What causes missed period despite having negative UPT?
thanks for the query to hcm,
Firstly as home urine pregnancy test is negative as of today then she is not pregnant at all. However the best way is to get a serum beta hcg test. if the test is negative pregnancy is completely ruled out.
Secondly, if negative, then an ultrasound shall need to be done to look for endometrial lining thickness which if is more than 10mm still then she can be again given a withdrawal bleeding once again with progesterones course for 5 days. The bleeding should ideally resume in next 7 days.
But if again if the menses don't start then a dilatation and curettage wuld need to be done to remove the old endometrium.
Also stress per se can itself cause hormonal imbalance and delay the menses to a great deal. I believe she is already under stress and needs to calm down and relax as there is unlikely to be a pregnancy , so she is safe and menses can be resumed if not by medications then surely after a D& C.
the pregnancy tests if done 8 days ater the missed periods ,3 as u said and if they are negative then they are conclusive else its always bwtter to get a serum beta hcg done.
allow the bleeding start first after ipill intake and if pregnancy is negative then you should just wait for about next 2 weeks for menses to resume.
Thanks a lot for your guidance sir..
As mentioned earlier. The bleeding should start after ipill intake in next 7 days. The XXXXXXX one should wait is 2 weeks...else the option left is only dilatation and curettage. Ifyou have already crossed the ipill period now and have taken a course od progeaterone pills for 5 days as well and yetin next 7 days there has been no bleed then dilatation and curettage should be done.
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