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Missed periods and spotting related to pregnancy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Doctor :   Hi
User :   Hi Doctor
Doctor :   How can I help you?
User :   just wanted to check with you about conception
User :   my period was suppose to happen on 22nd Nov
Doctor :   Ok
User :   still havent got my periods yet
User :   but there is spotting
Doctor :   Ok
Doctor :   May I know your age?
User :   28 years
User :   i am planning for pregnancy
Doctor :   Were your periods regular in the past?
User :   yes
User :   its 25days cycle
User :   in March i had to undergo D&C
Doctor :   May I know the reason for you undergoing D&C?
User :   baby's heartbeat was not there
Doctor :   Ok
Doctor :   Are you sexually active?
User :   we had it from 10th day to 14th day
Doctor :   Ok
Doctor :   Are you on any birth control pills?
User :   no
Doctor :   Ok
Doctor :   Do you have any medical illness such as diabetes/hypothyroidism?
User :   no doctor
Doctor :   Ok,
Doctor :   Let me brief you now.
Doctor :   From your description, the symptom can be a sign of pregnancy.
User :   i had taken a pregnancy test yesterday... it shtiveould nega
User :   it showed negative
Doctor :   Delayed periods are known to occur in many different conditions,
User :   but i am afraid of this spotting
Doctor :   Stress factors, infections, anaemia are few factors which are responsible apart from pregnancy.
Doctor :   Spotting can be seen normaly in early pregnancy too.
Doctor :   Let me suggest you the measures that you can follow.
Doctor :   1. You need to confirm pregnancy again.
Doctor :   Urine pregnancy test picks up levels of HCG in the urine, this can show negative results in early pregnancy.
Doctor :   Hence you need to repeat this test or consider getting a blood HCG levels done to confirm it.
Doctor :   2. If pregnancy is ruled out, then its probably any of the other cause as mentioned.
Doctor :   Hence, I would suggest you to repeat the pregnancy tests, if they are positive, then consider consulting a gynaecologist for a check up.
Doctor :   Have you followed what I have suggested?
Doctor :   * I can understand that your concern is if you are aborting again.
Doctor :   Since your pregnancy test was negative, abortion is not the likely cause.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   does this spotting occur every alternative days
User :   before getting conceived
User :   does my chances to get pregnant reduce
User :   should i wait till my test turns out positive
User :   then see a doctor
User :   what do you suggest
Doctor :   Any changes in the menstrual period in an sexually active individual with previous normal period are likely to be pregnancy, if there are no other factors.
Doctor :   I would suggest you to consider getting the repeat pregnancy test done first.
User :   ok
Doctor :   If they are again negative, I expect this to normalise in your subsequent cycles.
Doctor :   As long as you are not bleeding profusely, its not of major concern.
User :   ok
User :   thanks a lot doctor for your advice
Doctor :   However, if these episodes repeat in your subsequent cycles, then other possibilities including uterine, hormonal and ovarian causes have to be considered
Doctor :   In such cases you may have to consult your gynaecologist.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   yes i have followed
User :   thank you
Doctor :   Thanks for consulting me. This is Dr XXXXXXXX here.
Doctor :   Bye for now.
User :   bye Doctor
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