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Missed period. Was taking meprate. Pregnancy test was negative. Done with Blood test. Reason for delay in menstrual cycle?

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General & Family Physician
Practicing since : 2005
Answered : 2408 Questions

As stated i got my last period on 21st of august.

till today i have not got my next cycle.

i have this problem on delayed cycle and for few months was on
meprate 10mg for 5 days which i took even this month.
but its been 11 days since i took the tablet still my cycle has not come.

meantime on the 45th day, 50th day and 55th day i did pregnancy test using the strip and it came negative.

i also did urine test on the 55th day and it came negative.

i also did blood test on the 60th day and the result is:
Test Description Observed value Biological Reference Interval
Haematology :
Haemoglobin (WB/Automated Counter) 9.4 observed value
12 - 15 gm % reference interval.Immuno Assay
H C G (Serum/CMIA) LESS THAN 1.2

Non pregnant: 0 - 5 mIU/ml
Gest weeks Range
1 - 10 202 - 0000 mIU/ml
11 - 15 0000 - 0000 mIU/ml
16 - 22 8007 - 0000 mIU/ml
23 - 40 1600 - 0000 mIU/ml

I am keen to know:
a) why there is delay in my cycle
b) urine test says negative for pregnancy

c) my HCG says less than 1.2
what does this mean?

Posted Wed, 13 Nov 2013 in Menstruation and Miscarriage
Answered by Dr. Shanthi.E 11 minutes later
Brief Answer:
specific answers are below

Detailed Answer:

I have read your query with diligence. I am sorry about your current health status.

To answer your queries specifically:

a) why there is delay in my cycle - it is due to the hormonal imbalance between oestrogen and progesterone hormones.

b) urine test says negative for pregnancy - You are not pregnant according to the urine test

c) my HCG says less than 1.2 - This also indicates that you are not pregnant.

Now, to give you my suggestions:

It seems like you are having hormonal imbalance for a couple of months now. Also, the urine and blood tests are negative for pregnancy. This means you are not definitely pregnant.

In such a situation, I would suggest my patient to undergo a detailed ultrasound scan of the uterus and the ovaries to look for pathologies like cystic ovaries, fibrioids.

Also, I would request you to go for hormonal assays like Serum FSH and LH, along with thyroid function tests.

We can conclude on the cause for your absence of periods based on these tests, and treatment can be planned accordingly.

Hence, I would suggest you to go for the above-mentioned tests.

This is a broad overview of what you should do now. Let me know if you have more queries.

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