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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods Along With Vaginal Spotting?

Hi :) I m 41 days late for my period (day 73 in this cycle) I ve taken MANY tests... All negative. I started spotting very little 2 days ago. It s on and off. is it possible that I m pregnant? If not what s going on? I have a doctors appointment on Tuesday.. but I need answers...
Mon, 4 Apr 2016
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General & Family Physician,  's  Response
Hello dear,
Understand your concern.

Also note that following are the reason for late periods with spotting:
1. High level of stress
2. Change in life style
3. Late ovulation
4. Excessive exercise
5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine
6. Thyroid problem
7. Hormonal imbalance
8. Endometriosis
9. PCOS
10. Molar pregnancy: some time
11. rarely cancer of genital tract

Do the following tests:
1. Blood HCG
2. USG abdomen
3. Endometrium biopsy
4. PAP smear

Do regular walking and exercise.
Eat healthy diet

Also note that
Menstruation required co ordinate action of various hormone that secreted by ovary (estrogen and progesterone) and brain (FSH and LH).
If any above hormone is decreased or increased there is imbalance in menstruation.
So please do full hormonal profile : Estrogen, progestron, LH, FSH, HCG and thyroid hormone.
That help to diagnose hormonal imbalance.
After confirmation you can take treatment according So please go ahead.

Hope this may help you
All the best.
Stay healthy.
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What Causes Delayed Periods Along With Vaginal Spotting?

Hello dear, Understand your concern. Also note that following are the reason for late periods with spotting: 1. High level of stress 2. Change in life style 3. Late ovulation 4. Excessive exercise 5. Drugs: Birth control pills, tyroid medication, Excessive tea and caffeine 6. Thyroid problem 7. Hormonal imbalance 8. Endometriosis 9. PCOS 10. Molar pregnancy: some time 11. rarely cancer of genital tract Do the following tests: 1. Blood HCG 2. USG abdomen 3. Endometrium biopsy 4. PAP smear Do regular walking and exercise. Eat healthy diet Also note that Menstruation required co ordinate action of various hormone that secreted by ovary (estrogen and progesterone) and brain (FSH and LH). If any above hormone is decreased or increased there is imbalance in menstruation. So please do full hormonal profile : Estrogen, progestron, LH, FSH, HCG and thyroid hormone. That help to diagnose hormonal imbalance. After confirmation you can take treatment according So please go ahead. Hope this may help you All the best. Stay healthy.