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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Missed Periods, Diagnosed With PCOS, Under Severe Job Stress. Could Delay Be Due To Stress?

Hi my name is Bhavani NirmalRaj and I am 25 years old. I got married last June. I got my last Periods on 25th September. I missed my periods by 3 days and the Preg-card results are showing negative. I consulted a doctor and they diagnosed that I have PCOS . But I usually have regular cycles before marriage (28 day cycle). My Doctor advised me to take Systen tablets for 5 days. Today is my 34th day so even today my preg card test shows negative. Is there any chance that I may get pregnant this month??? I am a working women and my work is very stressful. I am so worried about this as I am not sure whether the delay of my periods is because of PCOS. I am afraid that this will create serious troubles in my life. Please advise
Tue, 1 Apr 2014
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OBGYN 's  Response
Hello Bhavani
Thanks for writing to us with your health oncern.
For women with PCOS, it is the norm to experience scanty and irregular cycles.
More often than not, spotting occurs instead of a proper menstrual period.
I hope you have been thoroughly evaluated for PCOS in the form of hormonal tests -
FSH
LH
prolactin
TSH
serum free testosterone
DHEAS
fasting serum insulin
oral glucose tolerance test
pelvic ultrasound scan

Also, proper treatment should be initiated - generally Metformin is prescribed for metabolic control.
Also, if you are overweight, weight loss is the mainstay of therapy - even a 5 % loss in excess weight will regulate your cycles.
If you are sexually active, then take a pregnancy test just to be sure and rule out pregnancy / miscarriage / ectopic pregnancy.
It is better to take a blood B HCG pregnancy test as with PCOD you can have irregular cycles.
All the best.
Please feel free to ask for further clarifications.
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Missed Periods, Diagnosed With PCOS, Under Severe Job Stress. Could Delay Be Due To Stress?

Hello Bhavani Thanks for writing to us with your health oncern. For women with PCOS, it is the norm to experience scanty and irregular cycles. More often than not, spotting occurs instead of a proper menstrual period. I hope you have been thoroughly evaluated for PCOS in the form of hormonal tests - FSH LH prolactin TSH serum free testosterone DHEAS fasting serum insulin oral glucose tolerance test pelvic ultrasound scan Also, proper treatment should be initiated - generally Metformin is prescribed for metabolic control. Also, if you are overweight, weight loss is the mainstay of therapy - even a 5 % loss in excess weight will regulate your cycles. If you are sexually active, then take a pregnancy test just to be sure and rule out pregnancy / miscarriage / ectopic pregnancy. It is better to take a blood B HCG pregnancy test as with PCOD you can have irregular cycles. All the best. Please feel free to ask for further clarifications.