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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods And Cramping In Vaginal Area?

I stopped taking BC (birth control) pills at the end of August 2015 after being on them for about 7-8 years. I had my normal period a week after stopping them right on time and normal. I then didn t get my period for another 3.5 months, which took longer than expected, but Doctor said not to be too concerned and that it was the result of my hormones getting back to normal. This period was normal and lasted 5 days. After that period, I had a blood test done and all my fertility hormones came back good (according to my doctor). Now its been 46 days since that period ended (counting it as cycle day 51) and I have had cramping in my vaginal area, as well as my pelvic area. I am getting an ultrasound done in the next month, and I am not pregnant due to negative tests. What I want to know: 1) Could these pains I am feeling be from ovarian cysts? 2) Could they be from my body preparing for a very late period like the first time? 3) How long is classified as normal for a period to regulate normally again (28-30 days) when you had regular periods prior to taking the pill?
Thu, 31 Mar 2016
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General & Family Physician 's  Response
Hello dear,
Understand your concern.
Yes pain may be due to ovarian cyst or hormonal imbalance.
Following are the reason for late periods with abdominal pain:
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 imbalane
8. Endometriosis: spotting
9. Ovarian cyst or PCOS
10. Fibroid and rarely cancer.


For pain: Take tablet Meftal Spas Two times a day for 3-4 days.
Do regular walking and exercise.
Eat healthy diet

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, prolactin, progestron, LH, FSH, HCG and thyroid hormone.
That help to diagnose hormonal imbalance.
Also do Usg if nedded
Ovarian follicle study
Hysteroscopy
After confirmation you can take treatment according So please go ahead.

Hope this may help you
All the best.
Stay healthy.
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What Causes Delayed Periods And Cramping In Vaginal Area?

Hello dear, Understand your concern. Yes pain may be due to ovarian cyst or hormonal imbalance. Following are the reason for late periods with abdominal pain: 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 imbalane 8. Endometriosis: spotting 9. Ovarian cyst or PCOS 10. Fibroid and rarely cancer. For pain: Take tablet Meftal Spas Two times a day for 3-4 days. Do regular walking and exercise. Eat healthy diet 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, prolactin, progestron, LH, FSH, HCG and thyroid hormone. That help to diagnose hormonal imbalance. Also do Usg if nedded Ovarian follicle study Hysteroscopy After confirmation you can take treatment according So please go ahead. Hope this may help you All the best. Stay healthy.