Hello,

Thanks for writing to us.

According to last period date (13th June), you had undergone physical relation in relatively safe period. If you do not involve in sexual intercourse, then there is no possibility of pregnancy. Also, you have gotten negative pregnancy tests which are done by your gynecologist.

As you have taken Sysron N (norethisterone tab) for 3 days course to induce period, you need to wait for 7 to 10 days to get withdrawal bleeding, similar to period. Just follow your doctor's advice.

Now, you are getting watery vaginal discharge which more common in luteal phase, prior to commencement of period, due to effect of progesterone. It indicates you will get period shortly. If discharge is not associated bad smell or itching, then you have nothing to worry. Just maintain your genital hygiene.

Beside pregnancy, other causes of irregular period are stress, ovarian cyst/ PCOS, deficient of progesterone hormone, psychological factor, over weight, high prolactin level etc.

If you do not get your period in this time, then you may require to undergo some additional investigations like pelvic ultrasound scan, complete hormone assay, thyroid profile, LH/ FSH, blood sugar & prolactin level etc to pinpoint the diagnosis.

Proper management can be done only after diagnosis of the case. Kindly, consult with your gynecologist for suggestive treatment and prescription.

Hope, it helps for your information. If you need any clarification, you can freely ask me.

Wish your good health and avoid mental stress. Practice safe sex in future.

Regards,
Dr Soumen

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Hello,

Thanks for follow up query. My comments are following:

1) As you do not involve in sexual intercourse, then you need not to be afraid about pregnancy. Negative UV test and urine pregnancy test certainly eliminate possible conception.

2) I have already mentioned the reasons of delayed period beside pregnancy. In this context, ovarian cyst or PCOS, low progesterone hormone, hypothyroidism, psychological factor, mental stress, weight gain, high prolactin level etc are the common precipitating causes.

3) Your clinical presentation is not suggestive of PID (Pelvic Inflammatory Disease). So, you need not to be worried about this.

4) If you do not get your period within expected day, you have to undergo some additional investigations like pelvic ultrasound scan, complete hormone assay, thyroid profile, LH/ FSH, blood sugar & prolactin level etc. It helps to reach in final diagnosis of the case.

5) Proper management depends on test results. However, I treat most patient with hormonal medication includes combined OCP/ thyroid tab etc. depending on the diagnosis. Supportive treatment is given in few cases.

In addition to above, you will take a balanced diet with iron supplements, avoid mental stress completely by meditation (it can delay your period), do regular exercise to control body weight and take sound sleep.

Hope, I have answered your query. If you do not have any other query, you can close the discussion.

Good luck. All the best.

Regards,
Dr Soumen

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