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What Casues Delaye Periods?

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Posted on Thu, 4 Sep 2014
Question: I'm 30 year old married female my LMP was 30th May 2014. My cycle is normally of 40 days but I didn't got my period till two weeks ago. So I took urine HCG test on 28th July which was negative even on 2nd test after 3 days. So on doctors prescription I took Meprate 5mg twice a day for 5 days. Even now I didn't get my period so on doctors advice taken attached tests. Even in my sonograhy is not showing anything. My Prolactin level is 45.2 and LH is 1.14 so tested HCG again and it shows positive. Are these confirm I'm pregnent and will MEPRATE cause any complication with my pregnancy.
doctor
Answered by Dr. Manisha Jain (47 minutes later)
Brief Answer:
no major side effect

Detailed Answer:
Hello mam, thanks for trusting healthcare magic.
Yours is a case of delayed conception as you already have prolonged cycles it is very common
In my opinion repeat b HCH test after exactly 48 hours of the previous test and let me know the result.
Also in case you have pain in lower abdomen then don't neglect it and visit your gynecologist immediately.
Till then start tablet susten 200 mg twice a day to support pregnancy.
Meparate can cause little androgenic side effects on female fetus but not always and moreover you took it just for 5 days so it will be meagre only.
In case you have other questions I will be happy to help.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (36 minutes later)
Hi Doctor,

Thanks for the reply. Can you please tell what my reports say (attached). Also do u mean I may not pregnant yet.

regards,
doctor
Answered by Dr. Manisha Jain (21 minutes later)
Brief Answer:
b HCG after 2 days

Detailed Answer:
Hi, as your BHCG test is positive it is sure that pregnancy is there but it can be positive in 3 situations viz
- intrauterine pregnancy very early to be detected on urine pregnancy test
- tubal ectopic pregnancy
- missed abortion.
So the best test for you will be BHCG test after exactly 48 hours after the previous one so that in case it doubles up then it is intrauterine pregnancy and thus relieves us.
But in case it increases but not to the mark then chances of tubal ectopic pregnancy are high whereas in case of dying pregnancy it will decrease further.
All your test reports are normal but they won't decide for the kind of pregnancy.
Wish you all the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (33 hours later)
Hi Doctor,

The previous HCG test was with Prega News so we went and got beta HCG done yesterday morning. Here are the reports for the same. We'll do another test (after 48hours) tomorrow morning and 'll share the reports.

Another worry is day before yesterday sometime after the internal sonography I noticed a drop of blood. And today also I saw some patch on cloth.
doctor
Answered by Dr. Manisha Jain (5 hours later)
Brief Answer:
bhcg tomorrow

Detailed Answer:
Hello sir, the bHCG test levels are well in range with pregnancy but only if it doubles up in 48 hours only then we can come to some conclusion.
Till then you should take tablet susten or any micronised progesterone available in market 200 ug twice a day as you had spotting with pain abdomen.
She should have ample rest and good diet and avoid any sexual activity.
And update me the latest report tomorrow so as to see for next step in management
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (25 hours later)
Hi Doctor,

I've attached the report for HCG done today morning. Taking susten 200 mg + ninefol (L-METHYL FOLATE) now. Just a while ago a feeling of dizziness came so took 1 glass of lime water. Is everything fine?
doctor
Answered by Dr. Manisha Jain (10 minutes later)
Brief Answer:
good rate of increase of bHCG

Detailed Answer:
Hello sir, I'm happy to tell you that the bHCG is increasing at desired rate and I hope everything will be fine soon.
Now you should keep taking these medicines as prescribed and get an ultrasound after 2 weeks.
Till then she should have full bed rest with no exertion at all and in case there is any spotting or lower abdominal pain then either visit your gynecologist immediately or contact me urgently anytime 24×7.
All the best and in case you have other questions in future you can contact me directly on http://bit.ly/drmanishajain
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (2 hours later)
Thank you doctor. This was indeed very helpful discussion.
doctor
Answered by Dr. Manisha Jain (19 minutes later)
Brief Answer:
Welcome.

Detailed Answer:
You are most welcome. You can contact me anytime incase the need arises.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Casues Delaye Periods?

Brief Answer: no major side effect Detailed Answer: Hello mam, thanks for trusting healthcare magic. Yours is a case of delayed conception as you already have prolonged cycles it is very common In my opinion repeat b HCH test after exactly 48 hours of the previous test and let me know the result. Also in case you have pain in lower abdomen then don't neglect it and visit your gynecologist immediately. Till then start tablet susten 200 mg twice a day to support pregnancy. Meparate can cause little androgenic side effects on female fetus but not always and moreover you took it just for 5 days so it will be meagre only. In case you have other questions I will be happy to help.