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Delayed periods, dilemma of pregancy or menopause - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
User :   i am 4 days late for my period. it is possible im pregnant but i couldnt be more than 3 weeks along. is that too soon to get a positive preg test?
Doctor :   hi
User :   hello
Doctor :   Dr. XXXXXXXX here
User :   nice to meet you
Doctor :   when was your last menstrual period?
User :   june 7
Doctor :   ok. do you have any symptoms suggesting early pregnancy like: Doctor :   nausea, vomiting, increased tiredness, hunger, sleep?
Doctor :   any mood changes, breast tenderness?
User :   increased hunger and swollen and tender breasts
Doctor :   ok, then there are chances that you could be pregnant
User :   i have taken 3 tests and all have been negative
Doctor :   report to your gynecologist, and get a blood beta HCG test done
Doctor :   urine pregnancy tests can come back negative in early pregnancy
Doctor :   due to less concentration of HCG hormone in urine
User :   so its possible than that the level is still too low?
Doctor :   yes it is possible since 4 weeks are not up
User :   at 41 is it possible for this to be menopause?
Doctor :   menopause can be a possibility, you will have irregular periods and bleeding
Doctor :   do you have any symptoms suggesting perimenopause?
User :   my periods have been regualr
User :   periods about 26 -28 days apart. i have always had PMS and that is the same.
User :   what are symptoms of perimenopause?
Doctor :   symptoms includes like PMS, and mood swings, hot flashes
Doctor :   headaches, other hormonal problems
User :   no just usual PMS. periods regular. would perimenopause cause breast tenderness?
Doctor :   at times it can cause them.
Doctor :   i would suggest you to get a hormonal analysis done
Doctor :   to see if you are having any periomenopausal changes
Doctor :   and also get the blood beta HCG test done to confirm/rule out pregnancy
User :   okay. it will show up after 4 weeks of pregnancy most likely?
Doctor :   it wil show up anytime after 1 week of conception
Doctor :   since it is a blood test
Doctor :   it is more accurate in detecting the rising levels of hormones
Doctor :   as hormone levels double up every 48 hours
Doctor :   if you are pregnant
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