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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tender Breast, Cramps. Have Mirena Fitted. On Naproxen And Amitriptyline. HPT Negative. What Is Expected?

Hi i have a mirena in me since feb and i bleed for the whole of four months now i have stopped and i am also taking amitriptyline 10mg two at nite i also taking naproxen 500mg 1 at nite, for the past week n bit i have pain some really bad cramp pains n also feel like I'm pregnant, tender breast, my sense of smell has heightened i am peeing lots feel sick n bloated is it possible i could be pregnant i took a home test it read negative but im unsure weather tablets im taking can affect the results, please can u give me advise
Thu, 19 Sep 2013
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General & Family Physician,  's  Response
Hello ma'am.

There could be three main reasons for your presentation:
-a hormonal imbalance wich could have been caused by the mirena (although removed)
-infections
-pregnancy

In such a scenario I would advice you to first repeat the home pregnancy test, this time using an early morning urine sample, and to be conducted at least 2 weeks after your last sexual encounter.

Once pregnancy has completely been ruled out you would have to get a urine examination, vaginal swab test and a blood test to check on hormone levels. Please request your doctor for the same.

Hope this helps.

Best wishes.
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Tender Breast, Cramps. Have Mirena Fitted. On Naproxen And Amitriptyline. HPT Negative. What Is Expected?

Hello ma am. There could be three main reasons for your presentation: -a hormonal imbalance wich could have been caused by the mirena (although removed) -infections -pregnancy In such a scenario I would advice you to first repeat the home pregnancy test, this time using an early morning urine sample, and to be conducted at least 2 weeks after your last sexual encounter. Once pregnancy has completely been ruled out you would have to get a urine examination, vaginal swab test and a blood test to check on hormone levels. Please request your doctor for the same. Hope this helps. Best wishes.