Brief Answer: DETAILS ARE GIVEN BELOW. CONSULT WITH DOCTOR. Detailed Answer: Hello, Thanks for writing to us on Healthcare Magic. Followings are my comments: 1) Besides pregnancy, there are several reasons of delayed period like hormonal imbalance, over weight, mental stress or emotional upset, Poly Cystic Ovarian Disease (PCOD), pelvic infection, irregular diet habit etc. Some relevant investigations like ultrasound scan, hormone test, blood sugar and prolactin level etc are required to pinpoint the diagnosis. Proper treatment depends on diagnosis of the case. 2) Blood spotted tissue may be due to old endometrial lining or late period itself. Vaginal yeast infection can cause itching with associated white discharge. One vaginal swab test will be helpful in that case. You can use vaginal suppository for 3 to 5 days at bed time to get relief from this. Certain predisposing factors should be avoided like contact of chemical subs or soap or detergent/ bath products/ perfume, wet clothes for long time, repeated douching, unprotected sex etc. Take healthy diet with antioxidant, drink more water for better systemic circulation, control body weight and maintain genital hygiene. SUGGESTION: Kindly, consult with gynecologist for clinical evaluation, proper guidance of relevant investigations and prescription. You may need hormonal medication additionally to induce period. Hope, it helps for you for proper understanding. Let me know, if you need any clarification. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW

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Brief Answer: FOLLOW THE GUIDELINE. Detailed Answer: Hello, Thanks for follow up query. 1) As you have gotten four NEGATIVE home pregnancy tests, then possibility of your pregnancy is quite low if last test is done very recently. However, you can undergo one blood test for beta-hCG to clear doubts. 2) It is better to undergo relevant investigations as mentioned above to pinpoint the diagnosis under the guidance of your gynecologist. It will be helpful for you to understand the exact cause. 3) Sometimes early sign of yeast infection does not present with discharge but itching is common. Bacterial infection can cause the same thing in association with dryness of vagina and increased vaginal pH. Here, you can apply VAGISIL cream or KY Gel for proper lubrication and moisturizing of vagina. 4) Small bump like feeling may be due to vaginal Rugosity (mostly normal thing). However, I would suggest you to undergo one pelvic examination with or without speculum to identify underlying pathology if any. Hope, I have guided you properly. Kindly, close the discussion if you don't have any other query. All the best. Good luck. Regards, Dr Soumen

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