Brief Answer:
Detailed below.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

I have gone through your query and would like to offer my opinion.

As your period is overdue for four days, I would suggest a pregnancy test to be done now, if the earlier one was done just after the missed period. Use fresh early morning sample of urine.

If still in doubt, you can get the blood test, which is very specific and sensitive. If pregnancy is ruled out, you can use hormone withdrawal to induce a period. Please remember that a period cannot immediately occur even with hormone withdrawal. It takes 3-7 days in general.

Hope this helps. Please let me know if I can assist you further.

regards,
Shanti.V.

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Brief Answer:
Please go for hormone induction under surveillance.

Detailed Answer:
Hi,

Thanks for writing back.

As you have excluded pregnancy, you can use progesterone to induce period after evaluation by your health care provider. If you still suspect pregnancy, as is evident from your expression, please go for the blood test and/or the trans-vaginal sonogram to clarify totally.

A 3-5 day progesterone course should suffice. Withdrawal bleeding is usually seen after a couple of days.

Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.

regards.
Shanti.V.

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