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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Missed Period Along With Fatigue, Breast Tenderness And Mood Swings?

Hi I am 28 old. My period is late & it s normally on time every month. I started bleeding after intercourse & the last time I noticed small blood clots but the bleeding always stops. I have had symptoms of pregnancy such as fatigue, breast tenderness, in large breasts, my mood swings but everytime I take an over the counter pregnancy test it comes out negative. I have three young children so I know what it feels like to be pregnant. So naturally i assumed I was pregnant because of the symptom s. But all the over the counter test are coming back negative. What do you think it might be?
Thu, 18 Jun 2015
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General & Family Physician,  's  Response
Thanks for your question. From your history I can make out that it can be either PMS (Premenstrual symptoms) or early pregnancy symptoms. As you have already tested pregnancy and it came out to be negative, it can be PMS. The symptoms of PMS like headache, fatigue, breast tenderness, mood swings will subside once the period starts.

But once thing which worried me was bleeding during Intercourse. So better consult a gynaecologist and get it evaluated. The doctor will examine vagina and cervix. He or she may also require you to undergo TVS( transvaginal USG) to evaluate uterus.

If everything comes out to be normal then the doctor may prescribe drugs to regularise cycle and to reduce PMS symptoms. Have a nice day.
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What Causes Missed Period Along With Fatigue, Breast Tenderness And Mood Swings?

Thanks for your question. From your history I can make out that it can be either PMS (Premenstrual symptoms) or early pregnancy symptoms. As you have already tested pregnancy and it came out to be negative, it can be PMS. The symptoms of PMS like headache, fatigue, breast tenderness, mood swings will subside once the period starts. But once thing which worried me was bleeding during Intercourse. So better consult a gynaecologist and get it evaluated. The doctor will examine vagina and cervix. He or she may also require you to undergo TVS( transvaginal USG) to evaluate uterus. If everything comes out to be normal then the doctor may prescribe drugs to regularise cycle and to reduce PMS symptoms. Have a nice day.