HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Breast Soreness, Back Pain. Negative Pregnancy Test. Brown Spotting. Have Fibroids. Need Help

default
Posted on Wed, 10 Apr 2013
Question: Good evening. The last time I engaged in intercourse was Dec. 2nd. and my last period was January 7th. It was shorter than usual. I've always been extremely regular, every 24 days, w/my cycle lasting on average for five days. I began experiencing extreme soreness in my breast, especially in the mornings, as well as lower back pain towards the end of January. As a result of this and not getting my period, I took two pregnancy test in February (two weeks apart), both of which were negative. The soreness in my breast lasted through the end of February-early March. My back is a lot better, but still a little sore in the mornings.
On Feb. 14th I experienced some moderate cramping, just as I do during my cycle. I rushed home just knowing that it was starting; I was wrong. Instead I had passed this extremely large, white elastic like blood-clot. A day or so later I noticed brown spotting, though not much. Anyway, we're well into the month of March and I still have yet to have my period. Also, I should tell you that I have several fibroids ranging in size w/the largest being 7-8 cm. I've never been pregnant before.

Lastly, things have been a little stressful as I recently started law school. I'm not sure how much stress plays a part in delaying a period, but read that it can.

Thank you for any information or direction you can provide.
doctor
Answered by Dr. Kulsoom Qureshi (44 minutes later)
Good evening,
Thanks for discussing your problem with us.
A change in menstrual pattern is always significant in women who are used to have regular periods.
In sexually active women first possibility is a pregnancy especially with your history of passing some big "elastic like clot". Your history of back pain may be a sign of an old ectopic pregnancy. Although you have done pregnancy tests but some time in failing pregnancy & in very early pregnancy they come back negative. I strongly recommend you to have a blood pregnancy test & a trans-vaginal ultrasound ( recent). This will most probably give a proper answer to your question.
You also need to visit a Gynecologist even if both tests are negative for pregnancy as there may be a hormonal or other pathological cause of your symptoms e.g. you may be having high serum prolactin ( a hormone) levels ( causing your breast symptoms) or you may be having obstruction in your menstrual outflow due to some cervical fibroid ( although this is very rare). This may cause back pain & cramping. I have seen your old scan report there was a fibroid in lower uterine segment & they were unable to see endometrium ( inner most lining of your womb) which is very unusual. I again stress that you need a follow up scan from good sonologist.
Stress may be a causative factor but it must be a diagnosis of exclusion, that is, we can only put blame on stress if all other tests are negative & normal.
There are many other causes of absent or infrequent menstruation like recent weight gain or loss, chronic illnesses, medicines, & many hormonal upsets. So, see your doctor with full history. Your examination along with some blood tests may give you the reason of your problem & a specific treatment can then be offered to you.
Hope I have given you some clues. Please write back if you want to discuss this further.
Best regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kulsoom Qureshi

OBGYN

Practicing since :1997

Answered : 1042 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Breast Soreness, Back Pain. Negative Pregnancy Test. Brown Spotting. Have Fibroids. Need Help

Good evening,
Thanks for discussing your problem with us.
A change in menstrual pattern is always significant in women who are used to have regular periods.
In sexually active women first possibility is a pregnancy especially with your history of passing some big "elastic like clot". Your history of back pain may be a sign of an old ectopic pregnancy. Although you have done pregnancy tests but some time in failing pregnancy & in very early pregnancy they come back negative. I strongly recommend you to have a blood pregnancy test & a trans-vaginal ultrasound ( recent). This will most probably give a proper answer to your question.
You also need to visit a Gynecologist even if both tests are negative for pregnancy as there may be a hormonal or other pathological cause of your symptoms e.g. you may be having high serum prolactin ( a hormone) levels ( causing your breast symptoms) or you may be having obstruction in your menstrual outflow due to some cervical fibroid ( although this is very rare). This may cause back pain & cramping. I have seen your old scan report there was a fibroid in lower uterine segment & they were unable to see endometrium ( inner most lining of your womb) which is very unusual. I again stress that you need a follow up scan from good sonologist.
Stress may be a causative factor but it must be a diagnosis of exclusion, that is, we can only put blame on stress if all other tests are negative & normal.
There are many other causes of absent or infrequent menstruation like recent weight gain or loss, chronic illnesses, medicines, & many hormonal upsets. So, see your doctor with full history. Your examination along with some blood tests may give you the reason of your problem & a specific treatment can then be offered to you.
Hope I have given you some clues. Please write back if you want to discuss this further.
Best regards.