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Delayed menstruation due to stress - 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 : 1721 Questions
User :   My wife is 43 years old, She normally has a 30-31 day cycle. We had intercourse on day 20 of her cycle. She missed her period on the 18th of January. We took a pregnancy test on 19th (Clear blue easy-sensitive brand), it was negative. We waited four days, 23rd of January, morning. It too was negative. But she hasn't gotten her period yet. We are going to see the doctor on Friday, but the suspense is killing me.
We were not trying to have a baby, but is it still possible with two negative tests a week after her period was due?
Besides pregnancy, what could cause her to not have a period if her pregnancy tests are negative?
Doctor :   hi
Doctor :   let me read ur query
Doctor :   chances of conception on day 20 are less
Doctor :   based on her cycles, ovulation might take place on the 15th
Doctor :   and conception is best possible from ahving sex from day 14 to day 18 (max)
Doctor :   Also 2 tests being negative , could mean she may not be pregnant
User :   She's having pain in the pelvis area around the ovary area. she's also experiencing soreness around the breast and more importantly, her period isn't here. We don't know what to make of it.
Doctor :   as urine pregnancy test have a sensitivity of 95%
Doctor :   If u mean these as signs of pregnancy, they do not arrive within 3-4 weeks of conception
User :   Normally, would levels of hcg be high enough ( a week after a missed period) to register on a 25miu pregnancy test?
Doctor :   these could be signs of other conditions as well due to stress
Doctor :   yes
Doctor :   in case pregnancy was achieved on day 20, by now it has been 16 days post conception
User :   Would the absence of blood flow or period mean she didn't ovulate this month or could she have ovulated and still no menses? Can the luteal phase of her cycle alter that much?
Doctor :   most urine pregnancy tests can detect pregnancy within 12 -15 days of conception
Doctor :   at the age of 43, the chances of periods being non-ovulatory are high
Doctor :   there have been instances of missed periods , inspite of not being pregnant
Doctor :   a blood test to check the serum HCG will definitely confirm the status
Doctor :   but 2 negative urine pregnancy tests, are good enough to tell that it might not be pregnancy
User :   Yes, I'm nervous about going to the doctor on Friday. Is there a level of hcg in a women that would consider her not pregnant or any level means you're pregnant?
Doctor :   HCG is first detectable in the blood as early as 7-8 days after ovulation by very sensitive HCG assays (research assays)
Doctor :   In general, the HCG level will double every 2-3 days in early pregnancy.
User :   Ok, thank you doctor for your time today.
Doctor :   on day 16 after pregnancy, the HCG levels varies from 33 to 95 units
Doctor :   I hope i have answered ur queries
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