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What causes delay in menstrual bleeding? - Online Doctor Chats

Date : 01-Feb-2018
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:Hi Sir
Doctor:Hi, I am Dr. XXXXXXX
Please proceed with your query
User:my sis in law didnt get her periods from 2 months
User:She got last in Nov 14
User:she did pregnancy test , it came negative
User:she did it 1 week back
User:What she should do
Doctor:Does she have regular periods in the past?
User:no
Doctor:Or is her cycles irregular?
User:yes her cycles used to be irregular
User:but its too long this time
Doctor:Generally how often her cycles last?
Doctor:You mentioned she had a pregnancy test - is it urine pregnancy test or blood hCG analysis?
User:urine
Doctor:Does she have any known medical illness such as diabetes, thyroid issues?
Doctor:Has she consulted any doctor for her lengthy / irregular cycles in the past?
Doctor:Are you there?
User:hi
User:yes
User:no diabetes and all
User:it used to be after 5-7 days delay every month
Doctor:May I know when did she perform urine pregnancy test?
Doctor:Are you there?
User:4 days back
Doctor:Ok
Doctor:Let me brief you.
User:sure
Doctor:Besides pregnancy there are few known medical reasons as well as hormonal reasons that causes delayed periods.
User:okie
Doctor:Urine pregnancy test is accurate in most cases and it is very likely that her delay is mostly due to non pregnant reasons.
Doctor:However it is advisable to perform blood hCG check which will 100% rule out pregnancy.
Doctor:Once pregnancy is rule out for sure
User:ok sire
User:sir
Doctor:she can be started on hormone drugs like meprate
User:one more question
Doctor:The drug is used for a short while and period resumes after stopping it.
Doctor:In my patients, I give 10mg meprate twice daily for 5 days and stop.
Doctor:Period resumes 2-3 days after stopping
Doctor:she can get this drug prescribed by her gynecologist
Doctor:Hope it is clear.
Doctor:Proceed with your question
User:if she is pregnant , will it not cause problem
User:one more question, my sister got a mark on face , what is this and what she should apply
Doctor:Meprate is considered safe during pregnancy. But as I mentioned it is beneficial to rule out pregnancy before starting meprate
Doctor:because, meprate will not be effective if she is pregnant
Doctor:Hope I am clear
User:please see the attached picture and advise whats the mark on my sister face
Doctor:May I know what is your concern here?
Doctor:It looks more like a bruise.
Doctor:Can you describe how she developed it?
Doctor:Did it develop abruptly or was
Doctor:there any preexisting skin problem which turned into this now>
Doctor:*?
Doctor:Are you there?
User:yes
User:she got small pimple kind and then it developed like this
Doctor:Then this bruise like mark is most likely post acne depigmentation.
User:oh
User:what she should apply to clear it
Doctor:This type of depigmentation will gradually fade away and resolve in few weeks.
User:okiee
User:anything for immediate
Doctor:There are drugs like isotretinoin that may be used. Retino cream 0.025% or 0.05% may be used.
User:thnks
User:bye
Doctor:This cream should only be used at night. And cleaned as soon as she gets up.
Doctor:This cream will cause
Doctor:skin peeling and new skin formation
Doctor:Again this change is not overnight
Doctor:The effects are noticed in 3-5 days.
Doctor:The cream should strictly be used only at night
Doctor:exposure to sun will cause more darkening
Doctor:Are you following?
Doctor:In addition to this, I will also suggest using good sunscreen lotion such as suncross 26 or 30 during the day time.
Doctor:Have you followed?
Doctor:Do you have any questions?
User:tb ms
User:thnks
User:noo
User:bye
Doctor:Thanks for visiting me here. Bye for now.
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