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Getting cramps, got late and light periods with burning nipples and tired. Cause?

Mar 2013
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Practicing since : 1998
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Hi, i have been getting cramps for the past 2 weeks, my period was late 2 days and it only lasted 2 days which is rare cause it always lasts 5 to 6 and still have cramps. Another thing is that my nipples have been burning a little, been feeling tired, and still feel bloaded. What is happening to me? pls
Posted Sat, 12 Oct 2013 in General Health
Answered by Dr. Aarti Abraham 59 minutes later
Brief Answer:

Detailed Answer:
Thanks for writing to us.
Any kind of abnormal period needs to be looked into, for the possibility of a pregnancy or related complication, such as a spontaneous miscarriage or an ectopic pregnancy ( pregnancy outside the uterus ).
Hence, please take a pregnancy test, even if you had your period, because it was late, scanty and unnaturally painful.
Also, you could be having mild hormonal imbalance, due to which your menstrual cycle got altered.
Stress, anxiety, travelling and change of place, diet or sleep patterns, ingestion of hormonal medications or other drugs like antidepressants etc,thyroid hormone disturbance , weight gain - all these can affect the hormonal pattern.
Lastly, polycystic ovarian disease often causes scanty and delayed cycles, as does endometrial hyperplasia ( thickening of the lining of the uterus ) .
These conditions are diagnosed by a gynaecologist after thorough XXXXXXX check up ( per vaginam and per speculum ) , necessary blood tests ( FSH, LH, prolactin, TSH, glucose tolerance test, adrenal hormones, lipid profile ) and a pelvic transvaginal ultrasound.
A complete blood count is also essential, to rule out anemia ( low hemoglobin levels ) as a cause for your general fatigue.
Right now, please get a pregnancy test.
If it is negative, and these symptoms do not abate within a few days, you should schedule an appointment with your doctor for further workup as outlined by me.
All the best.
Please feel free to ask for any further clarifications.
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