HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What To Do If Even After Missed Periods, Nausea And Other Pregnancy Symptoms, The Hpt Is Negative?

I have always irregular meanstration. But after marriage,its quite ok like as every meanstration occur after 35 /40 days. But in 30th dec,2013 my last means was occured and me and my husband try for baby from 6th jan,2014.still my means not occured (today is 23 feb).i have nausea and other symptom of pregnancy but home tesy is negative. So in that case what can i do?
Thu, 27 Feb 2014
Report Abuse
OBGYN,  's  Response
Hello
Thanks for writing to us with your health concern.
First of all, repeat a pregnancy test, sometimes there might be delayed conception.
Next, there are various other reasons for a missed period - stress, anxiety, emotional turbulence, weight loss or gain that is rapid and massive, ingestion of medications that affect your hormonal axis, travelling, late nights, erratic eating habits, smoking, drinking etc.
These mild hormonal imbalances respond to progesterone withdrawal ( Deviry ).
First complete the course for 5 days, and then wait for a week.
You would bleed by then.
If you do not have a period within a week after stopping drugs ( totally 12 days, 5 days of medication plus one week of waiting ), then consult a gynecologist
Have a thorough internal evaluation - per vaginum and per speculum.
Also, hormonal tests - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile.
And a pelvic ultrasound scan done transvaginally.
This will rule out conditions such as hypothyroidism, Polycystic Ovarian syndrome , endometrial hyperplasia etc.
All the best.
Please feel free to discuss further.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What To Do If Even After Missed Periods, Nausea And Other Pregnancy Symptoms, The Hpt Is Negative?

Hello Thanks for writing to us with your health concern. First of all, repeat a pregnancy test, sometimes there might be delayed conception. Next, there are various other reasons for a missed period - stress, anxiety, emotional turbulence, weight loss or gain that is rapid and massive, ingestion of medications that affect your hormonal axis, travelling, late nights, erratic eating habits, smoking, drinking etc. These mild hormonal imbalances respond to progesterone withdrawal ( Deviry ). First complete the course for 5 days, and then wait for a week. You would bleed by then. If you do not have a period within a week after stopping drugs ( totally 12 days, 5 days of medication plus one week of waiting ), then consult a gynecologist Have a thorough internal evaluation - per vaginum and per speculum. Also, hormonal tests - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile. And a pelvic ultrasound scan done transvaginally. This will rule out conditions such as hypothyroidism, Polycystic Ovarian syndrome , endometrial hyperplasia etc. All the best. Please feel free to discuss further.