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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stoppage In Periods?

hi, i have regular periods at around 26-27 days since i had my son almost 3 years ago. This month it is 35 days and I still have no period. I have taken 2 pregnancy tests which were negative. This morning i experienced slight dizziness. Any advice? Im 42 years old. Thanks

                                                  

                                                  
Thu, 28 Jan 2016
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OBGYN 's  Response
Hallow Dear,

If you are sexually active woman, you are very right in going for pregnancy test. They are negative even almost 9-10 days after missing period. So the chances of pregnancy are remote. For your satisfaction you may repeat the test again after 4 days on overnight first morning urine sample. Alternatively you may get Beta hCG test done. When 'no pregnancy' is confirmed, you have to consider following possibilities:

1. Considering the age, these could be perimenopausal changes when the intermenstrual period goes on increasing and ultimately, the menstruation bids you good bye. When there is no menstruation for 6 months (according to some definitions it is 9 months) at menopausal age, it is labelled as menopause.

2. You may be having or developing hormonal + metabolic imbalance which leads to Polycystic Ovarian Syndrome (PCOS).

3. Thyroid dysfunction also may cause irregularity in menstruation. At this age, Thyroid dysfunction is common.

According to me, the possibility of the former one is more at this age.

Blood examination for FSH, LH, Oestrogen, T3, T4 and TSH levels will clarify the issue and clinch the diagnosis.

If you are keen on having menstruation even after the pregnancy tests are negative, you may take Tab. Deviry for 5 days. You will get menses within 4-7 days after these pills. However, take an informed decision about whether you want the menses to appear or you want the cause to be detected and managed if needed.

I hope this helps you at this juncture.

Dr. Nishikant
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What Causes Stoppage In Periods?

Hallow Dear, If you are sexually active woman, you are very right in going for pregnancy test. They are negative even almost 9-10 days after missing period. So the chances of pregnancy are remote. For your satisfaction you may repeat the test again after 4 days on overnight first morning urine sample. Alternatively you may get Beta hCG test done. When no pregnancy is confirmed, you have to consider following possibilities: 1. Considering the age, these could be perimenopausal changes when the intermenstrual period goes on increasing and ultimately, the menstruation bids you good bye. When there is no menstruation for 6 months (according to some definitions it is 9 months) at menopausal age, it is labelled as menopause. 2. You may be having or developing hormonal + metabolic imbalance which leads to Polycystic Ovarian Syndrome (PCOS). 3. Thyroid dysfunction also may cause irregularity in menstruation. At this age, Thyroid dysfunction is common. According to me, the possibility of the former one is more at this age. Blood examination for FSH, LH, Oestrogen, T3, T4 and TSH levels will clarify the issue and clinch the diagnosis. If you are keen on having menstruation even after the pregnancy tests are negative, you may take Tab. Deviry for 5 days. You will get menses within 4-7 days after these pills. However, take an informed decision about whether you want the menses to appear or you want the cause to be detected and managed if needed. I hope this helps you at this juncture. Dr. Nishikant