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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Missed Periods And Sore Breasts With Negative UPT Indicate?

i have been having symptoms of being pregnant i have missed my period for 2 months now and my breast are killing me they hurt to be touch and they have grown a full size in one week i have been natious and my neck and back hurt i took 4 at home pregnancy tests and they were negative then i took a blood test and it was also negative can you please help me i dont understand what is wrong
Mon, 19 Sep 2016
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OBGYN,  's  Response
hello
when was the last time you had upt
if it was more than 5 days u should repeat upt with first morning urine sample

also tell how was your previous menstrual history were they regular or not

missed periods besides pregnancy can be due to other causes like stress, thyroid disease, hyperprolactinemia, polycystic ovarian disease

sore breasts can also be due to other causes like breastfeeding, premenstrual .

if a patient with similar history comes to me & her repeat upt is also negative it would do her pervaginum examination to know the size of uterus .
I will also do her thyroid profile, prolactin level
I will prescribe her PrimulitN ( progesterone ) tab for 5 days to induce her periods, analgesics for sore breasts & call her in 2 weeks

if she does not bleed after progesterone & her thyroid & prolactin levels r normal, ultrasound will help in ruling out polycystic ovarian disease .serum LH & FSH will also help

hope this helps you
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What Does Missed Periods And Sore Breasts With Negative UPT Indicate?

hello when was the last time you had upt if it was more than 5 days u should repeat upt with first morning urine sample also tell how was your previous menstrual history were they regular or not missed periods besides pregnancy can be due to other causes like stress, thyroid disease, hyperprolactinemia, polycystic ovarian disease sore breasts can also be due to other causes like breastfeeding, premenstrual . if a patient with similar history comes to me & her repeat upt is also negative it would do her pervaginum examination to know the size of uterus . I will also do her thyroid profile, prolactin level I will prescribe her PrimulitN ( progesterone ) tab for 5 days to induce her periods, analgesics for sore breasts & call her in 2 weeks if she does not bleed after progesterone & her thyroid & prolactin levels r normal, ultrasound will help in ruling out polycystic ovarian disease .serum LH & FSH will also help hope this helps you