Hi Dear Sammie, Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. 1.First of all do not panic. 2. If you are a woman with regular cycles, day 10 to 20 of the cycle is the most fertile period of the cycle. If you have had unprotected sex act in this period, you need to rule out or confirm pregnancy. 3.If you have missed your periods, or there is any doubt about the nature of the periods, I will suggest getting morning’s first sample of urine tested for pregnancy. In case of doubt blood beta HCG test and USG can be done to confirm or rule out pregnancy. 4.Even if you are pregnant, you can opt for termination with medicines safely till 9 weeks of pregnancy under expert medical supervision. 5.In case pregnancy test is negative, your symptoms can be due to PMS- premenstrual syndrome. In that case- I will suggest indulging in a healthy diet and regular exercise regime. Include plenty of fruits, salads, vegetables in the diet. Have adequate water intake , say 8 – 10 glasses per day. Avoid deep fried foods, bakery products, and refined sugars. Avoid substance abuse, if any. Start on FOLIC ACID, B12 supplements and Vitamin E, B LONG F, PRIMOSA one each at night for 3 months will be of help. 6. Please get a proper sex counselling done. Use of barrier method like condom will help to prevent unwanted pregnancy and STDs. I hope my answer helps you. Thanks. Wish you great health. Dr Purushottam S Neurgaonkar