What causes back pain,tiredness,constipation and breast change?

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Posted on Wed, 25 Jun 2014 in Women's Health
Question: Hi, Im XXXX 29 yrs old, Married since one yr, My periods are very regular and cycle is 30. My last period was April 19th. And May 19th, when my period was due I got mild cramp and vaginal bleeding but not a period. May 4th I got Ovulated by getting one spot. My period days will be complete 4 days, but this time not at all. I have urination, back n hip pains, tiredness, sleepiness, apettie, constipation, breast changes and vertical line on my belly, bloating too. But on 46th day my pregnancy test was negative.
doctor
Answered by Dr. Aarti Abraham 20 minutes later
Brief Answer:
AS BELOW

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Have you had a period since the 19th of April ?
What date did you take the pregnancy test - also was it a blood or a urine home pregnancy test ?
What is your height and weight ?
WHen was your latest TSH ( thyroid test ) measured ?
Have you ever had a delayed / irregular period like this ?
Are any of these factors present in your case - anxiety, stress, weight gain or loss, unaccustomed exercise , erratic eating or sleeping habits, ingestion of birth control or hormonal medications, travelling, etc ?
Also, did you suspect ovulation just by the spot, or was it confirmed by ultrasound scan also ?
Please do provide these details, so that I can guide you accordingly.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham 1 hour later
Thanks Doctor for your reply!!! The details are below.
Last period was April 19th 2014. (flow was 4 days)
May 19th, my period was due.
Taken Home Urine Pregnancy test on XXXXXXX 3rd and it was Negative
Height-5.7' and Weight-65
Thyroid Test by March 2014 and the details are below.
Test Date: 13/3/2014 Asked for: T3, T4, TSH
T3-122
T4-9-9
TSH-2.80
Euthyroid
No, Mine is regular period. I have not faced any irregular or delayed periods.
No, i don't have any problem and am doing work from home job only, so no travelling also.
By spotting and white discharges only I suspect that Im ovulating and not by ultrasound.
Also, some other details are below.
Test Dated: 13/3/2014 Asked for: AAROGYAM 1.3, SOD, PHOS
Testosterone - 31.7
Vit D3 - 22.79
B 12 - 221
Test Dated: 25/3/2014 Asked for: FTES, LH, PRL, TEST, FSH
Free Testosterone - 0.97 pg/ml
FSH - 6.9
LH - 4.49
PRL - 12.76
Testosterone - 36.9


doctor
Answered by Dr. Aarti Abraham 3 hours later
Brief Answer:
AS BELOW

Detailed Answer:
Hi again
Well, all the workup is done at your end.
Just what remains is a transvaginal ultrasound scan for the pelvis.
Please get that done.
If conditions like polycystic ovaries, endometrial hyperplasia, polyp etc exist, they would be picked up.
Generally, once in a while, such disturbance occurs due to mild hormonal disturbances.
The lining of the uterus ( endometrium ) would then be seen as thickened on the scan, and you can take progesterone withdrawal tablets to induce your period after the scan.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6010 Questions

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