usg that is more accurate to confirm the pregnancy.
Other cause of delay period: Excessive stress, sudden change in life style, thyroid disorder, irregular dietary habit, increased prolactin, hormonal imbalance, dysfunctional uterine bleeding, ovarian dysfunction/PCOS, endometriosis.

Pemorit tablet used to induce bleeding in secondary amenorrhea. But it should be used after identified the cause by consulting the gynecologist,
Better to consult the gynecologist if period will not come and get the following investigations: Full hormone profile, USG, endometrial biopsy,Hysteroscopy. ovarian follicle study.
If you are not pregnant you can also use medroxyprogesterone to induce the bleeding.
Hope this may help you
Best regards
Dr. Sagar
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What Causes Delay In Periods And Menstrual Cramps Despite Having Negative UPT?

Hello dear Understand your concern Most common cause of delayed period is pregnancy in sexual active women. First you have to confirm the pregnancy if you had unprotected sexual intercourse in unsafe period of your cycle. Cause of negative UPT may be you did early. It will positive around 7-10 days after missed period. So please repeat the test after 3 days again. Better to go for blood HCG or Usg that is more accurate to confirm the pregnancy. Other cause of delay period: Excessive stress, sudden change in life style, thyroid disorder, irregular dietary habit, increased prolactin, hormonal imbalance, dysfunctional uterine bleeding, ovarian dysfunction/PCOS, endometriosis. Pemorit tablet used to induce bleeding in secondary amenorrhea. But it should be used after identified the cause by consulting the gynecologist, Better to consult the gynecologist if period will not come and get the following investigations: Full hormone profile, USG, endometrial biopsy,Hysteroscopy. ovarian follicle study. If you are not pregnant you can also use medroxyprogesterone to induce the bleeding. Hope this may help you Best regards Dr. Sagar