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Physical examination to find the cause of missed periods - 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 : 2009
Answered : 674 Questions
User :   Hello, I just have a question about what i should do. I am a plus sized lady and i have not got my period this month and it is on time usually like clock work. I have taken a home pregnancy test and it has came out negitive and Any advice would be helpful.
Doctor :   Hi
Doctor :   May I know your age?
Doctor :   Are you active sexually and have you involved in unprotected sexual intercourse recently?
User :   Yea.
User :   Im 18.
Doctor :   When was your last menstrual period?
User :   last month on the 5th
Doctor :   Om
Doctor :   *Ok
Doctor :   Do you have any other medical illness such as diabetes/hypertension?
Doctor :   or thyroid hormone problems?
User :   I have high blood pressure
User :   But thats all i know of.
Doctor :   Are you on any pills?
User :   No.
Doctor :   Did you use emergency contraceptive pills after the sexual intercourse?
User :   No.
Doctor :   Ok
Doctor :   Let me guide you.
Doctor :   There are numerous causes that can delay the periods?
Doctor :   Some common causes are pregnancy, recent infections, stress, reduced nutritional state, anaemia, hypothyroidism, uterine or ovarian factors, hormonal disfunctions and so on.
Doctor :   One of these may be causing your delayed menstruation.
Doctor :   Since I cannot examine you, I cannot pinpoint the exact cause of this which may be responsible for it.
User :   Okay.
Doctor :   However, since based on the history given, as its been regular in the past,
User :   Yes its been real regular.
Doctor :   the first few conditions are probably the cause for it.
Doctor :   Commonly this condition if not for pregnancy should normalise in your subsequent cycles.
Doctor :   Hence I suggest you to recheck the pregnancy test after a week or by getting a blood HCG levels checked.
Doctor :   If they are negative and if you persist to have the irregular periods in your next cycles then
Doctor :   you need to report to your gynaecologist for physical examination and evaluation
User :   Okay.
Doctor :   to check if any of those other causes are the reason behind.
User :   Is there any brand of home pregnancy test that you suggest?
Doctor :   The available urine pregnancy kits all work the same.
Doctor :   Hence brand does not matter.
User :   Okay.
Doctor :   Do you have any other query?
User :   No. Thank you. Have a nice day.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
Question is related to
Diseases and Conditions
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