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What Causes Delayed Periods And Irregular Menstruation?

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Posted on Mon, 8 Dec 2014
Question: Hi Doctor, 

I am 26, me and my gf were doing pleasure to each other by touching each others private parts, during this process,her hands got sticky with my sperms,even i played with my self and got sperms on my hands aswell,then i fingered her vagina with the infected(sperm) hand for a while. we did not have any sex at all.Just after about 40 min she went to the bathroom,she noticed her vagina was wet and she touched her vagina(fingering her self) with the infected hand that had my sperm on it and then she took bath. This event(pleasuring each other) happened on saturday,27 sep at 3 pm and she took the ipill on monday,29 sep, she had the ipill around 11:30 am on monday which is with in 48 hours.

General information: 
Her periods are of 5 days every month, she will have heavy bleeding on 2 and 3 day of each period every month. She will have light bleeding on 1,4,5 day of each period every month. 

Her period dates for July, Aug, sep are 

19July-23july 
23 aug- 27 aug
22sep- 26 sep

Doctor I would like to tell u that the event of pleasuring each other happened on 27 sep which is just the next day when her periods got over(22 sep- 26 sep).

Doctor she had withdrawal bleeding from 7 Oct to 11 Oct which was exactly same as her period bleeding trend.

She took urine pregnancy test on following dates:12 Oct, 22 Oct and 24 Oct, all test came negative

She also took blood pregnancy test on 24 Oct (after 4 weeks from incident happened on 27 sep), the report was normal, less than 10

She again took blood pregnancy test on 3 Nov ,the report was normal, this time hcg level was 1.88

1. Doctor she has not got her periods till now, and gynecologist cannot confirm it the withdrawal bleeding was the periods or not, but they told she will get her periods soon which she has not got till now, doctor do I need to have another blood pregnancy test?

2. Doctor I also fear it might be ectopic pregnancy which cannot be detected by blood hcg test, doctor I wanted to know is ectopic pregnancy possible with hcg level less than 5, I have read online that ectopic pregnancy Can occur with low hcg levels as well and which is not detectable by blood test alone.

Please help me what to do.
doctor
Answered by Dr. Dalia Muraleedharan (1 hour later)
Brief Answer:
Dont worry

Detailed Answer:
Hi,
Thanks for writing..
I understand your concern..

1.Dont worry.. Delayed period and irregular cycle is common with i pill which will last only for a month.. Since she got her withdrawal bleeding after the pill, there is less chance of pregnancy.. Wait for 1 more week and if she doesnot get periods still, get a urine pregnancy test with early morning sample.. If negative, you can take progesterone for 5 days so as to get withdrawal bleeding..

2.There is less chance of ectopic pregnancy.. Value less than 10 for hcg shows negative pregnancy result.. Even if it is ectopic pregnancy, the value will go more than 25..So less likely to be ectopic.. So dont worry..

Hope I have answered your query..Feel free to ask any doubts.. Good day..
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dalia Muraleedharan (1 hour later)
Hi doctor, thanks for reply, doctor she did the blood pregnancy test twice. First test was done on 24 Oct with value less than 10 and second was done on 3 Nov with hcg value 1.88, again less than 10, I believe it's a sensitive test and since there is a gap of 9 days between the two test conducted, the hcg levels should have multiplied many times, as it doubles with in 48-72 hours. But the hcg level is less than 5.

1. Doctor is there still a change of pregnancy even when the tests showed negative and that to after a gap of 9 days.

2 Doctor does hcg level exist in females who are virgin, I mean who never had intercourse.

3 . Doctor what if the pregnancy is detected, can it still be aborted with the abortion pills prescribe by doctor, I mean if the pregnancy is detected at this stage, will the pills work since the incident of pleasuring happened on 27 sep, because what I have read was pill is effective if taken with in 6-7 months once the pregnancy is detected.

doctor
Answered by Dr. Dalia Muraleedharan (2 hours later)
Brief Answer:
Less chance of pregnancy

Detailed Answer:
Hi,
Thanks for writing..

1. There is very less chance of pregnancy as the hcg is less than 10..

2.Yes, other than pregnancy, hcg can rise in many hcg producing tumors of the ovary..

3.Till now she is not pregnant. If the pregnancy test becomes positive or hcg goes above 25, the gestational age has to be determined by scan.. Gestational age based on fetal growth should be less than 7 weeks for medical abortion to work.. So I think in case she gets pregnant, medical abortion can be opted..

Hope I have answered your query..Feel free to ask any doubts.. Good day..
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Dalia Muraleedharan (30 hours later)
Hi doctor, thanks for the reply, doctor she had bleeding yesterday (11 Nov), she says her periods have started.

Something to worry about?
doctor
Answered by Dr. Dalia Muraleedharan (5 hours later)
Brief Answer:
Dont worry..

Detailed Answer:
Hi,
Thanks for writing..

If her periods have started nothing to worry, no need for any treatment..

Hope i have answered your query.. Feel free to ask any doubts.. Good day..
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Dalia Muraleedharan (9 hours later)
Doctor I have a query, her monthly period have following trend

On 2nd and 3rd day she has heavy bleeding.
On 1st, 4th and 5th day she has light bleeding.
Period is of 5 days each month.

This time in month of November she is having different bleeding flow.

On 11th Nov which is the first day of her period she had light bleeding followed by heavy bleeding on same day with slight pain.

Today on 12 Nov she had less bleeding as compared to 1st day with more pain compared to first day

This bleeding flow is just the opposite to her period flow.

Doctor is this a period or sign of ectopic pregnancy?
doctor
Answered by Dr. Dalia Muraleedharan (8 minutes later)
Brief Answer:
Dont worry

Detailed Answer:
Hi,
Thanks for writing..

Dont worry.. It is unlikely to be pregnancy since she got her periods almost near her expected period.. But if in doubt get a repeat hcg.. If less than 10, unlikely to be ectopic pregnancy..

It is not necessary that the pattern of bleeding should be same everytime.. Depending on climatic condition and stress, pattern can vary..

Hope I have answered your query.. Feel free to ask any doubts.. Good day..
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dalia Muraleedharan (45 hours later)
Hi doctor, she did blood test today, 14 Nov which is the 4th day of her period. The test showed hcg levels 1.5 which is less than 5.

Doctor can blood hcg test give accurate value during periods too?
doctor
Answered by Dr. Dalia Muraleedharan (43 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hi,
Thanks for writing..

Yes, hcg will be accurate during periods also.. She is not pregnant..

Hope I have answered your query.. Good day..
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Dalia Muraleedharan (41 hours later)
Hi doctor, thanks for reply, doctor i would like to tell you that the 3 test were done by three different gynecologist as the first two said that there is no need for repetitive test as it is less than 5, so we went to different gynecologist for examination for blood hcg test. This time it was again negative 1.5, doctor I wanted to know since these test were done in 3 different laboratories, is it OK? Because each laboratory has there own technique to do same test. Will it affect the accuracy oh blood hcg levels 3?
doctor
Answered by Dr. Dalia Muraleedharan (29 hours later)
Brief Answer:
Dont worry

Detailed Answer:
Hi,
Thanks for writing..

Dont worry.. She is not pregnant for sure.. You neednot get any more test now..

Hope I have answered your query.. feel free to ask any doubts.. good day..
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Dalia Muraleedharan

OBGYN

Practicing since :2003

Answered : 1044 Questions

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What Causes Delayed Periods And Irregular Menstruation?

Brief Answer: Dont worry Detailed Answer: Hi, Thanks for writing.. I understand your concern.. 1.Dont worry.. Delayed period and irregular cycle is common with i pill which will last only for a month.. Since she got her withdrawal bleeding after the pill, there is less chance of pregnancy.. Wait for 1 more week and if she doesnot get periods still, get a urine pregnancy test with early morning sample.. If negative, you can take progesterone for 5 days so as to get withdrawal bleeding.. 2.There is less chance of ectopic pregnancy.. Value less than 10 for hcg shows negative pregnancy result.. Even if it is ectopic pregnancy, the value will go more than 25..So less likely to be ectopic.. So dont worry.. Hope I have answered your query..Feel free to ask any doubts.. Good day..