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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods Along With Hot Flushes And Light Headedness?

I have been trying to conceive for the last 3-4 years with no joy...my period is regular as clockwork but for some reason it hasn t arrived this month (my last period was the week leading up to Christmas 2015) so I m at least 3 weeks late. I ve had two negative pregnancy urine tests which I had done at the family planning clinic however I am having terrible hot flushes, not sleeping well, occasional light headed ness and feeling sick but only sick once. I also have slight stomach cramps am very emotional but I have absolutely no discharge which is unusual...the only time this normally happens is a few days prior to my period and I also have no breast pain. I am 43 is it possibly menopause or could I actually be pregnant...or something more serious?
Mon, 11 Apr 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern.
I think it is due to perimenopausal state.
The symptoms like delayed period, hot flushes , light headendness occur due to hormonal imbalance.
There is a decreased ovarian reserve.
So estrogen and progesterone is decreased and FSH , LH is increased.
Other symptoms like vaginal dryness, mood change and difficulties in sleeping occur.

So pregnancy chance is less.
It is sign of menopause.
Also note other caauses of late period are:

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

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.


Hope this may help you
All the best.
Stay healthy.
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What Causes Delayed Periods Along With Hot Flushes And Light Headedness?

Hello dear Understand your concern. I think it is due to perimenopausal state. The symptoms like delayed period, hot flushes , light headendness occur due to hormonal imbalance. There is a decreased ovarian reserve. So estrogen and progesterone is decreased and FSH , LH is increased. Other symptoms like vaginal dryness, mood change and difficulties in sleeping occur. So pregnancy chance is less. It is sign of menopause. Also note other caauses of late period are: 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 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. Hope this may help you All the best. Stay healthy.