Brief Answer:
Hormone imbalance is the most likely cause.

Detailed Answer:
Hello,

Thanks for trusting us with your health concern.

In the current scenario, the most likely cause of the delayed is the hormone imbalance and not pregnancy. Yet, if you want to exclude pregnancy, you can go for the blood test.

Since you discontinued the hormone course, you are likely to experience irregular cycles for a while until the hormone balance is settled.

Please maintain a healthy diet, a healthy weight and regular exercise. This helps a lot in regulating hormone levels and helps to achieve proper ovulation.

It is good that the sonogram findings are reported normal.

You can get tested for insulin resistance and if positive, can start with Metformin course after consulting your health care provider. This helps to induce ovulation and regularize cycles.

Hope your query has been clarified. Please feel free to contact for further information. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
You can get the blood test.

Detailed Answer:
Hi,

Thanks for writing back.

As I mentioned earlier, you can get the estimation of the serum beta-hCG titres. This is a very sensitive and specific test to confirm/exclude pregnancy.

A trans-vaginal sonogram also helps to know the status of the pelvic organs and to exclude/confirm pregnancy.

Hope this helps. Please get back if you need anything else. I will be ready to help.

regards,
Shanti.V.

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