Brief Answer:
Could you be so kind as to help me with some information

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. If you do not mind me asking a few questions ma'am, I need a little extra information from you, thank you.

+Are you on any medications?
+Are you taking any birth control pills?
+Any methods of contraception (e.g. mirena implant, etc.)?
+Are you sexually active?
+If you are sexually active, do you have one partner? And have you taken any emergency contraceptive pills lately?
+The back pain you described, is it in your upper, mid or lower back region?
+Do you have any symptoms like frequent urination, burning sensation while urinating, vaginal discharge, etc.?
+Have you had any infections lately (e.g. throat infection, stomach infection, etc.)?
+Are you diagnosed with any chronic conditions (e.g. diabetes, hypertension, etc.)?

I look forward to hearing from you in order to help you further. Please also feel free to write to me with any other clarifications, or extra information that might be relevant ma'am.

Best wishes.

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Brief Answer:
Hormonal imbalance for sure, pregnancy/breast feeding could be an influence

Detailed Answer:
Hello once again ma'am.

Thank you so much for that information ma'am.

In my opinion the cause is most probably a hormonal fluctuation. Your recent history of pregnancy, and possibly recently getting off breast feeding or still breast-feeding could cause a hormonal imbalance.

As you must know, breast feeding is considered a natural method of contraception and although not full proof but it can prevent conception. This is because it can affect the hormone production to a certain extent.

Some of the symptoms of a hormonal imbalance are the following:

+Gastric symptoms (e.g. abdominal bloating, increased belching, increased acidity, regurgitation of food, changes in appetite, etc.)
+Acne
+Nausea
+Vomiting
+Menstrual irregularities
+Inter-menstrual bleeding
+Abdominal pain
+Lower back pain
and a few others.

I would not worry too much about your symptoms ma'am, but would either way recommend a visit to your doctor who would check on your hormone levels. As this is lasting for almost 2 months you may need some help with your doctor.

How about your menstrual cycle? Duration, consistency, colour of bleed, regularity, etc? When was the last time you had your period ma'am? Could you write to me with your period dates for the last 6 months?

Any abnormalities could be an added indication to a hormonal imbalance. Please do consult your doctor for the same ma'am, as a few medications can help get your hormone levels to normal and suppress your symptoms completely.

Best wishes.

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Brief Answer:
Since when have you not had your period ma'am?

Detailed Answer:
Hi ma'am.

I have not completely ruled out pregnancy, and think it would be wise to rule it out but at a doctors office. A serum (blood) test or an ultrasound would help to better confirm/rule out pregnancy.

+Are you suspecting pregnancy because you have not had your period for the 2 months that you have been experiencing your symptoms or for longer than that?

False-positive home pregnancy tests (HPT) happen all the time. I have come across numerous women who have returned a positive result to HPT's in their 3rd month of pregnancy. So if at all you have not had your period for quite some time, then accurately ruling out pregnancy (only possible at a doctor's office) will be mandatory ma'am.

Best wishes.

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