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Reason for delayed periods , currently on birth control - 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 : 3631 Questions
User :   Hello, I need to ask a question. It has been 62 days since my last mistral cycle. I am currently on Trilipix, Zolfot, Singular, and Ortho Micronor (Birth Control) I took a pregnancy test it was the Clear Blue digital about a week ago and 3 other tests they all came back negative for me to be pregnant. I was wondering if there is another reason why I am not getting my cycle.
Doctor :   hi
User :   Hello
Doctor :   Dr. XXXXXXXX here
Doctor :   please give me few moments to read what you have typed
User :   Okay take your time.
Doctor :   the use of other medications along with birth control pills can affect its efficacy
Doctor :   and pregnancy can result.
User :   Okay, but I took the tests and they all came out negative.
Doctor :   sometimes urine pregnancy tests can show negative results.
User :   Well with my son it showed up in just a few seconds about 3 weeks after conception.
Doctor :   blood HCG levels are confirmatory and accurate
Doctor :   each pregnancy is different as each baby is different.
User :   Ah, well the medication that I listed above does it interfer with the BC that I am on
Doctor :   another possibility could be changes in hormonal levels affecting ovulation and lack of periods
Doctor :   the Tripilix and Zoloft both can affect the efficacy
User :   Oh I am also over weight, and have a nonfunction galbladder.
User :   Oh wow I didn't know that.
Doctor :   since when are you on these medications?
Doctor :   please provide your current age, height and weight
User :   The Zolfot I have been on for about 8 months and the Trilipix I have been on for about 2 months. My age is 22, height is 5ft 6in, and weight is 200.
Doctor :   ok
Doctor :   in that case, I would recommend you to go ahead with examination done by a gynecologist/obstetrician along with getting a blood beta HCG level test done
Doctor :   to confir,/rule out pregnacy
Doctor :   and ultrasound scan will also be need to get done
User :   Okay
Doctor :   if pregnancy comes back negative with blood test too, then scan and hormonal analysis will need to be done
Doctor :   to look for underlying cause for our absent periods
Doctor :   to start you on treatment to help get your periods back
Doctor :   have you followed what I have said?
User :   Yes I have so far.
Doctor :   use additional protection or back-up contraceptive methods (condom/spermicide) when having intercourse while being on our medications
Doctor :   to avoid pregnacy
Doctor :   is there anything else I can help you with?
User :   See I have used condoms as a back up method. The only time there wasn't one used was when we fist started but we would stop to put one on.
Doctor :   well that too is risky as even pre-cum is known to have sperms
Doctor :   so if egg is preset in your body at the time of intercourse, pregnancy can result
Doctor :   even with pre-cum
User :   Oh okay, even when he never had pre-cum?
Doctor :   then it may not be. but are you sure that pre-cum was not there?
User :   Yeah I am pretty sure.
Doctor :   since it is lubrication fluid that comes out when males are sexually stimulated or aroused
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   I ran out of time I just had to put more time on.
Doctor :   ok. please continue
User :   Well I never noticed any fluid that came out of him or anything.
User :   Could stress be a factor in my cycle as well? Because currently in the past 4 months I have been under a lot of stress.
Doctor :   ok. it could be a factor, but it usually affects periods for 5-10 days of delay
Doctor :   since it is a longer time for you,stress alone may not be the reason.
User :   Oh okay, I am just very confused on all this. See I do not feel pregnant or anything but it scares me to death that I am.
Doctor :   ok. first you need to relax. it can be fixed.
Doctor :   do not worry.
Doctor :   as far as experiencing pregnancy symptoms are concerned, even they can difer
Doctor :   some women can experience them early and some do not. also with each pregnancy their appearance can differ
User :   Well I haven't had any real symptoms. No morning sickness, no feeling tired than usual, no nothing like that.
Doctor :   it is not necessary to be present in each pregnancy
Doctor :   so do not depend on these
User :   Okay
User :   But is it most likely that I am not pregnant? Or do you think I am with the tests and everything that I have told you.
Doctor :   it is important now that we find the cause for your absent periods
Doctor :   since pregnancy is most common case, we need to confirm/rule it out
Doctor :   just follow these steps 1) visit a gynecologist for examination and blood beta HCG test
Doctor :   if you are pregnant it i\will surely come positive. if it is negative other causes need to be looked into
Doctor :   2) if blood HCG test comes negative, then ultrasound scan and hormonal tests need to be done
Doctor :   3) maintain good diet and hydration.
User :   I have been working on a new diet for a while now.
Doctor :   is it for weight loss?
User :   Also since I started the Trilpix I haven't had sex.
Doctor :   ok
User :   Yes for weight loss and for my triglisorites.
Doctor :   if there are major changes in diet and lifestyle, then it will affect periods
User :   oh okay
User :   Alright I will go try and get into a gyno on monday.
Doctor :   ok. are you on any diet pills along with diet changes?
User :   No no diet pills.
User :   I do not trust them.
Doctor :   ok. then it could be your changed diet,stress, changed lifestyle and medication use.
User :   Looks like my time is about up again and I do not have the money to recharge it, thank you for the help today Dr. AAAAAAA
Doctor :   go ahead with further tests as suggested above
Doctor :   it is ok
User :   Okay because I do take my medicine everyday at the same time
Doctor :   you can finish your discussion with gyne
Doctor :   and get back to me later if you have further queries
User :   Thank you very much.
Doctor :   thanks for consulting me. bye for now.
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