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Cause of delayed periods and measures to regularize them - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I haven't had my period yet, I'm late, and I get negative pregnancy tests. I am stressed, not sleeping well, and not eating well, but I've experienced that all worse than right now and it's not effected my cycle before. I don't recall this ever happening before. Is this normal or what is wrong with me?
User :   ???
Doctor :   hi
User :   Hello.
Doctor :   Dr. XXXXXXXX here. let me read what you have typed
Doctor :   when was your last menstrual period?
User :   It was February 10 I believe that to be very accurate within a day.
User :   No no it was March 9 excuse me.
Doctor :   please provide your age, location, occupation, marital status, details of past medical illness if any.
User :   So I had a 27 day cycle last time.
Doctor :   what is your usual menstrual cycle length?
User :   19, XXX, XXX, Single-XXX, and I really don't have any applicable history.
User :   My usual length is about 27-30 days I guess. I'm not very regular but I know I have not been this irregular before, at least that I can remember.
Doctor :   if we take 27 days as your usual cycle, then you are 8-10 days late.
Doctor :   sometimes the UPT's do come negative even though you are pregnant
Doctor :   are you having any of these following early pregnancy symptoms?
Doctor :   like increased fatigue, tiredness, breast soreness, increased sleep?
Doctor :   have you changed your eating habits or sleep pattern recently?
User :   I do feel fatigued quite often, I am often tired, and I do sleep all day, but I have been thinking that these are just because I have reversed my sleeping pattern and am not eating well.
Doctor :   ok
User :   I sleep in the day and only eat one or two meals some days and then maybe one big meal sometimes.
Doctor :   here i would suggest you few things to be done
Doctor :   to help you figure out what is the probable cause
Doctor :   for your symptoms and how to jhandle
Doctor :   *handle
Doctor :   1) get the blood beta HCG levels done along with a pelvic scan to confirm/rule out pregnancy
Doctor :   as it the most comon cause for delayed and abnormal periods
Doctor :   and these tests are the standard tests for confirming
Doctor :   2) Get hormonal analysis done for FSH, LH, TSH, Prolactin levels to see if any hormonal imbalance is causing teh delay
Doctor :   3) eat a well balanced diet and drink plenty of water to keep healthy
Doctor :   4) go to sleep at a fixed time daily and have minimum 6-7 hours of sleep
Doctor :   these measures wil help you to find the cause and regularize the menstrual cycle
Doctor :   have you followed what I have said?
Doctor :   are you on any birth control measures?
User :   Yes, thank you. I am not currently on birth control.
Doctor :   Is there any thing else I can help you with?
User :   No, you have been very helpful. Thank you very much, I will definitely follow your instructions.
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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