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Missed periods,no unprotected sex. Not pregnancy but lactational amnorrhea. Suggestions?<br>

i am a 25 years husband from pakistan. My wife has not got her menses even after 5 days to her expected date..we have a 3 months old child & my wife had her last periods on the expected date but this time the cycle is seemed to be disturbed. We have not done any unprotected sex during the time; neither the preg strip test (with 2 different strips) proved pregnancy. I am worried for her. We consulted a gynae & she did not ruled out preg but at the same time said that it could be lactational amnorrhea or due to general weakness. Need your suggestions!
Asked On : Thu, 14 Mar 2013
Answers:  1 Views:  13
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General & Family Physician 's  Response
Lactational ammenorrhea occurs in a women after delivery while she is breastfeeding the baby.Return of menstural cycles varies for each woman and may range between 2 months to 2 years depending upon how actively the mother is lactating (breast feeding). For the person to concieve the menstural cycles should be ovulatory. Generally, following delivery the first menstural cycle is always anovulatory. But subsequent cycles are always ovulatory. Since your wife's periods are not the first one after delivery it should be considerd as ovulatory cycle (fertile period) & hence you cannot rule out pregnancy. But, do not worry. Because the luteal phase in the initial menstural cycles after delivery is usually short to sustain pregnancy.
Answered: Fri, 15 Mar 2013
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