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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Missed Period With Tender Breast?

I'm a month late on my period. I have felt many signs of early pregnancy, such as feeling sick, heart burn, nose bleeds, extremely tired, very moody and my nipples are very tender. Today all of a sudden I felt a great amount of crampy pains and pressure in my lower abdomin, as much were it toppled me over. And then I had heavy amount of bright red blood with lots of clots. I've never had a period this heavy in my life. Do you think I was pregnant and miscarried?
Mon, 10 Mar 2014
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OBGYN 's  Response
Hello and thanks for the query,

I am sorry for the pain and agony you have been through. This may have been a miscarriage. Please check to see if you passed any fleshy masses as they indicate an abortion.

It is sometimes difficult to confirm if there was a pregnancy after bleeding is complete as most of the signs of pregnancy like positive pregnancy test and increased size of the uterus regress after bleeding.

It is advisable that you visit a gynecologist and check to see if you were pregnant. A urine test must be done as sometimes it gives a positive result up to 24 -48 hrs of abortion. A sonography will help to determine if there was a miscarriage and if it was whether it was complete or incomplete. Sometimes a few bits may be left inside and later cause infection or heavy bleeding. They need to be removed surgically. If there is any other reason for the heavy bleed like fibroids, it may also be seen on ultrasound.

I suggest that you exercise an extra caution here on and get a pregnancy test done after 7 days if you miss a period to avoid such mishaps.

Hope I was able to solve the issue.
Feel free to ask any more questions that you may have.
Take care.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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What Causes A Missed Period With Tender Breast?

Hello and thanks for the query, I am sorry for the pain and agony you have been through. This may have been a miscarriage. Please check to see if you passed any fleshy masses as they indicate an abortion. It is sometimes difficult to confirm if there was a pregnancy after bleeding is complete as most of the signs of pregnancy like positive pregnancy test and increased size of the uterus regress after bleeding. It is advisable that you visit a gynecologist and check to see if you were pregnant. A urine test must be done as sometimes it gives a positive result up to 24 -48 hrs of abortion. A sonography will help to determine if there was a miscarriage and if it was whether it was complete or incomplete. Sometimes a few bits may be left inside and later cause infection or heavy bleeding. They need to be removed surgically. If there is any other reason for the heavy bleed like fibroids, it may also be seen on ultrasound. I suggest that you exercise an extra caution here on and get a pregnancy test done after 7 days if you miss a period to avoid such mishaps. Hope I was able to solve the issue. Feel free to ask any more questions that you may have. Take care. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist