Hi,
According to your description the possible causes of your missed period are:
- Delay in periods can occur due to many causes. Change in diet and sleep and having
stress and string are few of them.
- While using hormone containing intrauterine contraceptives like
Mirena also some amount of menstrual irregularities can be seen.
If you want to rule out the possibility of
pregnancy, please go for a
blood test for pregnancy, which is more accurate than urine pregnancy test. In blood test if the
serum beta HCG levels are less than 5 mIU/mL, it rules out the possibility of pregnancy. You can continue with Mirena irrespective of the menstrual period. Taking regular balanced diet and adequate sleep, regular calories burning exercises can help in regularizing the menstrual cycles.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Sree Gouri S. R., OBGYN