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Delayed Periods and its causes, Pregnancy risks - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1769 Questions
User :   I would like to know some possible reasons for my period being late
Doctor :   hi
Doctor :  
ok
Doctor :  
when was your last menstrual period?
User :   Started Januray 9th
Doctor :  
is there any medical illness that you are having?
User :   No
Doctor :   please provide your age, location, occupation, height and current weight
User :   I am 23, live in Eastern Michigan, I am 5'5" 165 pounds.
Doctor :  
ok
User :   As far as my occupation, that was one of my concerns..
Doctor :   when was your period before the January period?
Doctor :  
ok
Doctor :  
as per your height, you are overweight
Doctor :  
your BMI being 28
User :   I was laid off of work on January 9th. I was employed there for almost four years in which time I worked in an office with 5 other women and we for the most part had our periods at the same time
Doctor :  
which pints towards overweight
Doctor :  
ok
Doctor :  
*points
User :   Could I be "off" because I am not around those ladies as often
User :   ?
Doctor :  
there can be changes in the menstrual cycle
Doctor :   its something like the 'pheromones' efect
User :   Right
User :   I have heard of this
Doctor :  
that women tend to have period around the same time as their companions
Doctor :  
it can take sometime for you to be back on your normal rythym
Doctor :  
if you do not get your periods in ten days time since your expected day of period
Doctor :  
then you should be undergoing some investigations to find out the cause
User :   My period before January ended December 13th
Doctor :  
ok
Doctor :  
so you have a 28 day menstrual cycle?
User :   I usually go about 28 days from the day I am done menstruating to the first day of the next
User :   Is that a 28 day cycle?
Doctor :  
no the day1 is taken as the first day of bleeding
User :   So then I would say my cycle is 32 or 33 days
Doctor :  
ok
Doctor :  
that is fine then
User :   I took a pregnancy test of Friday afternoon. It was negative
Doctor :  
you were supposed to get your periods on 10th Feb 2010, if your last menstrual period started on 9th Jan 2010
Doctor :  
please correct me if I am wrong
User :   That sounds about right
Doctor :  
ok
Doctor :  
so now if you do not get your periods by 20th, then repeat the pregnancy test
Doctor :  
again, if it stil comes negative, then do standard tests kine blood levels of beta HCG hormone
Doctor :  
and a scan
Doctor :  
to confirm/rule out pregnancy
Doctor :  
you could be delayed by 10 days if the 'pheromone' effect is working in you
Doctor :  
if not, then you might be pregnant
User :   ok
Doctor :  
also, you might not be having sufficient HCG hormone in urine to make the urine pregnancy test positive
Doctor :  
it can happen in few cases that the urine has less concentration of the HCG hormone
Doctor :  
in which case, then do standard tests like blood levels of beta HCG hormone and a scan can confirm/rule out pregnancy
Doctor :  
have you followed what i have said?
User :   I have.
User :   Let me also add that obviously my schedule is much different since the lay off
Doctor :   ok
User :   I am a night owl and instead of going to bed around 11 or 12 at night, I know dont get to bed until 3 or 4 in the morning
Doctor :  
changes in sleep pattern and food habits also can cause delayed periods
User :   instead of getting up at 7, I sleep in until 12 0r 1
Doctor :  
are you having any early symptoms of pregnancy ?
User :   such as??
Doctor :  
like increased fatigue, tiredness, breast soreness, nausea?
User :   well I usually have cramps and tenderness in my breasts about a week before I am supposed to start and I did have these in the early days of February
Doctor :  
ok
User :   but havent since then
Doctor :  
but you are not having nay other symptoms of pregnancy?
Doctor :  
so what i would suggest you here
Doctor :  
is to try and get back to your normal
Doctor :  
sleep and eating pattern
Doctor :  
and wait til 20th, see if you get your periods
User :   ok
Doctor :  
otherwise go ahead with a examination by your gyne doc
Doctor :  
and get the above mentioned tests done
User :   ok
Doctor :  
namely: blood levels of beta HCG hormone and a scan
Doctor :   Is there any thing else I can help you with?
User :   Not at this time
Doctor :   ok
User :   but thank you for your help
Doctor :  
Please fill the feedback form andn comment box, and say done when done.
Doctor :  
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User :   thank you!
Doctor :   Thanks for consulting us. Bye for now.
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