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Pregnancy test negative. What can cause a missed period? - Online Doctor Chats

Date : 13-Oct-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:hi doctor,
i m 29 yrs old. i missed my period for august month and pregnancy is negative...went to gyneac, she suggnanested meprate for 5 days and waited a week after that, still no periods, then she sugested ovral l for 5 days mrng and evening. i m still left with 1 more day to take
1. how long should i wait after taking this ovral l
2. she said sometimes u might become when u start with the pill itself, still not happened
3. wat is the next alternative in case ovral also does not work
4. i had little prolactin high i,e 27 ng/ml where the range is 23ng/ml. she suggested cabergolin for 4 weeks, one each week. should i avoid taking that this week as it induces progestrone
5. i took azifast for my pimples for 3 days, will this tablet antiboitic hinder the menstrual
6. i developed gastric because of this axifast 500mg dosage, so took zinetac for 3 days, will this also cause any effect on menstrual

please let me know about this
Doctor:Dr. XXXXXXX here
User:hi doctor
Doctor:Give me a few minute to read your post.
Doctor:May I know if your periods are regular in the past?
User:absolutely fine
User:my LMP was july 28 2013
User:this was the month we started planning
User:she advised on ovary, thyroid, prolactin, blood test
Doctor:So you are late by two months?
User:thyroid is fine, range is very normal
User:blood test confirmed no preganacy
User:prolactin was 27ng/ml
User:ovary very well with no cyst
User:endometrium lining also fine
User:yes doctor i m late by almost 59 days
Doctor:May I know when were these tests done?
User:i m bangalore
Doctor:May I know when were these tests done?
User:Apollo hospital
Doctor:I would want to know when was the tests done?
User:oops sorry
User:it was 3 weeks back
User:before i was suggested with meprate
Doctor:Let me brief you.
Doctor:As far as inducing period, the next step would be to try D&C.
Doctor:It is a manual process to induce period.
Doctor:But before we attempt the process; we will need to know the reason for delayed period.
Doctor:Since most of your test including ultrasound was normal
Doctor:(generally we see a hypertrophied endometrium when period is delayed)
User:she said may be anxiety
Doctor:I would like you to post your concerns on Ask a Specialist
User:since u ppl tried for first time, because of anxiety it might have
Doctor:A gynecologist would be able to look at all your reports
Doctor:and advice you if every thing seems to be fine
Doctor:or if is missed by your doctor.
Doctor:As a physician, with limited expertise with gynecology, I do not have enough experience handling such issues.
Doctor:So I recommend you try Ask A Specialist/Doctor
Doctor:and obtain advice of a gynecologist.
Doctor:Have you followed?
User:thank u
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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