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Missed period, not sexually active. What could be the reason? - Online Doctor Chats

Date : 06-Jun-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
Doctor:How can I help you?
Doctor:Are you there?
Doctor:Proceed with your query.
User:I missed my periods i want to know the reason
Doctor:May I know your age and have your periods been regular in the past?
User:yes i am 22 years old
User:same thing happened with me 3-4 times before
Doctor:Are you active sexually?
Doctor:Are you there?
User:no i am not
Doctor:Let me brief you.
Doctor:Pregnancy is the most common cause of missed period, but if you are not sexually active we can safely rule out pregnancy.
Doctor:Other causes are related to hormonal disturbances.
User:what should i do now?
Doctor:Such disturbances are related to stress, infection, ovarian cyst, endometrosis/adenomyosis, etc.
Doctor:Most often physiological changes related to stress and infections are corrected spontaneously,
Doctor:but other causes that I mentioned do not - this needs evaluation.
Doctor:So in your case if
Doctor:1. The irregularity recurs very often
User:i have gone through this 4-5 times before also
Doctor:2. If period doesn't start even after 2 weeks of the expected period
User:almost every year
Doctor:you need evaluation.
User:then i have to go n see doc
Doctor:Yes, you will need to consult a gynecologist.
Doctor:He/she will perform a few test as blood hormones (thyroid, sexual hormones, hemoglobin and blood counts) along with scans to identify any known cause.
Doctor:Treatment will be use of birth control pills to regulate periods and correcting the underlying cause.
Doctor:Have you followed?
User:ok can u tell which tests i should do?
User:i have donated blood one month before at that time my hb count was 14.3
Doctor:You will need test based on clinical examination. The test will include hemoglobin, blood count, thyroid function test, hormones such as FSH and so on.
Doctor:The doctor can write these test and other related tests after physical examination.
Doctor:I do not recommend you to perform the test without physical examination.
Doctor:Hope it is clear.
Doctor:Your hemoglobin at the time of donation seems good. Perhaps they may have reduced slightly giving rise to this delayed period.
Doctor:Any way consult a doctor and you will have answers.
Doctor:Have you followed?
User:ok thanks a lot
User:i will consult doc
Doctor:Do you have any other query?
User:ya m also facing some problem with my stomach
Doctor:Please explain.
User:whenever i eat something then after half hour i need to go to toilet
User:my stomach starts aching
User:then it stops
User:again if i eat anything same thing
Doctor:Do you mean the pain stops after passing stools?
User:this ishappening from last 5 days
Doctor:Have you had similar symptoms in the past?
User:in the past means?
User:m facing this problem fom last 5 days
Doctor:I mean is this the first time you have such episodes or you had them before too?
User:may when i was young
User:lang back
User:not recently
Doctor:Let me brief you.
Doctor:Recurring stools and feeling of passing stool after food associated with abdominal pain which disappears after stool are classical symptoms of
Doctor:However, here the symptoms are chronic.
Doctor:I mean we usually see patients have such symptoms for months or years.
Doctor:Hence in your case, the symptoms you have may be beginning of irritable bowel
Doctor:or related to an infection.
User:pain has dcreased though
Doctor:You can get a stool test done to rule out infection.
User:in the start i used to go everytime i eat something
User:now freq is reduced
User:but not completly
Doctor:I can understand what you say.
Doctor:The symptoms of irritable syndrome can vary with time.
Doctor:Life style and stress are blamed for such changes.
User:is this related to my Menstrual s?
Doctor:No, they are not related to delayed menstrual cycle. But the causes of delayed menstrual cycle may be responsible for the bowel changes.
Doctor:Like I mentioned earlier, the bowel irregularities should get rectified with modifications in diet and life style.
Doctor:If symptoms persist, you will need further evaluation including colonoscopy.
Doctor:Have you followed?
User:i eat outside non veg once after that this has started
Doctor:You will need to restrict non vegetarian diet. Restrict the amount of spices in your diet. Restrict coffee and tea.
User:after that i have stopped eating outside now pain is reducing
Doctor:These dietary products can precipitate/aggravate irritable bowel.
User:n also freq
Doctor:It's good to know that you are feeling better.
Doctor:I am sure with the above restrictions, you should feel better.
Doctor:Let us know if they persist, we can guide you for further test.
User:thanks a lot for help should i wait for few more days before consulting doctor for my menstrual?
Doctor:When was your expected date?
User:overdue by 10 days
User:27 th last month
Doctor:You may wait for another 3-4 days.
Doctor:If periods do not happen, consult a gynecologist.
User:ok thanks again
Doctor:She can do the test as well as prescribe you
Doctor:hormone pills to induce period.
Doctor:Do you have any other query?
User:ya my doctor had given me same pills before also
User:no other query
User:thanks a lot
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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