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Missed periods, not pregnant. What could be the reason? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:How can I help you?
User:I have never missed my periods
User:This time I have
User:today is 3rd day
User:I didn get my priods
Doctor:Can you explain about your complaint a bit more, so that I can address your problem better?
Doctor:Have you involved in unprotected sexual intercourse?
User:I have a baby
User:I am sure I am not pregnant
Doctor:May I know how old your baby is?
Doctor:When did your periods restart after delivery?
User:after1 and half month
Doctor:Let me brief you.
Doctor:Pregnancy and lactation protects women against pregnancy upto certain period of time.
Doctor:This may vary among individuals.
Doctor:As your periods have started few months back, there is small chances of pregnancy again if you had involved in unprotected sexual intercourse.
Doctor:You can confirm this by getting a urine pregnancy test done.
Doctor:If pregnancy is rule out,
Doctor:then this is a minor hormonal imbalance
Doctor:probably occurred due to stress, nutrition and infection problem.
Doctor:They will clear off and you do not need to worry.
Doctor:So the first step is to rule out pregnancy, if you have been involved in unprotected sexual intercourse.
Doctor:Have you followed?
Doctor:Are you there?
Doctor:Are you there?
User:2 mins
User:I have
User:To check the pregnancy within howmany days can i check
Doctor:Let me explain you the steps you need to follow now.
Doctor:1. As you are late for periods now, get the urine pregnancy tested now.
Doctor:If the test comes positive, then it implies you are pregnant. You can take further action as per your choice.
Doctor:2. If the test comes negative, then it implies you are not pregnant or the test is false negative.
Doctor:In such case, you need to wait for a week and repeat the test if periods do not happen within a week.
Doctor:The second test after a week confirms the true status as far as pregnancy is confirmed.
Doctor:A negative second test after a week rules out pregnancy 95 out of 100 times.
Doctor:So if the second test is also negative, the pregnancy is ruled out.
Doctor:3. If pregnancy is ruled out completely, by the second test
Doctor:then you can wait for a few more weeks.
Doctor:Usually periods will return normally within the next 2-3 weeks
Doctor:If they do not happen, then we can induce it by means of medication.
Doctor:4. If during any of this waiting period, periods occur normally, then pregnancy is almost ruled out
Doctor:and you need not worry.
Doctor:Have you followed?
User:In case if the test comes positive
User:and i dont want the pregnancy now
User:can i be removed thru medicine
Doctor:If it is confirmed pregnancy and you wish not to continue it, you can opt to terminate it.
User:or abortion has to be done
Doctor:And yes, we can terminate it by medications prescribed by a gynecologist.
Doctor:So do not worry.
User:If it comes negative
User:which means harmonal imbalance as you said
User:means my body is wek
Doctor:If the second test also is negative, then it is definitely related to hormonal disturbances.
Doctor:Hormone disturbance do happen if there is nutrition impairment,
Doctor:some infection,
Doctor:and stress and weakness.
Doctor:If you have been feeling weak lately
Doctor:and had not been eating well, had an infection,
User:i do have thyroid
User:I stopped my medicines from couple of momths
Doctor:then it is very likely that you have a hormone disturbance and not pregnancy.
Doctor:Thyroid hormone disturbance is very well known to cause irregular period.
Doctor:The generalised weakness may also be due to this.
User:earlier i didnt have any irregular periods
User:it is only now
Doctor:I understand what you say.
Doctor:As your periods were regular in the past,
Doctor:I cannot completely attribute your current missed period to thyroid problem,
Doctor:however I cannot deny the fact
Doctor:that thyroid problem is not associated with this problem now.
Doctor:So apart from getting the urine pregnancy test,
Doctor:I also suggest you to get your serum TSH (thyroid stimulation hormone) tested.
Doctor:The need to start or stop your thyroid medications can be decided based on these reports.
User:TSH should be done fasting
Doctor:It is preferable to get this test done early in the morning.
Doctor:Fasting is not a necessity.
Doctor:you could get the test done at any reputed laboratories before 8 AM.
User:I meant fasting blood sugar needs to be done
Doctor:Sugar levels and thyroid problem are not associated.
Doctor:Based on the history given, I suggest you only the 2 tests -
Doctor:pregnancy test and the TSH levels.
Doctor:Further thyroid functions can be decided based on the TSH levels.
Doctor:My gut feeling is your current period disturbances is due to either one of this cause.
Doctor:We can be able to manage both the problem adequately, so do not worry.
Doctor:Have you followed what I suggested?
User:ys idid follow
Doctor:Do you have any other query?
User:Shall i do the pregnancy test tomarrow
Doctor:You can get the test tomorrow with early morning urine sample.
Doctor:You can get the TSH checked simultaneously at a laboratory.
Doctor:Do you have any other query?
User:Sure will do
User:Thank you
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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