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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Delayed Periods. History Of Ovarian Cyst, Medically Ruptured. On Birth Control, No History Of Unprotected Sex. Pregnancy Tests Negative. Suggest

Hi, about 2 or three weeks ago I went to the ER and found out I had an ovarian cyst . I didnt need surgery but spent the night there bc the cyst takes 6 hours to finish the rupture. I m in a birth control called qlaira and havent had unprotected sex after my cyst. I m now one week late in my periods... I m almost positive I m not pregnant bc I did all kinds of tests when I went to the ER: ultrasounds, pee test, blood test . And they all showed negative. Should I be worried? Or its just my cycle that is messed up because of the cyst?
Thu, 10 Oct 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
As you mentioned in your query that all tests as, blood , urine , ultrasound are negative for pregnancy . I do agree that you are not pregnant.
The period is one week late .
The reason of this amenorrhea may be as,
1 Due to ovarian cyst as PCOD is the most common cause of amenorrhea. Diagnosis can be confirmed by ultrasound of ovaries.
2 As you were in E R due to cyst rupture , so many drugs were used for treatment . As these drugs ( few of them ) may be responsible for delay in menses. So for this don't do anything , just wait for menses.
3 May be hormonal imbalance but for this get in blood for estrogen , androgen , F S H / L H ratio.
In my opinion first of all wait for another 7-10 days for menses , if not , then consult a gynecologist and get his opinion .
Good luck. Dr. HET
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Delayed Periods. History Of Ovarian Cyst, Medically Ruptured. On Birth Control, No History Of Unprotected Sex. Pregnancy Tests Negative. Suggest

Hello, Thanks for the query to H.C.M. Forum. As you mentioned in your query that all tests as, blood , urine , ultrasound are negative for pregnancy . I do agree that you are not pregnant. The period is one week late . The reason of this amenorrhea may be as, 1 Due to ovarian cyst as PCOD is the most common cause of amenorrhea. Diagnosis can be confirmed by ultrasound of ovaries. 2 As you were in E R due to cyst rupture , so many drugs were used for treatment . As these drugs ( few of them ) may be responsible for delay in menses. So for this don t do anything , just wait for menses. 3 May be hormonal imbalance but for this get in blood for estrogen , androgen , F S H / L H ratio. In my opinion first of all wait for another 7-10 days for menses , if not , then consult a gynecologist and get his opinion . Good luck. Dr. HET