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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Periods Not Started. Urine Comes While Sneezing. Am I Pregnant?

hi...i have a strong smell.i pee when i sneeze and couggh thats never happened before. sleepy at times during the day. was told they were signs of bein pregnant took a pregnant test came out negative..my last period was january 2, 2013 not sure of tha date...my periods come at times the last week of the month or the first week of the month..is it too soon to know if im pregnant. is their something wrong with me..oh i have had 2 times crampy feeling as if my period was about to start it hasnt..also as if i started my period but it is just discharged..please help...
Tue, 28 Oct 2014
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OB & GYN Specialist 's  Response
Hello,

According to your LMP, you have missed period for 2 weeks. Therefore, at first you need to exclude pregnancy by estimating blood for beta hCG level as early pregnancy test sometimes give negative result.

In exclusion of pregnancy, other reasons for late period are hormonal imbalance, stress/ anxiety/ emotional upset, ovarian cyst/ PCOD, thyroid problem, wt gain/ extreme loss, irregular eating habits etc. Leaking urine on sneezing/ coughing is called stress urinary incontinence. Urinary infection is needed to be ruled out.

Do some initial investigations to rule out underlying pathology like USG pelvis, Thyroid profile, other hormone assay, blood sugar & prolactin level etc. One vaginal swab test & urine examination are also required to exclude pathogens. So consult with your gynecologist at the earliest and take suggestive measures.

Vaginal discharge without bad smell/itching is nothing to worry. Maintain genital hygiene properly.
It may be seen prior to commence of period in some women.

Avoid stress/ anxiety, take healthy diet with iron supplements, do light exercise and take adequate rest. Do pelvic floor exercise to avoid stress incontinence.

Take care.
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Periods Not Started. Urine Comes While Sneezing. Am I Pregnant?

Hello, According to your LMP, you have missed period for 2 weeks. Therefore, at first you need to exclude pregnancy by estimating blood for beta hCG level as early pregnancy test sometimes give negative result. In exclusion of pregnancy, other reasons for late period are hormonal imbalance, stress/ anxiety/ emotional upset, ovarian cyst/ PCOD, thyroid problem, wt gain/ extreme loss, irregular eating habits etc. Leaking urine on sneezing/ coughing is called stress urinary incontinence. Urinary infection is needed to be ruled out. Do some initial investigations to rule out underlying pathology like USG pelvis, Thyroid profile, other hormone assay, blood sugar & prolactin level etc. One vaginal swab test & urine examination are also required to exclude pathogens. So consult with your gynecologist at the earliest and take suggestive measures. Vaginal discharge without bad smell/itching is nothing to worry. Maintain genital hygiene properly. It may be seen prior to commence of period in some women. Avoid stress/ anxiety, take healthy diet with iron supplements, do light exercise and take adequate rest. Do pelvic floor exercise to avoid stress incontinence. Take care.